Health Plans Vary Sharply From State to State

With only a few months remaining before Americans will start buying coverage under the the new state health insurance exchanges established under the Patient Protection & Affordable Care Act (PPACA), it is becoming clear how those policies vastly vary from state to state.

Click here to read more

Physicians Prepare For PPACA Changes

Individual practices and medical organizations are educating their doctors on the Patient Protection & Affordable Care Act (PPACA) in an effort to better prepare for the changes of the 2,000-page statute. Health reform is expected to bring significant changes to the health care system, particularly starting in 2014, when millions will have new coverage options through state health insurance marketplaces and expanded Medicaid programs.

Click here to read more.

July 1 DME Order Changes

Beginning July 1, orders for certain items of Durable Medical Equipment (DME) for Medicare patients must come after a face-to-face encounter with the beneficiary. This requirement was included in the Patient Protection & Affordable Care Act (PPACA) and finalized as part of the 2013 physician fee schedule.

Click here to read more.

CMS Doubles Medicare Program Removal

Using resources from the Patient Protection & Affordable Care Act (PPACA) to crack down on waste, fraud and abuse, the Centers for Medicare & Medicaid Services (CMS) announced last week the removal of 14,663 healthcare providers and suppliers from the Medicare program over the last two years. The figure more than doubles the number of removals from the prior two-year period.

Click here to read more.

Study Reveals Benefit Of Medicaid Expansion Under PPACA

An independent study by the RAND Corp released earlier this week reveals the economic impact of expanding Medicaid under the Patient Protection & Affordable Care Act (PPACA). The report found sharing the cost of expansion under reform would be lower than the cost of providing uncompensated care to uninsured residents.

Click here to read more.

Participation In Workplace Wellness Programs Lower Premiums

Employees will be eligible for lower premiums on employer health insurance if they participate in workplace wellness programs. The Patient Protection & Affordable Care Act (PPACA) will allow U.S. employers to increase the rewards they offer employees who participate in the programs in an effort to improve health and control medical spending.

Click here to read more.

Scaling Back To Avoid Cadillac Tax

While the Patient Protection & Affordable Care Act (PPACA) has garnered attention for providing coverage to tens of millions of uninsured Americans, workers with employer-paid health insurance are being impacted. Companies hoping to avoid the Cadillac Tax, which penalizes companies that offer high-end health care plans to their employees, are beginning to scale back traditionally offered health benefits in an effort to bring down the overall cost of care.

Click here to read more.