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12 Oct 2010, 9:00 am by LindaMBeale
  He claims that taxes would lead him to choose to pursue even fewer, based on his calculations of the taxes on that incremental income, even though his reason for pursuing any opportunities at all is to set aside money for his children's future. [read post]
30 Dec 2011, 8:53 am
The westside congressman is shown to be a drug-addled nutjob, but he refuses to step aside until allegations of recent impropriety with a young woman become the straw that broke the camel's back. 5. [read post]
7 Aug 2024, 1:29 pm by Satya Marar
In this post, I will examine the hurdles the FTC will face in making their case and consider other reasons why American insurers, patients, and (in the case of the Centers for Medicare and Medicaid) taxpayers often pay more for prescription drugs than their counterparts abroad. [read post]
30 Mar 2012, 6:50 am by Moshe (Thomas A.) Sharon, R.N., M.P.H.
Logistically, the act of shutting down life support is going to be relatively easy because the largest payer of hospital and nursing facility care is the Medicare system and the chief policy maker is the director of the Centers for Medicare and Medicaid Services (CMS) who serves at the pleasure of the president of the United States. [read post]
5 May 2013, 7:17 am by Rebecca Tushnet
  1A as overlapping set of political/moral/other considerations. [read post]
25 May 2009, 11:56 pm
Health care for just five percent of Medicare beneficiaries accounts for 43 percent of Medicare spending. [read post]
19 Feb 2013, 2:38 pm by LindaMBeale
  "Aside from the tax loophole problem, the real issue in these cases is the added underwriting risk incurred in the process. ... [read post]
8 Apr 2024, 8:03 pm by Kurt R. Karst
”  HHS suggests that its proposed HRSP “could be expanded to the outpatient setting or to include medical devices. [read post]
26 Mar 2014, 6:46 am by Bradley Joondeph
 (Otherwise, there is the risk that recipients will be hit with a huge, unexpected income tax liability at year’s end, without having set aside sufficient funds to satisfy that liability.) [read post]
5 Oct 2010, 9:16 pm by David Harlow
Aside from large IDS's seeking to use the ACO program as a means to protect and potentially grow market share and margin (after all, "no margin, no mission"), why would hospitals want to get involved? [read post]
20 Jul 2015, 9:07 am by Marty Lederman
 In other words, the cost of the contraceptive coverage in the self-insured setting is ultimately borne by the government itself, rather than by the organization or by the plan TPA. [read post]
3 May 2007, 10:20 am
" [Here is where we wrap ourselves in the flag and cue the martial music.]Closing-argument-type histrionics aside, the legal point we're talking about is as legitimate as it is arcane. [read post]
23 Jan 2013, 8:13 am by Cynthia Marcotte Stamer
The program’s educational* discussion will be tailored taking into account this input with significant time set aside to share practical information and possible approaches for addressing questions and concerns of shared concern identified from this audience input. [read post]
1 Aug 2012, 10:02 am by Cynthia Marcotte Stamer
  Many plan sponsors and their management unwittingly take on liability that they assume rests with an insurer or service provider because the company or members of its management are named as the plan administrator or named fiduciary with regard to duties that the company has hired an insurer or service provider to provide or allowed that service provider to disclaim fiduciary or discretionary status with regard to those responsibilities. [read post]
15 Oct 2024, 8:43 am by Daniel J. Gilman
And warning labels aside, there are no concrete findings in the 2024 report that are inconsistent with those “clear and consistent” conclusions. [read post]
17 Sep 2024, 2:22 pm by Cynthia Marcotte Stamer
For example, the Complaint asserts:It falsely accuses Express Scripts and other PBMs of “controlling” access to drugs and drug pricing when it is manufacturers who set drug prices and plan sponsors who decide which drugs to cover for their members.It attacks Express Scripts for disadvantaging independent pharmacies when the evidence produced shows that on average independent pharmacies not affiliated with PBMs receive higher reimbursements than unaffiliated chain pharmacies,… [read post]
28 Nov 2018, 9:01 pm by Neil H. Buchanan
Democrats cannot survive if they cling to radical ideas and prevent Social Security and Medicare from being privatized. [read post]