Tag: Waste Fraud and Abuse

Defensive medicine’s threat to affordable health care

Reminding us that legal threats still present an obstacle to affordability in health care, a new study in JAMA Internal Medicine finds that almost a third of the orders at one Massachusetts health system were defensive to some degree. Of the 4,215 tests and procedures ordered, $226 per patient was spent on unnecessary care, due in part to liability fears. Continue reading

Posted in: Health Care Costs

What’s wrong with the U.S. health care system, and what health plans are doing about it

Over at Vox, reporter Sarah Kliff has compiled a list of eight facts that show what’s wrong with the U.S. health care system. On that list you’ll see that health plan profits aren’t to blame for the rise in national health care spending. Continue reading

Posted in: Issue Alert

Solving health care’s biggest problems

Health plans have important roles to play in health care, guiding patients through the system, providing access to the best treatments, and protecting patients from medical bankruptcy. They’re also on the frontlines tackling challenges in an industry that is undergoing unprecedented change. Continue reading

Posted in: Fact Check

Denver Post: New Database Will Shine a Harsh Spotlight on Health Price Differences

The Denver Post has an article out spotlighting the lack of cost transparency in hospital systems. Continue reading

Posted in: Health Care Costs

NYT: “When it Comes to Medical Care, Many Patients and Doctors Believe More is Better”

The New York Times’ Well blog has a post up discussing the harms associated with overtreatment. Continue reading

Posted in: Health Care Costs, Issue Alert

Washington Post: Inappropriate Procedures Are Expensive and Risky

An article in the Washington Post examines questionably prescribed cardiac procedures—procedures that are expensive, risky and sometimes unnecessary. Continue reading

Posted in: Health Care Costs

Robert Samuelson: “Controlling Spending on Medical Advances Isn’t Easy”

An op-ed in the Washington Post by Robert Samuelson focuses on how advances in medical technology, while groundbreaking in terms of patient care, are also prone to misuse and overuse, driving health care costs upward. Continue reading

Posted in: AHIP, AHIP White Papers, Health Care Costs

AHIP Statement on New National Public-Private Partnership to Reduce Health Care Fraud

America’s Health Insurance Plans (AHIP) President and CEO Karen Ignagni today released the following statement on a new national public-private partnership to fight health care fraud announced by the U.S. Department of Health and Human Services (HHS) and the U.S. Department of Justice (DOJ). Continue reading

Posted in: AHIP, AHIP Press Releases

AHIP Submits Recommendations on Combating Waste, Fraud and Abuse in Medicare and Medicaid

AHIP submitted recommendations to the Senate Finance Committee on combating waste, fraud and abuse in Medicare and Medicaid. Continue reading

Posted in: AHIP, AHIP Testimony

Health Care Costs in the News

Several recent articles have spotlighted the rising costs of health care in the United States. Continue reading

Posted in: Health Care Costs