End of Week Roundup

This week, the FDA advised against expanding the use of drug Xarelto for acute coronary syndrome. A study found that, in 2010, over half of all individual health insurance policies failed to meet exchange requirements. Also this week:

  • Ohio hospitals are losing money as the number of Medicaid patients increases and the number of privately insured decreases.
  • Changes in Medicare conditions of participation could save hospitals billions in the next five years.
  • Massachusetts health reform has successfully decreased number of uninsured.
  • Utilization was not cause for recent health care spending increase.

End of Week Roundup

This week, the Government Accountability Office (GAO) reiterated its recommendation that additional oversight be given to Medicaid programs. HHS issued a guidance on the formation of state health insurance exchanges. Also this week,

  • The OIG focuses fraud investigations on drugstores.
  • Medicare Advantage organizations may limit coverage of DME products.
  • With the approval of generic versions, sales for the drug Plavix are expected to decline.
  • Knowledge of illegality of actions is irrelevant to criminal charges and conviction under HIPAA.
  • HHS granted six more states money to help build health insurance exchanges.
  • A look at the controversy surrounding the PPACA contraception coverage requirement.

End of Week Roundup

This week, CMS is preparing to hike rates for primary care services provided under Medicaid. In the face of upcoming health reform requirements, are employers going to elect to eliminate health insurance coverage for their employees? Also this week:

  • The FDA’s over-the-counter drug proposal may result in Medicare & Medicaid savings.
  • The Senate Finance Committee examines opioid ties to the drug industry.
  • Why are small businesses failing to take advantage of the health care tax credit?
  • How your organization can effectively educate physicians on how to buy-in to its compliance program.
  • Colorado passed a bill to make hospital bills more affordable for the uninsured.

 

End of Week Roundup

This week, we issued a special briefing which summarized all of last week’s PPACA arguments before the U.S. Supreme Court and analyzed the key issues before the Court. We also covered Attorney General Eric Holder’s response to President Obama’s controversial remarks regarding the case. Also this week: