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Congressional Research Service Reports PPACA Medical Loss Ratio Requirements 27 Aug 2013 | 04:56 pm
Under the Patient Protection and Affordable Care Act (PPACA) (P.L. 111-148), certain health insurers are required to provide rebates to their customers for each year the insurer fails to meet its medi...
Hospitals Merging at Fastest Rate Since 1990s 27 Aug 2013 | 04:55 pm
The biggest wave of hospital mergers since the 1990s has hospitals merging faster and in greater numbers than they have in years. In 2009, there were 50 merger deals; that number more than doubled to ...
Wisconsin Funeral Director Charged with Medicaid Fraud 27 Aug 2013 | 04:55 pm
A Wisconsin funeral director is charged with Medicaid fraud, forgery, and other charges related to a scheme to submit fraudulent claims for funeral expenses to the Wisconsin medicaid agency, according...
Kusserow’s Corner: When and How Should a Hotline Vendor be Re-evaluated? 26 Aug 2013 | 06:30 pm
Most healthcare organizations have been using a hotline vendor for many years. Anyone with the same hotline vendor for more than five years may wish to re-evaluate the agreement and services. Over tim...
Employers Prepare to Make PPACA-Related Changes to Employee Health Plans 26 Aug 2013 | 04:56 pm
Although the vast majority of midsize and large companies responding to a survey by Towers Watson see subsidized health care benefits for their employees as an important part of employee compensation,...
Is the Egg Bill All It’s Cracked Up to Be? 26 Aug 2013 | 04:56 pm
Animal welfare groups have documented the conditions under which most commercial egg production organizations house their laying hens. Most commercial producers use “battery cages,” in which six to ei...
Sperm Bank Failure Leads to Forty “John Doe” Lawsuits 26 Aug 2013 | 04:55 pm
Forty “John Doe” lawsuits were filed in the Cook County Circuit Court against Northwestern Memorial Hospital (NMH) and the Northwestern Medical Faculty Foundation (NMFF) following the failure of a lon...
Young Adults Will Enroll in Insurance if They Know About and Can Afford It 23 Aug 2013 | 04:56 pm
Young adults fail to obtain health insurance due to cost as opposed to the believing that they don’t need health insurance, according to a study from the Commonwealth Fund. Based on this finding, and ...
Kusserow’s Corner: Feds Continue Targeting Home Health Fraud 22 Aug 2013 | 06:30 pm
Home Services Program (HSP) Fraud and abuse continues to be a priority of the DOJ, OIG, CMS, and state Medicaid agencies. HSP is a program intended to provide an alternative to institutional care for ...
HHS Launches Video Contest to Persuade “Young Invincibles” to Get Covered 22 Aug 2013 | 04:56 pm
In an effort to tap the creative talents of the generation it needs to reach, HHS has announced a Healthy Young America video contest to spread the message that the “young invincibles” between 18 and ...
