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  • Tom Boyd

Better Weapons

Health Industry And Lawmakers Move Against Medicare Spending Board (excerpt)

Kaiser Health News, January 26, 2011

Lobbyists for doctors, hospitals and drug companies are urging lawmakers to derail a planned government panel that health industry officials fear will sharply curb Medicare spending – a critical revenue source for them.

The American Medical Association, American Hospital Association and Pharmaceutical Research and Manufacturers of America are among many groups that want to weaken or kill the Independent Payment Advisory Board, which was created by the health law to cap the growth of Medicare spending beginning in 2015.


Stakeholders, GOP Lawmakers Focus Efforts Against Medicare Spending Panel (excerpt)

Kaiser Daily Health Policy Report, January 26, 2011

CQ Healthbeat: Drive To Repeal IPAB Launched By House Republicans

House Republicans will take the next step…in their rewrite of the health care law when they introduce legislation to repeal an advisory board created to control the growth of Medicare spending.  Rep. Phil Roe of Tennessee said he will hold a press conference to unveil his bill doing away with the Independent Payment Advisory Board (IPAB), a potentially powerful 15-member panel created by the health care law (PL 111-148, PL 111-152) (Norman, 1/25).


The Wall Street Journal Takes Legal Action To Open Medicare Database

Kaiser Daily Health Policy Report, January 26, 2011

The Wall Street Journal:  Journal Files Suit To Open Medicare Database

The publisher of The Wall Street Journal filed suit…to overturn a decades-long court order barring public access to a confidential Medicare database it says is essential to rooting out fraud and abuse in the government health-care program.  The American Medical Association, the doctors’ trade group, successfully sued the government in 1979 to keep secret how much money individual doctors receive from Medicare, and the ruling still stands (Adams, 1/26).


Study Finds Incentives For Physicians Don’t Improve Patient Care

Kaiser Daily Health Policy Report, January 26, 2011

Reuters: Doctors Incentives Don’t Improve Patient Care

Paying doctors financial rewards to meet targets for improving the care of patients made no discernible difference to the health or treatment of people with high blood pressure, a study has found.  The findings suggest governments and health insurers across the world may be wasting billions of dollars on doctor incentive schemes but getting no improvement in patient care, researchers who conducted the study said (Kelland, 1/25).


Viewpoints: Trying To Regulate Insurance Premium Rates, Fighting Medicare Fraud (excerpt)

Kaiser Daily Health Policy Report, January 26, 2011

The Miami Herald: Better Weapons For Medicare Fraud Battle

Authorities estimate that Medicare fraud bilks the U.S. government as much as $60 billion to $90 billion a year.  Of that, Miami accounts for about $3 billion.  Medicare scams have become so lucrative, the FBI says, that the mob is getting in on them. …Medicare fraudsters are getting better at finding new scams to bilk Uncle Sam.  The new anti-fraud tools should include mandatory fingerprinting for providers.  Federal agencies that fight Medicare cheating have to be nimble enough to outwit the scammers (1/26).


Medicare Training & Consulting, Inc.


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July 17 – July 24, 2011

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