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Wednesday, July 1, 2009


Daily news & Analysis



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Health Delivery Tops IOM's Comparative Effectiveness Research Priorities

By: Janice Simmons, for HealthLeaders Media, June 30, 2009

The Institute of Medicine released 100 health topics today that should receive priority attention and funding under the new national research initiative to identify healthcare services and procedures that work best.

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McAllen Critics, Obama Target Physician Entrepreneurs

By: John Commins, for HealthLeaders Media, June 30, 2009

Fairly or not, healthcare reform advocates—including President Barack Obama—have made McAllen, TX, Exhibit A for much of what is driving the high cost of healthcare in the United States. At the same time, some experts say the climate in Washington, DC, is making business disadvantageous for the physician entrepreneur.

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Primary Care Groups Will Consider Public Option--with Caveats

By: Janice Simmons, for HealthLeaders Media, June 30, 2009

While the AMA has garnered most of the attention in recent weeks about its healthcare reform views, other groups representing physicians have also been vocal about what they would and would not like to see in healthcare reform legislation.

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Fraud May Account for Up to 10% of Healthcare Spending

By: Janice Simmons, for HealthLeaders Media, July 1, 2009

While the federal government has been involved in many high-profile fraudulent Medicare and Medicaid cases this year, some of the more striking examples of fraud are occurring within the private insurance industry, according to a new report from The George Washington University School of Public Health and Health Services in Washington, DC.

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Miami Physician Sentenced to Prison in Medicare Fraud Scheme

By: Janice Simmons, for HealthLeaders Media, July 1, 2009

Miami physician Roberto Rodriguez was sentenced this week to 97 months in prison for his role in a fraudulent Medicare scheme involving HIV infusion services. Rodriguez was also ordered to pay more than $9 million in restitution to the Medicare program during his sentencing hearing.

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Many Doctors Delay Hospital Discharges Because of Lack of Home Health Services

By: Cheryl Clark, for HealthLeaders Media, July 1, 2009

Slightly more than half of the doctors who responded to a physician survey in Massachusetts last fall said they kept patients in the hospital longer than necessary because of a lack of access to home health services, according to a new report. But most of the doctors said they were aware that use of such agencies can safely reduce days of hospitalization and their cost as well as emergency room utilization, an increasing priority in the health reform agenda.

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