Insurers
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Supplying prescriptions as three month supply
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Purchasing prescription drugs in a three-month supply rather than a one-month supply has long been regarded as a way to reduce the cost of drugs for patients and third-party payers. New research from the University of Chicago quantifies the savings for the first time. An analysis of 26,852 prescriptions filled for 395 different drugs from 2000-2005 showed that patients who purchased their drugs in three-month supplies rather than with one-month supplies saved on average 29% in out-of-pocket costs. After factoring in third-party payers, including Medicare, Medicaid and insurance companies, total savings averaged 18%...........
Source: Medicineworld.org: New Article Alert - November 20, 2009 Category: Consumer Health News Source Type: info
Insurers Say They Won't Alter Mammogram Coverage Despite New Guidelines
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Insurance companies say mammogram coverage is unlikely to change despite the debate over the effectiveness of breast cancer screenings for women in their forties. (Source: Health News from Medical News Today)
Source: Health News from Medical News Today - November 20, 2009 Category: Consumer Health News Tags: Breast Cancer Source Type: news
Stocking Up on Meds Saves Money (CME/CE, with video)
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Buying prescription drugs in bulk reduces costs for both patients and their insurers, researchers say. (Source: MedPage Today Public Health)
Source: MedPage Today Public Health - November 20, 2009 Category: American Health Source Type: news
Connecticut officials investigating massive health data breach
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Connecticut officials are investigating how a hard drive containing seven years of personal and medical information on 446,000 Health Net customers in Connecticut—and, according to published sources, another one million customers in Arizona, New Jersey and New York—went missing six months ago and was only reported lost by the insurance company this past Wednesday. (Source: CMIO.net: The News Weekly for Health IT Executives)
Source: CMIO.net: The News Weekly for Health IT Executives - November 19, 2009 Category: Information Technology Tags: Latest News Source Type: news
Connecticut officials investigating massive health data breach
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Connecticut officials are investigating how a hard drive containing seven years of personal and medical information on 446,000 Health Net customers in Connecticut—and, according to published sources, another one million customers in Arizona, New Jersey and New York—went missing six months ago and was only reported lost by the insurance company this past Wednesday. (Source: Health Imaging News)
Source: Health Imaging News - November 19, 2009 Category: Radiology Tags: Latest News Source Type: news
False positive on breast cancer | Sarah Wildman
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A panel's recommendation that American women need fewer mammograms would mean more deaths from breast cancerIn the US we've heard the refrain for two decades: early detection saves lives. But this week a federal advisory board decided that while that slogan wasn't false, in the case of breast cancer, it just wasn't true enough. After years of pink ribbons and breast cancer marches and admonishments to examine our breasts, this week the US Preventative Services Task Force bucked conventional wisdom (and the American Cancer Society) claiming that the number of women saved by early detection through mammography was not enough...
Source: Guardian Unlimited Science - November 19, 2009 Category: Science Authors: Sarah Wildman Tags: US healthcare Women Healthcare industry Cancer Obama administration & wellbeing United States World news guardian.co.uk Comment Comment is free Source Type: news
The case for a complete DNA database | Gavin Phillipson
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At the moment, the arbitrary process of adding to the database breeds injustice. Perhaps we owe it to society to all be includedThe national DNA database is once again being hotly debated. The government is now proposing that the DNA profile of innocent people (those arrested but never convicted) should be kept for only six years, instead of indefinitely, as is the case now. This late and mealy-mouthed concession is unlikely to satisfy the European court of human rights, but it forces all of us to consider the important, long-term question. Given that this technology is here to stay, as a crucial means of solving crimes, w...
Source: Guardian Unlimited Science - November 19, 2009 Category: Science Authors: Gavin Phillipson Tags: DNA database Politics Civil liberties Crime Genetics Science Privacy guardian.co.uk Comment Comment is free Source Type: news
GettingHired Announces Additional Funding for Disability Employment Growth
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GettingHired.com, the largest disability employment portal in the USA, secured additional funding from Zenith Insurance Company, KDC and Fisher Capital Corp. for continued growth as well as for development of new product FastTrackRTW, a return to work initiative supporting long term disability and workers' compensation. (Source: Disabled World)
Source: Disabled World - November 19, 2009 Category: Disability Tags: US Disability Employment Source Type: info
Breast Cancer Screening Policy Won’t Change, U.S. Officials Say
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The White House emphasized that the new screening standards were not binding on either physicians or insurers. (Source: NYT)
Source: NYT - November 19, 2009 Category: American Health Authors: By KEVIN SACK and GINA KOLATA Tags: Mammography Cancer Breasts Health Insurance and Managed Care Reform and Reorganization Source Type: news
Insurers Unlikely to Alter Policies in the Debate Over Mammograms
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Medicare and private health insurers said they were unlikely to change coverage of breast cancer screenings after new guidelines recommended that women wait longer to have mammograms and have fewer of them. (Source: NYT > Health)
Source: NYT > Health - November 19, 2009 Category: Consumer Health News Authors: By NATASHA SINGER and REED ABELSON Tags: Mammography Health Insurance and Managed Care Breasts Medicine and Health Women and Girls Cancer Tests and Testing Medicare Source Type: news
Insurers Unlikely to Alter Policies in the Debate Over Mammograms
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Medicare and private health insurers said they were unlikely to change coverage of breast cancer screenings after new guidelines recommended that women wait longer to have mammograms and have fewer of them. (Source: NYT)
Source: NYT - November 19, 2009 Category: American Health Authors: By NATASHA SINGER and REED ABELSON Tags: Mammography Health Insurance and Managed Care Breasts Medicine and Health Women and Girls Cancer Tests and Testing Medicare Source Type: news
Breast Cancer Screening Policy Won’t Change, U.S. Officials Say
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The White House emphasized that the new screening standards were not binding on either physicians or insurers. (Source: NYT > Health)
Source: NYT > Health - November 19, 2009 Category: Consumer Health News Authors: By KEVIN SACK and GINA KOLATA Tags: Mammography Cancer Breasts Health Insurance and Managed Care Reform and Reorganization Source Type: news
Mammogram coverage won't change, companies say
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Insurance companies contacted by USA TODAY say they will continue paying for providing annual mammograms, despite new guidelines. (Source: USATODAY.com Health)
Source: USATODAY.com Health - November 19, 2009 Category: Consumer Health News Source Type: news
FPIC hit with $1.2 million assessment
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Jacksonville-based FPIC Insurance Group will take a $1.2 million hit to its fourth-quarter earnings as a result of a Florida Insurance Guaranty Fund assessment, the medical professional liability insurance company said Wednesday. (Source: bizjournals.com Health Care:Health Insurance headlines)
Source: bizjournals.com Health Care:Health Insurance headlines - November 18, 2009 Category: American Health Source Type: journals
FPIC hit with $1.2 million assessment
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Jacksonville-based FPIC Insurance Group will take a $1.2 million hit to its fourth-quarter earnings as a result of a Florida Insurance Guaranty Fund assessment, the medical professional liability insurance company said Wednesday. (Source: bizjournals.com Health Care:Biotechnology headlines)
Source: bizjournals.com Health Care:Biotechnology headlines - November 18, 2009 Category: Biotechnology Source Type: journals
Health plans asked to explain how they set rates
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The Senate health panel is investigating how four big insurers price products in the small group market. (Source: American Medical News - GOVERNMENT)
Source: American Medical News - GOVERNMENT - November 18, 2009 Category: American Health Source Type: news
Lehigh Valley health professionals question federal panel's finding that women under 50 don't need regular breast cancer screenings
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''I think it's more important
if it's in your family history.
I'm not on the high-risk end.''
Susan Palmer
43, of Easton
''Insurance companies without
a doubt are going to say they're not going to pay for it.''
Marilyn Burgess
51, of Bethlehem... (Source: OrlandoSentinel: Medical Research)
Source: OrlandoSentinel: Medical Research - November 18, 2009 Category: American Health Source Type: news
A descriptive report of management strategies used by chiropractors, as reviewed by a single independent chiropractic consultant in the Australian workers compensation system.
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Conclusion:
It is essential chiropractic practitioners perform reasonably necessary treatment to reduce dependency on passive treatment, increase compliance to active care programs and reduce the progression to chronic pain states. It is recommended that common findings be integrated into further research to expedite and refine the management of patients with an occupational injury. (Source: Chiropractic & Osteopathy)
Source: Chiropractic & Osteopathy - November 18, 2009 Category: Complementary Medicine Authors: Henry PollardKatie de Luca Source Type: journals
Genes and Jobs
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The Genetic Non-Discrimination Act (GINA) comes into full effect this Saturday, November 21st. Employers need to take note, and employees should be aware of their rights.<!--break-->Congress passed GINA almost unanimously, and President Bush signed it on May 21, 2008. Described by the late Senator Ted Kennedy as "the first civil rights bill of the new century of the life sciences," GINA protects individuals from genetic information discrimination in health insurance and employment. A detailed description can be found here.Even some well-informed commentators seem to have missed this landmark piece of legislation. So ...
Source: Psychology Today Work Center - November 17, 2009 Category: Psychiatry & Psychology Authors: Pete Shanks Tags: Law and Crime Media Politics Social Life Work andrew sullivan commentators criminal background check criminal background check policy daily dish discrimination act dna testing employment employment practice full effect geneti Source Type: consumer
Study: Washington is nation’s 11th-healthiest state
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Washington state is the nation’s 11th healthiest state, according to the 2009 edition of America’s Health Rankings, an annual report published by the United Health Foundation, the nonprofit arm of health insurer UnitedHealth Group Inc. (Source: bizjournals.com Health Care:Health Insurance headlines)
Source: bizjournals.com Health Care:Health Insurance headlines - November 17, 2009 Category: American Health Source Type: journals
Study: Washington is nation’s 11th-healthiest state
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Washington state is the nation’s 11th healthiest state, according to the 2009 edition of America’s Health Rankings, an annual report published by the United Health Foundation, the nonprofit arm of health insurer UnitedHealth Group Inc. (Source: bizjournals.com Health Care:Biotechnology headlines)
Source: bizjournals.com Health Care:Biotechnology headlines - November 17, 2009 Category: Biotechnology Source Type: journals
From the Editor's Perspective…
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As I reflect back over this year, I am amazed at the numerous care initiatives that we as nurses have led and implemented. Such evidence-based best practice initiatives include VTE protocols, surgical-care improvement programs, elder-care principles, pressure-ulcer programs, catheter-associated urinary tract infection programs, vascular catheter-associated infection programs, patient-safety programs and fall-prevention programs, to name just a few. These initiatives have demonstrated positive effects on patient outcomes. Such initiatives have improved quality of care and have helped our patients lead healthier lives. Certa...
Source: Journal of Vascular Nursing - November 17, 2009 Category: Nursing Tags: Perspectives Source Type: journals
Federal Health Overhaul Could Force State Changes
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The bills pending in Congress could alter some restrictions on insurers and channel money to state health programs. The House bill includes, for instance, $23.5 billion to "allow Congress to continue pumping billions in new short-term aid to states to cover Medicaid costs that have increased with rising unemployment in the past year," The Washington Post reports. (Source: Health News from Medical News Today)
Source: Health News from Medical News Today - November 17, 2009 Category: Consumer Health News Tags: Medicare / Medicaid / SCHIP Source Type: news
Patient Money: Path to Alternative Therapies Is Littered With Obstacles
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Trying unconventional remedies is a bold move, let alone trying to get an insurer to cover the expense and knowing what pills to buy. (Source: NYT)
Source: NYT - November 16, 2009 Category: American Health Authors: By WALECIA KONRAD Tags: Alternative and Complementary Medicine Health Insurance and Managed Care Medicine and Health Cancer Doctors Vitamins Drugs (Pharmaceuticals) Source Type: news
Patient Access Solutions, Inc. Launches Solution for Dental Industry
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HAUPPAUGE, N.Y., Nov. 16, 2009 (GLOBE NEWSWIRE) -- Patient Access Solutions, Inc. (Pink Sheets:PASO), a provider of state of art healthcare and financial technologies is pleased to announce the release of its provider based solution for the dental industry. Dentists and Oral Surgeons can now check eligibility, claim status, submit claims, and reconcile payments from insurers, all in real time. Patient Access Solution's dental transaction solution suite will be packaged with clearinghouse services to streamline the registration and implementation process. Patient Access Solutions today can access over 700 Dental insurance p...
Source: Medical News (via PRIMEZONE) - November 16, 2009 Category: Pharmaceuticals Source Type: news
Health reform on investors' minds as insurers report earnings
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Even health plans that reported third-quarter profits are wary about a future that might include tighter regulation and cuts in profitable Medicare Advantage plans. (Source: American Medical News - BUSINESS)
Source: American Medical News - BUSINESS - November 16, 2009 Category: American Health Source Type: news
Reform bills aimed at coverage shortages could fall short, insurers warn
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Health plans say insurance exchanges may not lead to more choices, and young people could see higher premiums. (Source: American Medical News - GOVERNMENT)
Source: American Medical News - GOVERNMENT - November 16, 2009 Category: American Health Source Type: news
Insurer Recruits Employees To Oppose Health Bills, Angers Consumer Group
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"In an aggressive new effort to influence the congressional health care debate, UnitedHealth Group this week e-mailed its 75,000 U.S. employees, urging them to contact their senators and providing two form letters attacking specific legislative proposals," the Minneapolis Star Tribune reports. (Source: Health News from Medical News Today)
Source: Health News from Medical News Today - November 16, 2009 Category: Consumer Health News Tags: Health Insurance / Medical Insurance Source Type: news
Business And Insurers' Groups Back Health Reform, But Not All Legislation
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A group of CEOs, the Business Roundtable and America's Health Insurance Plans, the insurance industry group, separately expressed qualified support for health overhaul efforts Thursday. (Source: Health News from Medical News Today)
Source: Health News from Medical News Today - November 16, 2009 Category: Consumer Health News Tags: Health Insurance / Medical Insurance Source Type: news
Business And Insurers' Groups Back Health Reform, But Not All Legislation
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A group of CEOs, the Business Roundtable and America's Health Insurance Plans, the insurance industry group, separately expressed qualified support for health overhaul efforts Thursday. In a report, the Business Roundtable "which represents big company CEOs, said some of the changes being considered by Congress have the potential to reduce future health care cost increases, bringing medical inflation closer in line with overall economic growth. (Source: Public Health News From Medical News Today)
Source: Public Health News From Medical News Today - November 16, 2009 Category: Primary Care Tags: Health Insurance / Medical Insurance Source Type: news
Kansas City-area insurers join data theft posse
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Protecting businesses from the potential damages related to stolen data is the Wild West of insurance, brokers say. (Source: bizjournals.com Health Care:Health Insurance headlines)
Source: bizjournals.com Health Care:Health Insurance headlines - November 16, 2009 Category: American Health Source Type: journals
The uninsured turn to fraud
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Identity theft in health care is rising dramatically as a way for uninsured patients to receive treatment, according to the chief investigator for the state’s largest medical insurer. (Source: bizjournals.com Health Care:Health Insurance headlines)
Source: bizjournals.com Health Care:Health Insurance headlines - November 16, 2009 Category: American Health Source Type: journals
Kansas City-area insurers join data theft posse
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Protecting businesses from the potential damages related to stolen data is the Wild West of insurance, brokers say. (Source: bizjournals.com Health Care:Biotechnology headlines)
Source: bizjournals.com Health Care:Biotechnology headlines - November 16, 2009 Category: Biotechnology Source Type: journals
The uninsured turn to fraud
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Identity theft in health care is rising dramatically as a way for uninsured patients to receive treatment, according to the chief investigator for the state’s largest medical insurer. (Source: bizjournals.com Health Care:Biotechnology headlines)
Source: bizjournals.com Health Care:Biotechnology headlines - November 16, 2009 Category: Biotechnology Source Type: journals
What Types of Community Services Are Available?
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Discussion
Health care providers often view the patient through the medical lens and may not see the full view of all aspects of patients and families lives. Even many who work in community centered locations may not be aware of the breadth of services wanted and needed by families. Medical and community services are diverse in every location and often change as funding becomes available or dries up.
One of the most difficult tasks for a health care provider (and patients and families) is to move to a new location and need to locate and access various services. Health care providers who take care of patients and families ...
Source: PediatricEducation.org - November 16, 2009 Category: Pediatrics Authors: Donna M. D'Alessandro, M.D. Tags: Uncategorized Source Type: info
Unique challenges for appropriate management of a 16-year-old girl with superior mesenteric artery syndrome as a result of anorexia nervosa: a case report
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Conclusion:
This case illustrates important points regarding the pathogenesis of superior mesenteric artery syndrome in the setting of anorexia, and it highlights the complexities that arise when managing an adolescent with both medical and psychiatric needs, as well as outlining a viable solution. While superior mesenteric artery syndrome is an uncommon cause of small bowel obstruction, the general pediatrician and child psychiatrist should be aware of this complication of anorexia nervosa. (Source: BioMed Central)
Source: BioMed Central - November 16, 2009 Category: Journals (General) Authors: Philip VerhoefAngelika Rampal Source Type: journals
Health insurers could be allowed to bypass some key reforms
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Nobody wants to spend a lot of time and energy -- and taxpayer money -- and end up where they started. But that's what could happen with one of the principal elements of health reform, the "exchange" or "gateway." (Source: Wash Post Health)
Source: Wash Post Health - November 15, 2009 Category: Consumer Health News Authors: David S. Hilzenrath Tags: Health insurers could be allowed to bypass some key reforms Source Type: news
Postmortem genetic tests after sudden death may provide less expensive way to identify risk
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(American Heart Association) Postmortem testing to identify mutations associated with sudden cardiac death is less expensive than comprehensive cardiac tests for surviving relatives. Many insurers cover comprehensive cardiac tests of surviving relatives, but few cover postmortem testing. (Source: EurekAlert! - Medicine and Health)
Source: EurekAlert! - Medicine and Health - November 15, 2009 Category: Global & Universal Source Type: news
Farmers Insurance closing Albany office
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A national insurance company will close its office in Albany, N.Y., eliminating all 41 jobs there. (AIG) (Source: bizjournals.com Health Care:Health Insurance headlines)
Source: bizjournals.com Health Care:Health Insurance headlines - November 13, 2009 Category: American Health Source Type: journals
Farmers Insurance closing Albany office
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A national insurance company will close its office in Albany, N.Y., eliminating all 41 jobs there. (AIG) (Source: bizjournals.com Health Care:Biotechnology headlines)
Source: bizjournals.com Health Care:Biotechnology headlines - November 13, 2009 Category: Biotechnology Source Type: journals
Health insurers could bypass some key reforms
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Nobody wants to spend a lot of time, energy -- and taxpayer money -- and end up back where they started. But that's what could happen with one of the principal elements of health reform, the so-called exchange or gateway. (Source: Wash Post Health)
Source: Wash Post Health - November 13, 2009 Category: Consumer Health News Authors: David S. Hilzenrath Tags: Health insurers could bypass some key reforms Source Type: news
Public & Private Payer Relations: Take a Survey About Problems with Health Insurers
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The AMA and AAN invite you to participate in a survey on claims denial management and health insurer business practices. This 10-minute survey is open to physicians and their practice staff and will help us determine how we can best equip your practice (Source: American Academy of Neurology)
Source: American Academy of Neurology - November 13, 2009 Category: Medical Law Source Type: organizations
Patient Money: Path to Alternative Therapies Is Littered With Obstacles
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Trying unconventional remedies is a bold, let alone trying to get an insurer to cover the expense and knowing what pills to buy. (Source: NYT > Health)
Source: NYT > Health - November 13, 2009 Category: Consumer Health News Authors: By WALECIA KONRAD Tags: Alternative and Complementary Medicine Health Insurance and Managed Care Medicine and Health Cancer Doctors Vitamins Drugs (Pharmaceuticals) Source Type: news
The Clinic for Integrative Medicine in Essen, Germany
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In integrative medicine (IM) the basic concept is the combination of mainstream with Complementary and Alternative Medicine (CAM) supposedly leading to synergistic therapeutic effects. In an extended version the methods of Mind/Body Medicine (MBM) are also added. A recent survey screening the German population concerning their preferences for cam, mainstream medicine or combining both of them (IM) showed that most Germans were in favour of integrative medicine. This shows the development of a new understanding of medicine in Germany.In 1999 the first hospital for Internal and Integrative Medicine with 54 beds was establish...
Source: European Journal of Integrative Medicine - November 13, 2009 Category: Complementary Medicine Authors: Gustav J. Dobos Source Type: journals
Humana CEO: No Regrets About Sending Warning Letters To Medicare Beneficiaries
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Humana's CEO says he does not regret sending Medicare customers a letter warning that health care reform could hurt their benefits. The letters caused government officials to probe whether the insurer violated federal regulations in September. (Source: Health News from Medical News Today)
Source: Health News from Medical News Today - November 13, 2009 Category: Consumer Health News Tags: Medicare / Medicaid / SCHIP Source Type: news
Humana CEO: No Regrets About Sending Warning Letters To Medicare Beneficiaries
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Humana's CEO says he does not regret sending Medicare customers a letter warning that health care reform could hurt their benefits. The letters caused government officials to probe whether the insurer violated federal regulations in September. (Source: Seniors / Aging News From Medical News Today)
Source: Seniors / Aging News From Medical News Today - November 13, 2009 Category: Geriatrics Tags: Medicare / Medicaid / SCHIP Source Type: news
Who Can We Trust?
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Neurontin might not be a drug for sexual problems, but this week's controversy surrounding it speaks volumes for the concerns I have about a number of the drug studies that I read in medical journals. These are journals I should be able to trust, but trust does not always run deep when so much of a journal's revenue comes from the big glossy ads that the drug companies place in them.It's also difficult to feel trust when so many of the "unbiased" journal studies list authors who are employees of the drug companies. But even before the studies had to list the ringers from big pharm, I would often scratch my head thinking "W...
Source: Psychology Today Sex Center - November 12, 2009 Category: Sexual Medicine Authors: Paul Joannides, Psy.D. Tags: Sex consumer trust convent credibility gap england journal of medicine healthcare providers hurdle independent labs medical journals medicine point neurontin new england journal new england journal of medicine nuns pfizer pha Source Type: consumer
Health Insurance Industry Profits Examined
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The characterization of the health insurance industry as high-profit is "a little mystifying" and "rather silly" given that their profit margins are thin compared to other industries, according to analysts interviewed by ABC News. "Insurance companies are not money trees. They (go) out into the market and buy health care services and resell those services at some markup at health care consumers. (Source: Health News from Medical News Today)
Source: Health News from Medical News Today - November 12, 2009 Category: Consumer Health News Tags: Health Insurance / Medical Insurance Source Type: news
