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Many Health Insurers to Limit Choices of Doctors, Hospitals

on August 14, 2013

From the Wall Street Journal This Morning: Many Health Insurers to Limit Choices of Doctors, Hospitals – WSJ.com. This fall, Indiana’s new online health-insurance marketplace will present some tough choices for consumers like John Nowak, who will be able to pick a plan from his current insurer—or go for one that includes his primary-care doctor. That…

A Limit on Consumer Costs Is Delayed in Health Care Law – NYTimes.com

on August 13, 2013

WASHINGTON — In another setback for President Obama’s health care initiative, the administration has delayed until 2015 a significant consumer protection in the law that limits how much people may have to spend on their own health care. The limit on out-of-pocket costs, including deductibles and co-payments, was not supposed to exceed $6,350 for an…

9 ACOs dump Medicare’s Pioneer program | Medical Economics

on August 9, 2013

Medicare’s Pioneer Accountable Care Organization (ACO) program lost two organizations that suffered $4 million in losses, while seven others have shifted to a less financially stringent ACO model. Those seven organizations plan to move to the Medicare Shared Savings Program, which permits bonus-only financial arrangements, according to the Centers for Medicare and Medicaid Services (CMS).…

Trial lawyers sponsor ballot measure to repeal MICRA – News – California Medical Association

on August 6, 2013

Late yesterday, California’s trial attorneys made good on their May threat to ask voters to repeal California’s landmark Medical Injury Compensation Reform Act (MICRA). Language was submitted to the California Attorney General in Sacramento, the first step in placing an initiative on the ballot. The initiative’s main provision would increase the cap on speculative, “non-economic”…

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