Archive for November, 2007

BCBSA Statement: AHIC Medicare E-Prescribing Recommendation ‘Clear Signal’ Congress Must Act Now to Protect Seniors

Scott P. Serota, president and chief executive officer of the Blue Cross and Blue Shield Association (BCBSA), released the following statement in response to today’s decision by the American Health Information Community (AHIC) to recommend that the HHS Secretary seek authority from Congress to mandate electronic prescribing (e-prescribing) in Medicare:

Medicare Finalizes Quality Measures Reporting List; Doctors of Chiropractic Eligible to Participate in 2008

Through the leadership of the American Chiropractic Association. In 2008, the program will include 119 quality measures, including two applicable to chiropractic.

Acting CMS Administrator Weems Participates In ‘Secret Shopper’ Program Monitoring Medicare Advantage Plan Marketing

As part of a CMS initiative to investigate the sales tactics of insurance agents marketing Medicare advantage plans to seniors, acting agency Administrator Kerry Weems on Wednesday attended a promotional presentation for an MA plan as a “secret shopper,” the AP/Contra Costa Times reports. Weems posed as a customer seeking information on behalf of his [...]

Some Hospices Forced To Repay Medicare For Exceeding Reimbursement Limits As Patients Live Longer Than Expected

The increase in hospice patients who live longer than expected has led CMS to demand hundreds of millions of dollars in repayments from facilities that exceed Medicare reimbursement limits, the New York Times reports. The Medicare hospice program originally was designed for people with terminal illnesses who had less than six months to live, as [...]

CMS Proposes Medicare Hospital Payment System Based On Quality Of Care

CMS on Monday proposed changes to the Medicare hospital reimbursement system that would reduce payments by a flat rate to create an incentive payment pool for rewarding hospitals that meet quality-of-care thresholds, the Wall Street Journal reports.

LETTERS; Health Care: A National Conversation

To the Editor:.

Medicare Wants to Cut Hospital Pay to Create Quality of Care Incentive

Nov. 27, 2007 – The Centers for Medicare & medicaid services on Monday proposed changes to the Medicare hospital reimbursement system that would reduce payments by a flat rate to create an incentive payment pool for rewarding hospitals that meet quality-of-care thresholds, the Wall Street Journal reports.

Medicare Demanding Millions from Hospices Because Patients Lived Too Long

Nov. 27, 2007 – The increase in hospice patients who live longer than expected has led CMS to demand hundreds of millions of dollars in repayments from facilities that exceed Medicare reimbursement limits, the New York Times reports.

Artificial-Joint Makers Settle Kickback Case

Four of the nation’s biggest makers of artificial joints will pay a total of $310 million in fines to settle accusations that they paid kickbacks to surgeons.

Standard Medicare Premium Will Rise 3.1% Next Year

The standard Medicare premium will rise to $96.40 a month next year, an increase of $2.90 a month. The 3.1 percent increase is the smallest since 1999-2000.

medicare audits show problems in private plans

Medicare recipients have been victimized by private insurers that run the drug benefit program, according to a review of federal audits.

After Audit, Insurers Vow To Improve Medicare Service

health insurance companies cited by federal auditors for violation of Medicare standards said that they were addressing the deficiencies and would improve service to patients.

OP-ED CONTRIBUTOR; A Health Care Bargain

If we’re going to have a new American birthright to medical care, there will be new American responsibilities.

Duel Over a Monopoly

As a looming battle with Roche approaches, Amgen is preparing to defend its anemia franchise, now worth $7 billion a year, through pricing and lawsuits.

G.O.P. Candidates Address Entitlements

Republican candidates addressed the anti-tax group, Club for Growth, addressing taxes and the ballooning costs of entitlements on Wednesday.