All Coverage
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Will Health Reform Bring New Role, Respect To Primary Care Physicians?
By paying primary care doctors to cut specialist and hospital revenue, CareFirst BlueCross BlueShield is helping to alter the medical spoils system.
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Putting The Home In A Nursing Home
LaVrene Norton’s firm specializes in helping retirement communities and nursing homes train staff and design their residencies to fit the “household model.”
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Lawsuit Accuses Anthem Blue Cross Of ‘Fraudulent’ Enrollment Practices
Consumer group alleges the insurer put out inaccurate information about benefits and providers to gain market share.
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Study: Hospitals Using Electronic Medical Records Not Bilking Medicare
In 2012, Medicare was rocked by allegations hospitals were systematically overcharging the government program by misusing electronic medical records. A study published Tuesday disputes that.
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Conflicting Views Of Supreme Court’s Contraception Decision Cloud Other Cases
If the justices thought they were creating a clear path for others to follow, they were wrong.
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Some Plans Skew Drug Benefits To Drive Away Patients, Advocates Warn
Groups file complaint with federal officials saying four Florida insurers discriminated against people with HIV in setting up pricing structure for drugs, and another analysis finds that many silver plans place medications for costly diseases in highest formulary tier.
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In Unhealthy Eastern Tennessee, Limited Patient Options Bring Some Of The Country’s Cheapest Premiums
Chattanooga’s success in achieving bargain-priced policies offers valuable lessons for other parts of the country as they seek to satisfy consumers with insurance networks that limit their choices of doctors and hospitals.
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How Illinois Has Spent $56M From Health Law’s Prevention Fund
The health law seeks to reduce health care costs by spending more money on prevention and wellness efforts.
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Florida Shifts Medicaid Mental Health Strategy
It offers a plan geared to people with serious mental illnesses that will coordinate physical and behavioral services.
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The Latest In Medical Convenience: ER Appointments
Hospitals around the country are allowing patients to wait at home rather than endure hours in crowded emergency rooms. Warning: It’s not for life-threatening cases, and you could be bumped for someone sicker.
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Did The Supreme Court Tip Its Hand On Contraception Cases Yet To Come?
Advocates on both sides of the debate think the Hobby Lobby ruling could help their causes.
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Mountainous Backlog Stalls Medi-Cal Expansion in California
It’s hard to pin down why applicants are waiting so long for approval, and when the problem will be resolved. Meanwhile, some people are putting off treatment.
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