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Department Of Health And Human Services

Latest Headlines

Latest Headlines

Healthcare fraud stats continue to rise

Let's kick off 2012 by talking about healthcare fraud and near frauds. My favorite recent hospital CFO tears-out-their-hair story from that realm comes from a friend who's a NICU nurse at a Southern

Insurance execs should sit on exchange boards, AHIP says

Health payer executives and other insurance experts should be allowed to sit on the boards of health insurance exchanges (HIX), America's Health Insurance Plans (AHIP) said in comments on the

Report: Health insurance tax will hike premiums

A new report commissioned by America's Health Insurance Plans (AHIP) predicts that payers will pass the cost of a new insurance tax onto their customers by increasing premiums. The tax, which will be

IOM: Essential benefits must address cost, effectiveness

Insurers are getting a peek at what type of coverage they must provide if they participate in health insurance exchanges with the release of an Institute of Medicine (IOM) report . However, they may

Insurers to know exchange benefits recommendations by Oct. 7

The Institute of Medicine (IOM) will announce its recommendations for what benefits insurers must provide if they participate in a health insurance exchange by Oct. 7, reports Reuters. Rather than

Blues plans call for reform rules' release by 2012

The Blue Cross Blue Shield Association (BCBSA) is urging the federal government to release all regulations required under the health reform law by 2012. Kris Haltmeyer, BCBSA executive director of

Rate reviews to strengthen with $109M HHS grants

Insurers likely will start seeing their premium increase requests get even more scrutiny now that the Department of Health & Human Services (HHS) has doled out $109 million in additional grants

Medicare Advantage enrollment grows, premiums shrink

Despite warnings to the contrary, Medicare Advantage plans are seeing a growth in enrollment, as well as a decrease in premiums. Department of Health & Human Services (HHS) officials said

Exchange benefits recommendations might be delayed

It appears that there's a good chance insurers won't know which basic health benefits they will be required to provide as part of the health insurance exchanges beginning in 2014. The Institute of

North Dakota denied MLR waiver; Iowa, Kentucky approved

Insurers operating in North Dakota were dealt a disappointing blow when the U.S. Department of Health & Human Services (HHS) denied the state's request to delay implementation of the medical-loss