Medicare News

New Jersey Hospitals Pioneer Cost-Cutting Model

When a patient was moved from the intensive care unit to a regular hospital bed, it used to be routine for Dr. Anthony Granato to order 24 hours of heart monitoring, just in case. A few years ago, his thinking …

Challenges, Opportunities of Health Exchanges, New Insureds

The 12 million Americans expected to begin enrollment in health insurance exchanges next year represent a customer base of new insureds with a demographic profile and health needs that differ from those of the current insured population, according to a …

WellPoint to Buy Amerigroup for $4.46 Billion

Health insurer WellPoint Inc. will buy rival Amerigroup Corp. for about $4.46 billion to create a company that will serve 4.5 million beneficiaries of Medicare and Medicaid health care programs. The $92-per-share cash offer, which represents a premium of 43 …

U.S. Settles Lawsuit Against Christus Spohn Health System Corp.

Federal prosecutors say a Texas-based hospital system has paid millions of dollars to settle a false claims lawsuit. Christus Spohn Health System Corp. has paid the United States more than $5 million to settle allegations regarding violations of the False …

Study: Spinal Implant Loophole Costs Calif. Workers’ Comp $67M

Workers’ compensation medical costs in California were boosted by nearly $67.5 million in 2010 due to loophole in the law that allows double billing for surgical implants, according to a study released on Wednesday by the California Workers’ Compensation Institute. …

Bill Addressing Spinal Surgery Devices Passes California Senate

A bill aimed at ending double payments for spinal surgery devices passed state Senate resoundingly on Wednesday and is now on its way to Assembly. Senate Bill 959 will save taxpayers tens of millions of dollars per year, according to …

Bill Aims to Fix Problems with Medicare Set-Asides for Workers’ Compensation

The insurance industry is among the business and legal interests applauding legislation to resolve delays and inconsistencies in Medicare’s approval process for set-aside funds for injured workers’ claims. Medicare requires that funds be set aside in trust for future medical …

N.H. Gubernatorial Candidate Criticizes State Health Compact Bill

New Hampshire Democratic gubernatorial candidate Maggie Hassan said Tuesday that a GOP proposal to form a compact to assume control over Medicare and Medicaid within New Hampshire’s boundaries is a risky proposition that is wrong for the state. “Seniors pay …

Three Massachusetts Hospitals Cited for Denial of ER Care

State health officials have cited three Massachusetts hospitals in the past six months for turning patients away from their emergency rooms, including one case when the person died en route to another hospital. Investigators determined that Charlton Memorial Hospital in …

Pennsylvania Whistleblower Claims Hospital Medicare Fraud

A former northwestern Pennsylvania cardiologist says in a lawsuit a hospital improperly paid doctors who performed unnecessary procedures on patients, including two who died. The suit filed this month by Dr. Tullio Emanuele also says doctors at a cardiology practice …