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Medicare May Be Overpaying Hospitals For Patients Who Don't Stay Long
Medicare told doctors to admit patients expected to stay in the hospital through two midnights or longer. Then Medicare said it wouldn't enforce the rules, adding to the controversy.
Can Employers Dump Workers On Health Exchanges? Yes, For A Price
A recent IRS rule bars employers from offering workers tax-free subsidies to buy policies. But a company could still cancel its plan and leave workers to buy individual policies on the marketplaces.
Overused Medical Services Cost Medicare Billions Of Dollars
A treatment that is appropriate for one patient can be unnecessary or even counterproductive for another. But Harvard researchers found a way to estimate truly wasteful Medicare spending.
Despite Law, Rape Victims Sometimes Pay For Medical Services
Federal law seeks to keep sexual assault victims from paying for forensic exams, but in some states they may have to cover tests and treatment for pregnancy or sexually transmitted infections.
Guideline Is No Guarantee Insurers Will Pay For Pill To Prevent HIV
Truvada, an AIDS drug, is expensive, with an annual price tag of at least $10,000. High copayments are a real possibility for people, even those whose insurance covers use of the drug for prevention.
More Young Adults Get Inpatient Psychiatric Care After Health Law
Greater hospital use by the newly insured might be caused by inadequate outpatient resources to treat mental health patients earlier and less expensively.
VA And Military Health Care Are Separate, Yet Often Confused
The health systems serving veterans and military members are different. But both are being scrutinized closely amid allegations of access and quality problems.
More Preventive Health Services Approved For No-Cost Coverage
The newest recommended services are hepatitis B screening for adolescents and adults at high risk for infection and low-dose aspirin for pregnant women who are at high risk for preeclampsia.
Second Opinions Are Often Sought, But Their Value Isn't Clear
Patients facing serious illnesses often seek medical reviews of their cases. Some people glean helpful advice, but researchers don't have much data about whether the consults lead to better results.
Here's A Radical Approach To Big Hospital Bills: Set Your Own Price
Some companies are refusing to pay employee hospital bills that they think are out of line. Instead, they pay what they think is reasonable. So far the gambit appears to be working.
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