• Healthcare industry asks feds for clearer guidance on fraud, fewer audits

    Joe Carlson Posted: April 24, 2013 – 6:45 pm ET Tags: After sifting through 2,000 pages of public comments, staff members for the Senate Finance Committee say the healthcare industry wants clearer rules, fewer redundant audits and more focus on proactive healthcare fraud prevention.The committee was swamped with more than 150 reports from healthcare providers, insurers… Read more »

  • Governments may push workers to health exchange

    By Mike Baker / Associated Press Posted: April 24, 2013 – 8:15 am ET In a move that would capitalize on provisions under President Barack Obama’s healthcare law but could cost the federal government millions of dollars, Washington state lawmakers have found a creative way to pass a large chunk of their healthcare expenses along… Read more »

  • Fallout for States Rejecting Medicaid Expansion

    Fallout for states rejecting Medicaid expansion By Ricardo Alonso-Zaldivar / Associated Press Posted: April 22, 2013 – 8:00 am ET Tags:   Rejecting the Medicaid expansion in the federal health care law could have unexpected consequences for states where Republican lawmakers remain steadfastly opposed to what they scorn as “Obamacare.” It could mean exposing businesses… Read more »

  • Baucus sees insurance exchange ‘train wreck’ ahead

    By Rich Daly Modern Healthcare Posted: April 17, 2013 – 1:45 pm ET The primary author of the 2010 healthcare overhaul is worried that the health insurance exchanges planned for launch this year are headed for a “train wreck.” Sen. Max Baucus (D-Mont.), chairman of the Finance Committee, said Tuesday that the lack of details provided… Read more »

  • Big ACO push at heart of policy group’s healthcare overhaul plan

    Modern Healthcare By Rich Daly Posted: April 18, 2013 – 12:30 pm ET Tags:   (Story updated at 4:15 p.m. ET) Medicare providers could see both bigger pay increases and bigger cuts than offered in the current system under a high-profile, bipartisan overhaul proposed Thursday. The single largest provider benefit in a proposed overhaul from the Bipartisan… Read more »

  • A–133 Audit Component Removed From OPA’s Oversight Strategies

      The Office of Pharmacy Affairs (OPA) has revised Policy Release 2012–1 titled “Clarification of HRSA Audits of 340B Covered Entities.” The release was revised to remove the OMB Circular A–133 (A–133) audit component from OPA’s oversight strategies due to a number of concerns that were raised regarding the ability to produce and resolve meaningful… Read more »

  • President Obama Released Budget

    President Obama Releases Budget After being delayed several months, President Obama released his FY2014 budget blueprint on April 10. His proposed $3.77 trillion budget calls for making several major changes to health care programs, including making roughly $401 billion in cuts. Specifically, those cost reductions would be achieved by additional means testing in Medicare Part… Read more »

  • Painful side effects

    Painful side effects Drug-abuse problems evade paltry anti-fraud efforts in Medicare Part D  Modern Healthcare By Joe Carlson Posted: April 12, 2013 – 12:01 am ET Tags: Fraud, Legal, Medicare, Pharmaceuticals, Regular Feature   The abuse of prescription painkillers causes more fatalities than heroin and cocaine use combined—more than 40 deaths every day. Yet programs that could stop the types of… Read more »

  • GOP lawmakers balk at giving FDA more authority over compounding pharmacies

    By Jonathan Block Modern Healthcare Posted: April 16, 2013 – 4:30 pm ET Tags: Energy, International, Legal, Legislation, Public Health, Quality, Regulation   House Republicans signaled they are not convinced the Food and Drug Administration needs more statutory authority to police the activities of compounding pharmacies like the one blamed for a meningitis outbreak last year that killed 53 people. “Ten years of… Read more »