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  February 29, 2012 Follow us on FacebookFollow us on TwitterJoin us on LinkedInRSS feed

4 Ways to Boost Your MLR Waiver Request's Chances

Margaret Dick Tocknell

States that are preparing to apply for medical loss ratio waivers can learn a few lessons from states that have had their requests OK'd. They may learn even more from those that have been denied.  >>>


Editor's Picks

Kaiser Permanente Ordered to Halt Denial of Care

Kaiser Foundation Health Plan is illegally denying some California enrollees physical, speech and occupational therapy services, says a cease and desist order filed by the state. >>>

Health Insurance Pricing Transparency Could Save $36B Annually

Billions of dollars could be shaved off the nation's healthcare tab each year if the cost for 300 common procedures covered under employer-based insurance plans were reduced to their median prices, Thomson Reuters Healthcare research shows. >>>

Medicare Advantage Plans' Fraud Oversight Weak, Says OIG

A system-wide audit finds wide disparities in vigilance and reporting among privately run Medicare Advantage plans, and a report by the Office of Inspector General says the organizations "lack a common understanding of key fraud and abuse program terms." >>>

NEW: Industry Survey 2012

Our fourth-annual Industry Survey features a new CEO report, an overall cross-sector report, and individual reports targeting Senior Leaders, Finance, Physicians, Nurses, Community & Rural Hospitals, and Service Lines. Take the pulse of the industry; download the reports now. >>>

News Headlines

7 Accused of $375M Medicare, Medicaid fraud

NPR / Associated Press, February 29, 2012

Poll: Most voters believe health care mandate is unconstitutional

The Seattle Times, February 29, 2012

UnitedHealthcare buys Preferred Care, Medica HMOs

Miami Herald, February 29, 2012

At-risk patients gain attention of health insurers

The New York Times, February 29, 2012

Lawmakers probe Prime Healthcare Services' billing practices

Los Angeles Times, February 27, 2012

Healthcare history: How the patchwork coverage came to be

Los Angeles Times, February 27, 2012

Governors split over effects of Obama's healthcare law

The Washington Post, February 27, 2012

Healthcare: Five patients, five ways to be billed

Los Angeles Times, February 27, 2012

Louisville's University Hospital ER on brink of overload from uninsured

Courier-Journal, February 27, 2012

Per-person cost of federal high-risk medical plan doubles

The Washington Post, February 24, 2012

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Rounds: Creating a High-Performance Emergency Department

Date: March 29, 2012
Transition your emergency department into a high-performance, patient-centered unit. Join HealthLeaders Media at Cambridge Health Alliance for a three-hour leadership event with strategies to improve ED flow, communications, and outcomes. Access our FREE event case study now, then register for the event to receive exclusive content.  >>>

From HealthLeaders Magazine


Putting Data in Nurses' Hands

Nursing informatics is an emerging field, and organizations that have been aggressive about getting data into nurses' hands (and smartphones) have reaped the rewards. >>>


Our Annual Industry Survey: The Challenge to Collaborate


Facing the Care Coordination Challenge

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