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Legal & Regulatory Issues

A lack of effective cost sharing is the key reason Medicare utilization soars above private health insurance utilization, even when adjusting for age and health status, according to recent piece in the Wall Street Journal by Merrill Matthews, a resident…

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A bipartisan group of 61 House members signed a letter opposing recent Medicare imaging cuts proposed by the Medicare Payment Advisory Commission, according to an American Medical News report.

The U.S. Court of Appeals for the 6th Circuit in Cincinnati has upheld the Patient Protection and Affordable Care Act, becoming the first appellate court to rule on the healthcare reform law, according to a Washington Post report.

The Department of Health and Human Services recently issued amendments to the July 2010 interim final rules that implemented a section of the Public Health Service Act regarding internal claims and appeals and external review of health plans.

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