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  • Before a colonoscopy, ask the doctor about his or her detection rate for polyps. And find out how long, on average, the doctor takes to withdraw the scope from the patient. About 10 minutes is the optimal duration, a recent analysis says.
  • A change in guidelines for psychiatric diagnoses would add problem gambling as an addictive disorder. The designation would clear a path to add other behavioral problems — such as sex or Internet addiction — in the future.
  • The government has identified hundreds of hospitals where Medicare patients are incurring especially high or low bills. Hospitals around McAllen, it turns out, aren't as terrible as they were made out to be, according to Medicare's calculations of how much it spent for the average patient from three days before admission to a month after discharge.
  • In Michigan, areas with more cardiac catheterization labs — places where patients are diagnosed for heart problems — tended to have more interventions than those with fewer labs.
  • Even as Florida leads the Supreme Court challenge against the federal health law, a private and a public hospital both prepare for an influx of new patients if the law's Medicaid expansion survives.
  • Students aren't employees, and student health plans are generally individual policies that the students buy on their own, even if they're offered through the college. So mandatory coverage of birth control for students shouldn't be delayed past August, but it could take longer for the faculty, advocates say.
  • The state legislature is now mulling a change to allow trained home care aides to administer medications to Medicaid patients while working under a nurse's supervision. If the proposal becomes law, it could save the state a bundle.
  • Until a national health insurance mandate takes effect in 2014, states run stopgap pools to cover people with pre-existing conditions. The federal funds to pay for the coverage are being stretched thin in many states.
  • There was a party atmosphere at Affordable Care Act events both in California, where the law has been embraced by the state government, and in Virginia, where it has been resisted. But consumers will have very different experiences in the two states.
  • Insurance plans that carry higher premiums may be a bargain for consumers with costly health conditions. Lower out-of-pocket costs for some patients can offset the higher price of the coverage over the long haul.
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