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 [...]
Health And Human Services ‘Health And Human Services’
Precipitous Increase in Fraud And Abuse Recoveries To Medicare Trust Fund 
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 
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 
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 
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 [...]
Women’s Health Week (May 9 To 15) Urges Women To Make Health Top Priority 
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? 
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 
Partner content from:
Watering down what we take for granted 
Posted by: JudyAnn Bigby, MD, Secretary of Health and Human Services
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