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ALSO NOTED: Hospitals working to avoid needless ED care; FDA may soon require epilepsy drug labeling; and much more...

> Hoping to avoid further bad debt, hospitals are setting systems in place to avoid providing non-emergency ED care. Read more...

SPOTLIGHT: PA commission studying care for chronic conditions

As health reform efforts proceed, policymakers are realizing that part of taming the system is dealing with the management of costly chronic conditions. To address the problem, a chronic care... Read more...

Medicare plans home health P4P program

CMS has begun looking for home health agencies to participate in a new pay-for-performance program which will look at whether the agencies can simultaneously improve care and cut costs for Medicare.... Read more...

ALSO NOTED: States challenge S-CHIP limits; FL hospitals fight for PIP law; and much more...

> Several states have come together to mount a federal challenge to the Bush administration's refusal to let them expand their S-CHIP programs. Read more...

HHS offers $25M in emergency care grants

While $25 million is a drop in the bucket, it's still noteworthy to see HHS stepping up to the problem of emergency department capacity and preparedness for public health emergencies. The agency... Read more...

Medicare hospitals must offer emergency services

CMS is putting its foot down when it comes to emergency care. New guidance from CMS says that like it or not, the majority of hospitals who accept Medicare must provide emergency services. The only hospitals exempt from offering initial treatment and transfers are small, rural hospitals. Otherwise, even facilities such as specialty hospitals must fall into line, even if they don't have emergency departments. Before getting this feedback, some hospitals have relied on the crude expedient …

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NJ charity care program faces fraud, waste

According to a new report by state investigators, a New Jersey program designed to help the poor and uninsured get emergency care is being sapped by waste and fraud due to poor oversight by hospitals and state officials. The state currently pays hospitals a portion of the cost of emergency care for some 300,000 poor state residents with no health coverage. This year, the program should spend $583.4 million on charity care, partly drawing on funds from federal sources. The problem is that …

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ALSO NOTED: OH is big nursing home spender; Doctors cut back on antidepressants for kids; and much more...

> Despite mounting investments in in-home care, Ohio spends more on nursing home care than 41 other states. Article

> Doctors are taking FDA warnings on child use of antidepressants to heart. Prescriptions of these drugs have dropped dramatically during the past couple of years, according to a new study. …

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Group says illegal immigrants boost ED costs

According to this activist group, it's an open-and-shut case: illegal immigrants are substantially increasing the volume of uncompensated costs hospitals must bear each year. The vast majority of the costs come from immigrants' use of the emergency department, especially for births, according to the Washington, DC-based Federation for American Immigration Reform (FAIR). Emergency care costs for immigrants have hit $1.4 billion per year in California, $700 million in New York, and more …

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NJ outlines universal healthcare plan

Another one hops on the bandwagon. This week, it's New Jersey which has climbed on board with a universal health coverage model. The proposed legislation, which hasn't been filed yet, would require all state residents to carry health insurance, with state funding subsidizing those couldn't afford health plan premiums. Residents would be able to apply for the subsidized plan even as they were in the process of seeking emergency care. Uninsured legal and and illegal immigrants, meanwhile, …

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