Healthcare

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CBO: ObamaCare-Like Programs Don’t Save Money or Reduce Costs

CNS News

Health care reform programs that are similar to those promoted by the ObamaCare law do not save the government money or reduce health care costs, according to a new report by the Congressional Budget Office (CBO).

The report examined 10 major demonstration projects conducted by Medicare in which managed care programs and value-based payment programs are evaluated. The two types of health care reforms are key features of ObamaCare – the Patient Protection and Affordable Care Act, which became law in March 2010.

In the managed-care programs – where care-management companies were hired to coordinate care between doctors and patients with chronic diseases like diabetes, sending nurses to monitor whether patients were following doctor’s orders – the CBO found that the programs did not reduce costs enough to save the government money.

Doctors in America are harboring an embarrassing secret: Many of them are going broke.

CNN Money

This quiet reality, which is spreading nationwide, is claiming a wide range of casualties, including family physicians, cardiologists and oncologists.

Industry watchers say the trend is worrisome. Half of all doctors in the nation operate a private practice. So if a cash crunch forces the death of an independent practice, it robs a community of a vital health care resource.

Gov’t Will Share Medicare Patients’ Data With New ‘Accountable Care Organizations’

CNS News

The new year will bring a new phase of Obamacare to an estimated 860,000 Medicare patients.

Under the new system, individual medical claims filed with the federal Centers for Medicare & Medicaid Services (CMS) will be shared with doctors and hospitals unless Medicare patients opt out of the data-sharing.

Starting on Jan. 1, 32 health care organizations from across the country will take part in a "Pioneer Accountable Care" initiative, Health and Human Services Secretary Kathleen Sebelius announced on Monday.

Court schedules week of health care arguments

Associated Press

The Supreme Court announced Monday that it will use an unprecedented week's worth of argument time in late March to decide the constitutionality of President Barack Obama's historic health care overhaul.

The high court scheduled arguments for March 26th, 27th and 28th over the Patient Protection and Affordable Care Act, which aims to provide health insurance to more than 30 million previously uninsured Americans. The arguments fill the entire court calendar that week with nothing but debate over Obama's signature domestic health care achievement. Read more: http://www.sfgate.com/cgi-bin/article.cgi?f=/n/a/2011/12/19/national/w083032S25.DTL#ixzz1h0Fj90F9

Legal Ethics Expert: Kagan Must Recuse from Obamacare Case

CNS News

Ronald Rotunda, a law professor and expert on legal ethics, says that Supreme Court Justice Elena Kagan must be recused from judging the challenge to President Barack Obama's health care law that will be heard by the Supreme Court early next year.

“I think she really has to be disqualified,” Rotunda said at a forum in Washington, D.C., on Tuesday that was hosted by Judicial Watch.

Future Health IT Networks Will Include ‘Interventions’ – Such As Text-Message Reminders

CNS News

The Obama administration on Wednesday outlined its goals for achieving better health care through technology.

The goals include so-called interventions in which health care providers reach out to patients through text messaging, for example, to remind them to monitor their blood sugar, take their medicine, or quit smoking.

As part of its plan to develop a nationwide network of health information technology, the Obama administration has designated 17 “Beacon Communities” to serve as models for the rest of the nation.

Medicare Meltdown? Doctors Face Steep Cuts Unless Congress Acts by Jan. 1

Associated Press

It's become a symbol of sorts for the federal government's budget dysfunction: Unless Congress acts before Jan. 1, doctors will again face steep Medicare cuts that threaten to undermine health care for millions of seniors and disabled people.

This time it's a 27.4 percent cut. Last year, it was about 20 percent. The cuts are the consequence of a 1990s budget law that failed to control spending but was never repealed. Congress passes a temporary fix each time, only to grow the size of reductions required next time around. Last week's supercommittee breakdown leaves the so-called "doc fix" unresolved with time running out.

Gallup poll: 47% of Americans favor repealing 2010 healthcare law

Los Angeles Times

Healthcare reform remains a highly partisan divide, but more Americans want to repeal the Obama administration’s 2010 overhaul than want to leave it alone, according to a Gallup poll released Wednesday.

The latest poll, which comes the same week that the Supreme Court announced it will look at the law’s constitutionality, shows that 47% of Americans want to do away with what opponents have dubbed Obamacare, while 42% want it kept in place. The breakdown is similar to an October Gallup poll that showed 40% of Americans backing passage of the healthcare law, while 48% said it was a bad thing.

Supreme Court agrees to hear Obama healthcare law

Reuters

The Supreme Court agreed on Monday to decide the fate of President Barack Obama's healthcare law, with an election-year ruling due by July on the healthcare system's biggest overhaul in nearly 50 years.

The decision had been widely expected since late September, when the Obama administration asked the nation's highest court to uphold the centerpiece insurance provision and 26 states separately asked that the entire law be struck down.

Prostate cancer experts bash panel's PSA test recommendation

Associated Press

Prostate cancer specialists are pushing back against an expert panel's recommendation that healthy men shouldn't get PSA blood tests for detecting prostate cancer.

"We all agree that we've got to do a better job of figuring out who would benefit from PSA screening," said Dr. Scott Eggener, a prostate cancer specialist at the University of Chicago. "But a blanket statement of just doing away with it altogether ... seems over-aggressive and irresponsible."

The U.S. Preventive Services Task Force had examined all the evidence and found little if any reduction in deaths from routine PSA screening, but it did conclude that too many men are diagnosed with tumors that never would have killed them and suffer serious side effects because of it.

Feds Designing Basic Health Insurance Package for Millions of Privately Insured Americans

Associated Press

The federal government is taking on a crucial new role in the nation's health care, designing a basic benefits package for millions of privately insured Americans. A framework was released on Thursday.

The report by independent experts from the Institute of Medicine lays out guidelines for deciding what to include in the new "essential benefits package," how to keep it affordable for small businesses and taxpayers, and also scientifically up to date.

Supreme Court May Rule on Obamacare Before 2012 Election

Associated Press

President Barack Obama's landmark health care overhaul appears headed for a Supreme Court ruling as the presidential election season hits full stride in the coming year.

The health care law affecting virtually every American is sure to figure prominently in President Barack Obama's campaign for re-election. Republican contenders are already assailing it in virtually every debate and speech.

The administration on Wednesday formally appealed a ruling by the federal appeals court in Atlanta that struck down the law's core requirement that Americans buy health insurance or pay a penalty beginning in 2014. The administration said the appeals court decision declaring the law's central provision unconstitutional was "fundamentally flawed."

At the same time, however, the winners in that appellate case, 26 states and the National Federation of Independent Business, also asked for high court review Wednesday, saying the entire law, and not just the individual insurance mandate, should be struck down.

The Supreme Court almost always weighs in when a lower court has struck down all or part of a federal law, to say nothing of one that aims to extend insurance coverage to more than 30 million Americans.

Health industry lacks patient data safeguards: poll

Reuters

New technologies are flooding into the healthcare world, but the industry is not adequately prepared to protect patients from data breaches, according to a report published on Thursday.

A vast majority of hospitals, doctors, pharmacies and insurers are eager to adapt to increasingly digital patient data. However, less than half are addressing implications for privacy and security, a survey of healthcare industry executives by PricewaterhouseCoopers LLP found.

PwC's Health Research Institute interviewed 600 executives in the spring of this year and also found that less than half of their companies have addressed issues related to the use of mobile devices. Less than a quarter have addressed implications of social media.

"The health IT and new uses of health information are changing quickly and the privacy and security sometimes may not be moving in step," said Jim Koenig, a PwC director who is among the contributors to the report.

HHS Trying to Boost Public Confidence in ‘Personal Health Records’

CNS News

Health and Human Services Secretary Kathleen Sebelius on Monday announced “new rules” intended to make Americans more confident about gathering and storing their personal medical information on the World Wide Web.

One new regulation announced Monday creates a standardized template so consumers can compare the privacy and security policies of medical facilities and other companies offering Web-based Personal Health Records.

First, some history: The Democrats' 2009 stimulus law called for doctors’ offices and other medical providers to utilize an electronic health record (EHR) "for each person in the United States by 2014." The EHR is a key element of the Democrats' attempt to lower health care costs. Theoretically, EHRs will reduce paperwork, administrative burdens and medical errors.

Patient Data Posted Online in Major Breach of Privacy

The New York Times

A medical privacy breach led to the public posting on a commercial Web site of data for 20,000 emergency room patients at Stanford Hospital in Palo Alto, Calif., including names and diagnosis codes, the hospital has confirmed. The information stayed online for nearly a year.

Since discovering the breach last month, the hospital has been investigating how a detailed spreadsheet made its way from one of its vendors, a billing contractor identified as Multi-Specialty Collection Services, to a Web site called Student of Fortune, which allows students to solicit paid assistance with their schoolwork.

Gary Migdol, a spokesman for Stanford Hospital and Clinics, said the spreadsheet first appeared on the site on Sept. 9, 2010, as an attachment to a question about how to convert the data into a bar graph.

Although medical security breaches are not uncommon, the Stanford breach was notable for the length of time that the data remained publicly available without detection.

Even as government regulators strengthen oversight by requiring public reporting of breaches and imposing heavy fines, experts on medical security said the Stanford breach spotlighted the persistent vulnerability posed by legions of outside contractors that gain access to private data.

Romneycare Costs Rising Faster Than Inflation in Mass.

The Washington Times

The Massachusetts health care law signed five years ago by then-Gov. Mitt Romney has extended insurance coverage to most residents, but health care premiums continued to outpace inflation by rising an average of 5-10 percent each year and lawmakers face the challenge of how to pay for it all.

The program has done nothing to contain health care costs, and some are questioning its sustainability.

More gov't control not answer to managing med. claims

OneNewsNow

Last year's numbers from the Centers for Medicare & Medicaid Services show that fraud is getting out of hand, as the Medicare program handed out $48 billion in improper payments that represent nearly 40 percent of all government waste reported by federal agencies.

Dr. J. Scott Ries, vice president of the Christian Medical Association (CMA), acknowledges that some healthcare providers are dishonest. But as one who once had a private practice, Ries estimates that at least 50 percent of inappropriate charges come from honest mistakes due to the ''endless paperwork of government-run insurance."

"It can be a little bit like trying to cut down Sherwood Forest with a pocket knife," he compares. Dr. J. Scott RiesThe CMA vice president recognizes the need for a system of checks, balances, and accountability, "but right now, the government system is so heavily weighted with bureaucratic processes that mistakes are bound to happen, [as are] mistakes that lead up to increased costs," he notes. "Doctors are worried about making mistakes and being tagged with that fraud label [all because of] an innocent mistake."

But he insists that more government control is not the answer.

Appeals Court Strikes Health Insurance Requiremen

Associated Press

A federal appeals court has struck down the requirement in President Barack Obama's health care overhaul package that virtually all Americans must carry health insurance or face penalties.

A divided three-judge panel of the 11th Circuit Court of Appeals on Friday struck down the so-called individual mandate, siding with 26 states that had sued to block the law.

But the decision didn't go as far as a lower court that had invalidated the entire overhaul as unconstitutional.

The states and other critics say the law violates people's rights. The Justice Department counters that the legislative branch was exercising a "quintessential" power.

First Lady's Anti-Obesity Campaign Turned Heavy Children Into Targets, Group Says

CNS News

A group calling itself the National Association to Advance Fat Acceptance (NAAFA) says that when First Lady Michelle Obama created her anti-obesity "Let’s Move!" initiative, she unfairly singled out fat kids, turning them into targets.

Speaking at the National Press Club in Washington, D.C., Monday, NAAFA public relations director Peggy Howell said the First Lady “essentially gave permission to everyone to condemn the children with higher body weights.”

Howell called Obama’s Let’s Move! campaign “well-intentioned, but somewhat misdirected.”

“What I mean by ‘misdirected’ is that rather than educating and encouraging our nation to create healthy practices for all children, focusing on the health of all our children, children of higher body weight have been singled out and the focus of the campaign is on weight reduction and not on improving children’s health.

Deal could endanger health care law

Politico

The debt ceiling agreement could jeopardize millions of dollars, and perhaps billions, in initiatives from President Barack Obama’s health care reform law if the super committee can’t come up with required spending cuts.

Many of the pots of money in the law — one of the Democrats’ most prized pieces of legislation — could get trimmed by the debt deal’s sequestration, or triggered cuts. The funds for prevention programs and community health centers, grants to help states set up insurance exchanges and co-ops, and money to help states review insurance rates could be slashed across the board if the panel can’t find enough cuts this fall.

Funding for the temporary high-risk pools for pre-existing conditions could be sliced, too, as well as grants to improve maternal and child health. And as previously reported by POLITICO, the law’s cost-sharing subsidies — which are supposed to help low-income people pay their out-of-pocket expenses — could face the ax, too.

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