Orlando Regulatory

Clinton Took More Conciliatory Tone with Health Care Industry In Paid Speeches

Oct 27, 2016 at 10:31 pm by Staff

Emily Kopp Kaiser Health News On the campaign trail, Democratic presidential candidate Hillary Clinton has sharply criticized the health care industry, accusing pharmaceutical.... Read More

Report: States Increase Cost Controls To Manage Medicaid Growth

Oct 20, 2016 at 08:30 pm by Staff

Phil Galewitz Kaiser Health News With a record 73 million people enrolled in Medicaid, most states next year will tighten controls on spending to battle swelling budgets in th.... Read More

Scarcity Of Mental Health Care Means Patients -- Especially Kids -- Land In ER

Oct 20, 2016 at 07:06 pm by Staff

Shefali Luthra Kaiser Health News On any given day, pediatrician Lindsay Irvin estimates a quarter of her patients need psychiatric help. She sees teens who say they are suici.... Read More

Deadline for MACRA Approaching

Oct 12, 2016 at 10:28 am by Staff

Last month, Centers for Medicare and Medicaid Services Acting Administrator Andy Slavitt announced some flexibility as providers prepare to transition to payment reform under.... Read More

Rising Health Premiums Rankle Individuals Paying Full Price

Oct 11, 2016 at 08:08 pm by Staff

Virginia Anderson Kaiser Health News ATLANTA -- Shela Bryan, 63, has been comparing prices for individual health insurance plans since May, and she can't believe what she sees.... Read More

Medicare's 60-Day Overpayment Reporting Final Rule: How can providers comply?

Oct 02, 2016 at 04:14 pm by Staff

The Affordable Care Act of 2010 imposed a requirement that providers that bill the Medicare program (including Parts A, B, Medicare Advantage and Part D) must report and retur.... Read More

Expert Panel Recommends Expansion Of Services With No Cost Sharing For Women

Sep 29, 2016 at 12:12 am by Staff

Michelle Andrews Kaiser Health News The list of preventive services that women can receive without paying anything out of pocket under the health law could grow if proposed re.... Read More

MACRA, SGR Deja Vu

Sep 08, 2016 at 09:13 pm by Staff

Contributed by J. B. Bitar, MD In 1997, Congress passed the SGR (Sustainable Growth Rate) bill as part of the "balanced budget act of 1997", which was then signed into law by.... Read More

Obamacare Marketplace Shakeout Rocks Southeast

Aug 20, 2016 at 10:01 pm by Staff

Phil Galewitz Kaiser Health News Some of the Affordable Care Act's insurance marketplaces are in turmoil as the fourth open enrollment season approaches this fall, but what's.... Read More

As States OK Medical Marijuana Laws, Doctors Struggle With Knowledge Gap

Aug 18, 2016 at 08:37 am by Staff

Shefali Luthra Kaiser Health News Medical marijuana has been legal in Maine for almost 20 years. But Farmington physician Jean Antonucci says she continues to feel unprepared.... Read More

Hidden Plan Exclusions May Leave Gaps In Women's Care, Study Finds

Aug 18, 2016 at 08:37 am by Staff

Michelle Andrews Kaiser Health News Buried in the fine print of many marketplace health plan documents is language that allows them to refuse to cover a range of services, ma.... Read More

Should Big Insurance Become Like Walmart To Lower Health Costs?

Aug 14, 2016 at 03:51 pm by Staff

Jay Hancock Kaiser Health News Retail titan Walmart uses its market dominance to inflict "ruthless," "brutal" and "relentless" pressure on prices charged by suppliers, busin.... Read More

Proposed CMS Rule Aligns Payment Policies

Aug 10, 2016 at 03:44 pm by Staff

A new proposal from the Centers for Medicare & Medicaid Services (CMS) aims to better align payment policies for physicians in independent practice with hospital-owned pra.... Read More

Medicare's Readmission Penalties Hit New High

Aug 03, 2016 at 10:14 pm by Staff

Jordan Rau Kaiser Health News The federal government's readmission penalties on hospitals will reach a new high as Medicare withholds more than half a billion dollars in payme.... Read More

Medicare Prepares To Go Forward With New Hospital Quality Ratings

Jul 22, 2016 at 02:59 pm by Staff

Jordan Rau Kaiser Health News Despite objections from Congress and the hospital industry, the Obama administration said it will soon publish star ratings summing up the qualit.... Read More

Seven Remaining Obamacare Co-Ops Prepare Survival Strategies

Jul 17, 2016 at 12:17 am by Staff

Phil Galewitz Kaiser News Service New failures are piling up among the member-run health insurance co-ops carrying out one of the Affordable Care Act's most idealistic goals,.... Read More

Florida Passes Telehealth Legislation

Apr 11, 2016 at 01:50 pm by Staff

After several years of developing telehealth legislation in a state that pioneered the practice at the University of Miami circa 1970, Florida lawmakers almost unanimously pas.... Read More

The HIPAA Basics

Apr 11, 2016 at 12:15 pm by Staff

The HIPAA Privacy Rule establishes a set of national standards for the use and disclosure of individually identifiable health information - often referred to as protected heal.... Read More

Physicians Ask Florida Attorney General to Block the Aetna-Humana Mega-Merger

Mar 18, 2016 at 12:12 pm by Staff

In a letter to the attorney general, the physician organizations outlined their strong concern that the anticompetitive consequences of the merger would negatively impact heal.... Read More

Advancing Telehealth

Mar 02, 2016 at 01:26 pm by Staff

Of the two telemedicine bills moving through the Florida Legislature this year, only one seems poised to have a chance to become law: Senate Bill (SB) 1686, which authorizes h.... Read More