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Md. insurance commissioner exploring issues with medical loss ratio Google

By Bob Graham – Maryland’s acting insurance commissioner says the process to resolve medical loss ratio for health insurers is in the “very early” stages. Maryland and other states, working with the U.S. Department of Health and Human Services, must resolve what to place in the group of medical expenses and what should be deemed [...]

Precipitous Increase in Fraud And Abuse Recoveries To Medicare Trust Fund Google

As reported in the May 14th HLP blog, the Departments of Justice (DOJ) and Health and Human Services (HHS) recently released the Health Care Fraud and Abuse Control Program (HCFAC) Annual Report for Fiscal Year 2009, which reflects that $2.51 billion was deposited to the Medicare Trust Fund in 2009, as a result of more [...]

New Report Highlights Federal Efforts to Fight Health Care Fraud Google

This month, the Office of Inspector General published its report of the activities and results of the Health Care Fraud and Abuse Control Program for 2009. A few highlights from the report include:

PSCs Found to Have Little Effect on Recovery of Medicare Overpayments Google

The Office of the Inspector General (“OIG”) of the Department of Health and Human Services (“HHS”) issued a report this month showing that program safeguard contractors (“PSCs”) have not resulted in significant recoveries to the Medicare program.

Health Care Reform Bill Creates New Mandatory Compliance Programs Google

The recently passed health care reform bill–known more technically as the Patient Protection and Affordable Care Act–contains a provision bound to increase enforcement regimes for health care providers. For instance, at Section 6401(a)(7), the Act creates mandatory compliance programs for providers enrolled in Medicare and Medicaid. The Secretary of Health and Human [...]

Remembering Older Moms on Mother’s Day Google

Posted by: JudyAnn Bigby, MD, Secretary of Health and Human Services

Women’s Health Week (May 9 To 15) Urges Women To Make Health Top Priority Google

Mother’s day celebrated yesterday (2nd Sunday of May) kicked off the Women’s Health Week, which seeks to bring about awareness among women about their health; urging them to take charge of it. Between home, children, work and a myriad other issues, women tend to make their own health a last priority.

Costs will rise… but compared to what? Google

Health care reform allows young adults to remain on their parents’ health insurance until age 26. The Department of Health and Human Services released an estimate showing that policy change will boost employer premiums by about 0.7 percent. See Costs will rise as young adults stay on policies in the Boston Globe.

Swamped Insurance Departments Hope Website Will Answer Overhaul Questions Google

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Watering down what we take for granted Google

Posted by: JudyAnn Bigby, MD, Secretary of Health and Human Services

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