Health Law Workshop: Rachel Sachs

Monday, April 13, 2015 5:00 PM
Health Law Workshops
2014-2015
Griswold Hall, Room 110
1525 Massachusetts Ave., Cambridge, MA

Presentation Title: "Prescription Drug Reimbursement as Innovation Incentive" Rachel Sachs is an Academic Fellow at the Petrie-Flom Center. She earned her…

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Health Law Workshop: Liran Einav

Monday, February 09, 2015 5:00 PM
Health Law Workshops
2014-2015
Griswold Hall, Room 110
1525 Massachusetts Ave., Cambridge, MA

Presentation Title: "The Response of Drug Expenditure to Non-Linear Contract Design: Evidence from Medicare Part D" (co-authors, Amy Finkelstein and Paul…

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How Medicare ‘Self-Referral’ Thrives on Loophole

Wall Street Journal, October 22, 2014
by John Carreyrou and Janet Adamy

Self-referral has become common practice among many U.S. physician groups, which refer anything from lab services to MRIs to entities from which they benefit financially. That wasn’t the intention of…

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Will ‘Son of Sovaldi’ Cause State Medicaid Programs to Erect High Hurdles?

Wall Street Journal, October 13, 2014
by Ed Silverman

How might state Medicaid programs cope with a new and equally expensive hepatitis C treatment from Gilead Sciences? A new report released just as the FDA late last week approved Harvoni,…

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U.S. Finds Many Failures in Medicare Health Plans

New York Times, October 12, 2014
by Robert Pear

Federal officials say they have repeatedly criticized, and in many cases penalized, Medicare health plans for serious deficiencies, including the improper rejection of claims for medical services and unjustified limits on coverage…

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As Payments Database Debuts, Doctors Urge Caution

Kaiser Health News, October 1, 2014
by Shefali Luthra

A federal database unveiled Tuesday afternoon details 4.4 million payments from pharmaceutical and medical technology companies to doctors and teaching hospitals, sparking concerns that consumers might misinterpret the information. The Centers for…

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A Conversation with the HHS Office of the Inspector General

Tuesday, September 30, 2014 12:00 PM
Lectures and Panels
2014-2015
Wasserstein Hall, Room 3018
1585 Massachusetts Ave., Cambridge, MA

A conversation with the Boston office of the U.S. Department of Health and Human Services Office of the Inspector General (OIG), Office…

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Health Law Gets Reprieve As Appeals Court Agrees To Rehear Key Case

NPR, September 4, 2014
by Julie Rovner

The controversial federal court decision that threatened the future of the Affordable Care Act is no more. The full District of Columbia Court of Appeals Thursday agreed to rehear Halbig v.…

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Expansion of Mental Health Care Hits Obstacles

New York Times, August 28, 2014
by Abby Goodnough

[...] The Affordable Care Act has paved the way for a vast expansion of mental health coverage in America, providing access for millions of people who were previously uninsured or…

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New Head of Healthcare.gov is Connecticut’s Counihan

Kaiser Health News, August 26, 2014
by Jeff Cohen

Kevin Counihan, the head of Connecticut's health insurance marketplace, will be the new CEO of healthcare.gov, the website that 36 states use to sell insurance under the Affordable Care Act,…

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Federal Officials Order Medicaid to Cover Autism Services

Kaiser Health News, August 26, 2014
by Michelle Andrews

[...] In July, the Centers for Medicare & Medicaid Services announced that comprehensive autism services must be covered for children under all state Medicaid and Children’s Health Insurance Program plans, another federal-state program…

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With Coverage Through Obamacare, Transgender Woman Opts for Surgery

Kaiser Health News, August 25, 2014
by Anna Gorman

Among the less-talked-about implications of the Affordable Care Act is the relief it is providing to many transgender people, many of whom are low-income and who have struggled to obtain…

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Medicare Star Ratings Allow Nursing Homes to Game the System

New York Times, August 24, 2014
by Katie Thomas

[...] An examination of the rating system by The New York Times has found that Rosewood and many other top-ranked nursing homes have been given a seal of approval that is based…

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In Study, Questions About Who Should Perform In-Office Surgeries

Kaiser Health News, August 18, 2014
by Shefali Luthra

One of the hopes embedded in the health law was to expand the role of nurse practitioners and physician assistants in addressing the nation’s shortage of primary care providers. But…

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Medicare to Start Paying Doctors Who Coordinate Needs of Chronically Ill Patients

New York Times, August 16, 2014
by Robert Pear

In a policy change, the Obama administration is planning to pay doctors to coordinate the care of Medicare beneficiaries, amid growing evidence that patients with chronic illnesses suffer from disjointed, fragmented care.…

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Over 300,000 Must Prove Eligibility or Lose Health Care

New York Times, August 12, 2014
by Abby Goodnough

WASHINGTON — More than 300,000 people who bought subsidized health insurance under the Affordable Care Act could lose it next month if they do not provide proof that they are living in…

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Washington’s $10 Billion Search For Health Care’s Next Big Ideas

Kaiser Health News, August 11, 2014
by Jay Hancock

The Affordable Care Act was supposed to mend what President Barack Obama called a broken health care system, but its best-known programs — online insurance and expanded Medicaid for the…

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In Ambitious Bid, Walmart Seeks Foothold in Primary Care Services

New York Times, August 7, 2014
by Rachel Abrams

Welcome to Walmart. The nurse will be right with you. Walmart, the nation’s largest retailer, has spent years trying to turn some of its millions of customers into patients, offering…

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Cleveland’s Early Medicaid Expansion Paying Off

Kaiser Health News, August 5, 2014
by Sarah Jane Tribble

Carmen Smith remembers the day about a year ago she gained Medicaid coverage. "It was like Christmas Day, it was like getting a gift from Santa Claus!" she says. "People…

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Hospitals Fight Proposed Changes In The Training Of Doctors

NPR, July 31, 2014
by Julie Rovner

An influential report that urges sweeping changes in how the federal government subsidizes the training of doctors has brought out the sharp scalpels of those who would be most immediately…

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6 States, D.C. Extending Medicaid Pay Raise Next Year To Primary Care Doctors

Kaiser Health News, July 31, 2014
by Phil Galewitz

Just six states and the District of Columbia will use their own money in 2015 to sustain the federal Medicaid pay raise to primary care doctors, which was a key…

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Good News for Boomers:

Kaiser Health News, July 28, 2014
by Julie Rovner

Medicare’s Hospital Insurance Trust Fund, which finances about half the health program for seniors and the disabled, won’t run out of money until 2030, the program’s trustees said Monday. That’s…

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New York Debates Whether Housing Counts As Health Care

NPR, July 28, 2014
by Amanda Aronczyk

[...] Now Encarnacion lives in a studio apartment, which she has decorated with stuffed animals and Christmas lights. And though the place is small, she likes to think of it…

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Arkansas Weighs Plan To Make Some Medicaid Enrollees Fund Savings Accounts

Kaiser Health News, July 22, 2014
by Michele Andrews

If all goes according to plan, next year many Arkansas Medicaid beneficiaries will be required to make monthly contributions to so-called Health Independence Accounts. Those that don't may have to…

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Obscure Rule Restricts Health Law’s Expansion of Care for Addicts

New York Times, July 10, 2014
by Abby Goodnough

EAST HAZEL CREST, Ill. — On its surface, the Affordable Care Act seems like a boon for addiction treatment centers like the South Suburban Council on Alcoholism and Substance Abuse,…

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Study: Hospitals Using Electronic Medical Records Not Bilking Medicare

Kaiser Health News, July 8, 2014
by Eric Whitney

A new study says there's no need to worry about hospitals using their new electronic medical records to generate bigger bills and boost their income. It's been a concern since…

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Florida Shifts Medicaid Mental Health Strategy

Kaiser Health News, July 7, 2014
by Phil Galewitz

Seeking to improve care and lower costs, Florida this month became the first state to offer a Medicaid health plan designed exclusively for people with serious mental illnesses, such as…

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More Than 750 Hospitals Face Medicare Crackdown On Patient Injuries

Kaiser Health News, June 22, 2014
by Jordan Rau

During a hernia operation, Dorothea Handron’s surgeon unknowingly pierced her bowel. It took five days for doctors to determine she had an infection. By the time they operated on her…

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When a Stressful Hospital Stay Makes You Sick

New York Times, June 12, 2014
by David H. Newman, MD

The woman was rolled into the emergency department by paramedics. Struggling to breathe, she bent forward, hands on her knees, using gravity to help expand her chest. “This all started…

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Michigan To Reward Medicaid Enrollees Who Take ‘Personal Responsibility’

Kaiser Health News, June 11, 2014
by Phil Galewitz

Delayed by state lawmakers, Michigan did not expand Medicaid until the day after the federal online insurance exchange closed March 31 – a move advocates feared would undermine signups. Turns…

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More Than 1.7 Million Consumers Still Wait For Medicaid Decisions

Kaiser Health News, June 9, 2014
by Phil Galewitz

While an unprecedented 6 million people have gained Medicaid coverage since September, mostly as a result of the Affordable Care Act, more than 1.7 million more are still waiting for…

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Medicare can now cover transgender surgery:

Al Jazeera America, May 30, 2014

Medicare can no longer automatically deny coverage requests for sex reassignment surgeries, a federal board ruled Friday in a groundbreaking decision that recognizes the procedures are medically necessary for people who…

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Medicare Overpays Billions for Office Visits, Patient Evaluations

ProPublica, May 29, 2014
by Charles Ornstein

Medicare spent $6.7 billion too much for office visits and other patient evaluations in 2010, according to a new report from the inspector general of the U.S. Department of Health and Human…

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Safety Net Hospitals Already Seeing More Paying Patients — And Revenue

Kaiser Health News, May 27, 2014
by Phil Galewitz

At Seattle’s largest safety-net hospital, the proportion of uninsured patients fell from 12 percent last year to an unprecedented low of 2 percent this spring—a drop expected to boost Harborview…

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GOP Strategy To Run Against Health Law Hits Snags

NPR, May 22, 2014
by Julie Rovner

Last year, the Republican playbook for keeping control of the House of Representatives in 2014 and winning the Senate consisted of a fairly simple strategy: Run against Obamacare. But now…

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Poorer Health of Surgery Patients on Medicaid May Alter Law’s Bottom Line

New York Times, May 17, 2014
by Robert Pear

WASHINGTON — Surgery patients covered byMedicaid arrive at the hospital in worse health, experience more complications, stay longer and cost more than patients with private insurance, a new study has found.…

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Medicare Reverses Denial Of Costly Treatment For Hepatitis C Patient

Kaiser Health News, May 15, 2014
by Richard Knox

Walter Bianco, an Arizona man denied access to new drugs to cure his hepatitis C infection, will get the costly medications after all. After Kaiser Health News and NPRdescribed his plight…

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Health Law Requires Medicare To Cover Dementia Evaluation

Kaiser Health News, May 6, 2014
by Michelle Andrews

For the millions of seniors who worry that losing their keys may mean they’re losing their minds, the health law now requires Medicare to cover a screening for cognitive impairment…

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Mortality Drop Seen to Follow ’06 Health Law

New York Times, May 5, 2014
by Sabrina Tavernise

BOSTON — The death rate in Massachusetts dropped significantly after it adopted mandatory health care coverage in 2006, a study released Monday found, offering evidence that the country’s first experiment…

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2014 Annual Conference:
Behavioral Economics, Law, and Health Policy

Saturday, May 03, 2014
Conferences
2013-2014
Wasserstein Hall, Milstein East ABC
1585 Massachusetts Ave., Cambridge, MA

Couldn't join us in person at Harvard Law School? Join the conversation on Twitter using #BELHP2014! We also liveblogged the full event at Bill…

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Telemedicine Policy Draws Opposition From Patient Advocates, Health Care Providers

Kaiser Health News, May 2, 2014
by Lisa Gillespie

New guidelines issued by the Federation of State Medical Boards could have a chilling effect on the growth of telemedicine – especially in rural areas and among low-income patients, say some patient…

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Health Law’s Pay Policy Is Skewed, Panel Finds

New York Times, April 27, 2014
by Robert Pear

WASHINGTON — Federal policies to reward high-quality health care are unfairly penalizing doctors and hospitals that treat large numbers of poor people, according to a new report commissioned by the…

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Looking at Costs and Risks, Many Skip Health Insurance

New York Times, April 21, 2014
by Abby Goodnough

LOUISVILLE, Ky. — Steve Huber, an affable salesman who is still paying off an unexpected medical bill, was not among the millions of Americans who signed up for health insurance…

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Health Care Spending’s Recent Surge Stirs Unease

New York Times, April 18, 2014
by Anne Lowrey

WASHINGTON — It’s back. For years, because of structural changes in the health care delivery system and the deep economic downturn, the health care “cost curve” — as economists and…

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Even After Doctors Are Sanctioned or Arrested, Medicare Keeps Paying

ProPublica, April 16, 2014
by Charles Ornstein

In August 2011, federal agents swept across the Detroit area, arresting doctors, pharmacists and other health professionals accused of running a massive scheme to defraud Medicare. The following month, several…

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Doctor-Pay Trove Shows Limits of Medicare Billing Data:

Wall Street Journal, April 9, 2014
by Christopher Weaver, Melinda Beck, and Ron Winslow

The trove of Medicare data released Wednesday shows a wide cast of characters in the top ranks of the highest-reimbursed doctors, and reveals as much about the limits of the newly public…

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Obama Administration Retreats On Private Medicare Rate Cuts

Kaiser Health News, April 8, 2014
by Jay Hancock

Under intense, bipartisan political pressure, the Obama administration backed down for the second year in a row on proposed payment cuts for insurance companies that offer private plans to Medicare…

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Medical Assn Won’t Stop Medicare Doc Data Release

NPR, April 7, 2014
by AP

The nation's largest doctors' group said Monday it won't try to block Medicare's release of billing records for 880,000 physicians, although it continues to oppose the government's recent decision to…

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Mental Health Groups Split on Bill to Overhaul Care

New York Times, April 2, 2014
by Benedict Carey

Lawmakers, patient advocates and the millions of Americans living with a psychiatric diagnosis agree that the nation’s mental health care system is broken, and on Thursday, Congress will hear testimony…

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