Walls Closing In On Obamacare Lawlessness

By Grace-Marie Turner The Obama Administration is unlawfully diverting billions of dollars from taxpayers to insurance companies that sell Obamacare policies. That is the conclusion reached in a legal opinion letter released today by former Ambassador and White House Counsel Boyden Gr
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29 hospitals appeal decision over Medicare outlier payments

By Lisa Schencker  | May 23, 2016 Twenty-nine hospitals are appealing a judge’s ruling last year over outlier payments to hospitals for particularly expensive patients. The hospitals had challenged regulations governing outlier payments for fiscal years 1997 through 2007, saying
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Register Now for The Phia Group’s June 2016 Webinar!

Back to Basics: Plan Language 101 Wednesday, June 15th, 2016 1:00 PM (EST) to 2:00 PM Join Us – Register Now! Most situations that involve self-funded benefit plans revolve around language within the plan document. Whether deciding if a service is experimental, or figuring out w
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Proposal to Reduce Medicare Drug Payments Is Widely Criticized

By Robert Pear WASHINGTON — An Obama administration proposal to reduce Medicare payments for many prescription drugs has run into sharp bipartisan criticism, suggesting that it is easier to diagnose the problem of high prices than to solve it. Read more…
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Moving patient payment upfront

By Dave Barkholz  |  May 21, 2016 Patients carrying high-deductible insurance plans under the Affordable Care Act presented Ascension Health’s leadership with a walk-the-walk moment last month. Hundreds of patients, many newly insured, were leaving Ascension Health’s hospi
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PPACA reduces mental health care costs for young adults

May 20, 2016 | By Marlene Y. Satter The Patient Protection and Affordable Care Act (PPACA) has significantly cut the out-of-pocket costs for behavioral health care, and the biggest beneficiaries of reduced costs are young adults from racial and ethnic minorities. Read more…
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Oklahoma Lawmakers Pass Bill That Makes Performing An Abortion A Felony

By Merrit Kennedy Oklahoma lawmakers have passed a bill that makes performing an abortion a felony. NPR’s Jennifer Ludden told our Newscast unit that the bill is the first of its kind, and an pro-abortion rights group plans to sue if the governor signs the bill into law. Gov. Ma
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ER docs sue HHS over out-of-network payments

By Maria Castellucci The American College of Emergency Physicians is suing HHS, claiming a provision of the Affordable Care Act allows insurers to underpay for out-of-network emergency medical services. The federal lawsuit asks that insurers be transparent on the data they’re us
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Highmark Sues U.S. Over Affordable Care Act

By Anna Wilde Mathews Major insurer Highmark Inc. is suing the federal government, arguing it is owed money under the Affordable Care Act, a move that opens yet another front in the continuing legal battles over the 2010 health law. Read more…
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Critics Of Medicare’s Overall Hospital Star Rating Push For Changes

By Jordan Rau Over the past decade, the federal government has publicized 115 different ways to measure medical quality in hospitals, from assessing wait times in emergency rooms and noise levels outside hospital rooms to tracking blood clots in surgical patients. But the latest effor
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