Aug 27th, 2010
A recent article co-written by top government officials and published in the Annals of Internal Medicine touts the virtues of recent health reform legislation. Robert Kocher, M.D., National Economic Council, special assistant to the president for health care, Ezekiel J. Emanuel, M.D., special advisor on health policy, Office of Management and Budget, and White House ...
In CMS
Aug 27th, 2010
Under the Affordable Care Act, the Centers for Medicare & Medicaid Services (CMS) is expanding Medicare coverage of evidence-based tobacco cessation counseling. Effective Jan. 1, 2011, any smoker covered by Medicare can receive tobacco cessation counseling from a qualified physician or other Medicare-recognized practitioner. Current Medicare policy covers tobacco counseling only for individuals...
Aug 16th, 2010
The Patient Protection and Affordable Care Act, as amended by the Health Care and Reconciliation Act of 2010, has served to “substantially improve” the financial outlook for both major trust funds supporting Medicare, say Medicare trustees in an annual report. To ensure the financial integrity of Medicare’s Hospital Insurance (HI) and to reduce the growth rate in Medicare ...
In Audit
Aug 13th, 2010
Health plans newly created or significantly amended after Sept. 22 will have to adhere to a new federal appeals process that allows consumers to challenge initial claims denials/rescissions. The U.S. Departments of Health and Human Services (HHS), Labor, and the Treasury issued an interim final rule July 23 for group health plans and health insurance issuers ...
Aug 13th, 2010
The U.S. Department of Health and Human Services (HHS) announced July 29 that states may now apply for their share of $51 million in grant money to establish health insurance exchanges (HIEs). HHS also is requesting public comment as the agency develops the rules and standards HIEs should be required to meet. HHS Offers States $51 ...