Health Plan & Provider Report Index Summary

RACKETEER INFLUENCED AND CORRUPT ORGANIZATIONS (RICO) ACT

– Off-label drug promotions, no cause of action against drug maker (C.D. Cal.), 38
– Provider suit over alleged insurer mailing of false explanations of benefits properly dismissed (8th Cir.), 290
– Tests and screening, certification denied in class action alleging fraudulent Quest Diagnostics billing (D.N.J.), 186

RATES

See PREMIUMS AND RATES; PROVIDER REIMBURSEMENT

REBATES, MEDICAID

See DISCOUNTS

REIMBURSEMENT

– Pay-for-performance programs

See PAY-FOR-PERFORMANCE PROGRAMS

– Prompt payment

See PROMPT PAYMENT

– Providers

See PROVIDER REIMBURSEMENT

REPORTING REQUIREMENTS

– Medicare Advantage

– – CMS posts, 209
– – Private plan monitoring will improve, forum, 117

– Medicare Secondary Payer Act, plan implementation deadline extended, 614
– Part D, CMS posts, 209

RESEARCH

– Clinical studies

See CLINICAL TRIALS

– Comparative effectiveness

– – Budget resolution

See LEGISLATION, FEDERAL, SConRes 13

– – Compromise legislative language, no consensus for Senate panel, 741
– – Experts promote use in Medicare coverage, conference, 97
– – HHS Federal Coordinating Council on Comparative Effectiveness Research, members named, 335
– – Prescription drug prices, consideration urged but not to limit or deny coverage, meeting, 409
– – Quality concerns described, federal panel public meeting, 458; policy makers should focus on innovation during implementation, white paper, 491

RETAIL-BASED CLINICS

See LIMITED SERVICE CLINICS (LSCs)

RETIREE BENEFITS

– Ed. Note: This heading covers health insurance unless otherwise indicated.
– COBRA, early retirees of hospital entitled to notice although afforded other health benefits in retirement packages (W.D. Va.), 11
– Idaho, bill passed requiring former state workers over 65 to use Medicare or private plans, 463
– Medical and death benefits, injunction to bar changes denied (D. Neb.), 13
– Premiums and rates, former power company workers do not have vested right to pay the same as current employees (E.D. Wis.), 289
– Terminating health coverage, bill to bar

See LEGISLATION, FEDERAL, HR 1322

RICO

See RACKETEER INFLUENCED AND CORRUPT ORGANIZATIONS (RICO) ACT

RURAL HEALTH CARE

– Hospitals, information technology implementation obstacles described, Webinar, 465