Healthcare fraud in the United States reaches record levels

Health insurance fraud and abuse

Also breaking records is the amount that has been recovered, which has totaled $4.2 billion. The Department of Justice and the Department of Health and Human Services have announced that they have broken previous records in healthcare fraud recovery in their joint efforts to address the issue last year. This brought back $4.2 billion that would otherwise have scammed the systems and caused prices to rise. Attorney General Eric Holder and Secretary of Health and Human Services (HHS) Kathleen Sebelius jointly issued a report that demonstrated that for every dollar…

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Health insurance premiums subsidy eligibility verification regulations proposed by HHS

Health Insurance

Under the new rules, the exchange administrators (federal and/or state) must make certain verifications. The Department of Health and Human Services (HHS) has now proposed a rule in which the state or federal administrators of the health insurance exchanges will be required to verify whether or not those who are applying for healthcare coverage tax credits through these marketplaces are enrolled or even eligible to qualify for coverage through a plan that is sponsored by an employer. This would require new measures to be implemented in the exchanges until a…

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Health insurance coverage statistics released by Census Bureau

Health Insurance

Estimates for every county have been revealed. The United States Census Bureau has released the data from 2010, which provides estimates regarding the health insurance coverage within all of the 3,140 counties across the country. The Small Area Health Insurance Estimates (SAHIE) are the leading source of this information. In fact, these estimates are frequently considered to be the only ones that can provide any solid information about the health insurance coverage in these areas for a given single year. It is the only collection of data that represents the…

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Official goals and challenges of U.S. health care reform – A hope for better care, delivery, and costs – Part I

The reforms to healthcare delivery being made by the Affordable Care Act are making an historic attempt to bring its costs under control by improving the quality and efficacy of the system. According to an official fact sheet, among the key reforms being made in this effort are as follows: Rewards for quality  Hospitals – this includes the first Hospital Value-Based Purchasing Program of its size, which will give funding to more than 3,500 hospitals across the country based on how much they have improved and whether or not they…

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