Medicare’s audit contractors are failing, say lawmakers and hospitals

Providers and members of Congress are pushing the CMS to rethink its tactics for reducing the number of improper Medicare claims. “The bottom line is, despite doing more audits than ever before, Medicare just isn’t getting the job done when it comes to preventing payment errors,” Sen. Bill Nelson (D-Fla.), chairman of the Senate Special Committee on Aging … Read more

Indiana Governor Promotes Healthy Indiana Plan As A Potential “Model For The Country.”

Indiana Governor Mike Pence submitted a piece to the Fort Wayne (IN) News-Sentinel (7/7) in which he touts his Healthy Indiana Plan 2.0 (HIP 2.0) as a potential “model Medicaid plan for the whole country.” He believes HIP 2.0’s projected success comes from its “consumer-driven elements” and it’s ability to cut healthcare costs via health savings accounts. … Read more

Thousands still lack PPACA coverage

Just because consumers are paying for health care coverage though the exchanges under the Patient Protection and Affordable Care Act doesn’t mean they’re actually getting coverage. According to a report from the Wall Street Journal on Tuesday, thousands of enrollees still lack coverage despite picking a plan and paying for coverage due to problems in the law’s enrollment systems. … Read more

Medicare to broaden reach of telehealth payments

Wellness and behavioral health visits are among a few telehealth coverage expansions the CMS wants to add to the list of Medicare-reimbursable telehealth activities under a proposal released Thursday.Providers also would be paid for telehealth services in rural areas nearer big cities under a geographical expansion in the proposed rule. Rule writers are also attempting to further harmonize … Read more

Supreme Court Ruling Exempts Some “Closely Held” Corporations From ACA’s Contraception Mandate

The Supreme Court has ruled in what was one of its most contentious and widely anticipated cases this year: Burwell v. Hobby Lobby. With the 5-4 decision, “closely held corporations” will now be allowed to cite religious objections to opt out of the Affordable Care Act’s contraception mandate. The ruling dominated the news cycle, receiving eight … Read more

Burwell Announces HHS Leadership Changes To Improve ACA Management

Over the weekend, changes in leadership structure at HHS received heavy coverage, much of it focusing on the new roles created to oversee the ACA and the implications for newly-instated HHS Secretary Sylvia Mathews Burwell. The AP reports that HHS Secretary Burwell appointed Optum Vice President Andy Slavitt as the new Principal Deputy Administrator of the Centers … Read more

Final Regulations Released on 30-Day Orientation Period

On June 20, 2014, the Departments of Labor (DOL), Health and Human Services (HHS) and the Treasury (the Departments) released new final regulations on application of the 30-day orientation period under the 90-day waiting period limit.  On February 20, 2014, the Departments had published proposed regulations to address orientation periods under the 90-day waiting period … Read more

Funding College Using Life Insurance

College education costs continue to increase every year. As costs rise, so does the amount of debt accumulated by students. A properly funded life insurance policy can help your clients fund part or even all of their child’s education. Here’s a great piece to share with your clients on the subject:

Studies show that in terms of the new healthcare exchanges, consumers will give up benefits to save premium dollars

The private exchanges are expected to explode by decade’s end. In fact, the experts at Accenture expect the market to hit 40 million by 2018, a more than tenfold jump in less than four years. What those consumers will look like exactly remains in doubt, but Accenture’s latest research sheds at least a little light on it. … Read more

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