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	<title>Village Constitution &#187; Healthcare</title>
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	<link>http://www.villageconstitution.com</link>
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		<title>New Tool to Help Fight Health Care Fraud in Florida</title>
		<link>http://www.villageconstitution.com/2010/07/new-tool-to-help-fight-health-care-fraud-in-florida/</link>
		<comments>http://www.villageconstitution.com/2010/07/new-tool-to-help-fight-health-care-fraud-in-florida/#comments</comments>
		<pubDate>Sat, 24 Jul 2010 14:12:22 +0000</pubDate>
		<dc:creator>Editor</dc:creator>
				<category><![CDATA[Government]]></category>
		<category><![CDATA[Healthcare]]></category>
		<category><![CDATA[News]]></category>
		<category><![CDATA[fraud]]></category>
		<category><![CDATA[Data Mining]]></category>
		<category><![CDATA[Florida healthcare fraud]]></category>
		<category><![CDATA[Health & Human Services]]></category>

		<guid isPermaLink="false">http://www.villageconstitution.com/?p=564</guid>
		<description><![CDATA[As part of its efforts to coordinate the fight against fraud across the nation’s health care systems, including Medicaid and Medicare, data mining will allow Florida’s MFCU to sort electronic claims through the use of statistical models and intelligent technologies to uncover patterns and relationships.  Using the identified patterns, investigators can review Medicaid claims activity and history to find abusive or abnormal use of services and billing that may be potentially fraudulent.  Data mining is done with software programs which include algorithms that automatically analyze the MMIS data.]]></description>
		<wfw:commentRss>http://www.villageconstitution.com/2010/07/new-tool-to-help-fight-health-care-fraud-in-florida/feed/</wfw:commentRss>
		<slash:comments>0</slash:comments>
		</item>
		<item>
		<title>Administration Announces New Affordable Care Act Measures to Protect Consumers and Put Patients Back in Charge of Their Care</title>
		<link>http://www.villageconstitution.com/2010/07/administration-announces-new-affordable-care-act-measures-to-protect-consumers-and-put-patients-back-in-charge-of-their-care/</link>
		<comments>http://www.villageconstitution.com/2010/07/administration-announces-new-affordable-care-act-measures-to-protect-consumers-and-put-patients-back-in-charge-of-their-care/#comments</comments>
		<pubDate>Fri, 23 Jul 2010 00:28:49 +0000</pubDate>
		<dc:creator>Editor</dc:creator>
				<category><![CDATA[Government]]></category>
		<category><![CDATA[Healthcare]]></category>
		<category><![CDATA[News]]></category>
		<category><![CDATA[healthcare]]></category>
		<category><![CDATA[new rules]]></category>
		<category><![CDATA[patient-centered health insurance marketplace]]></category>

		<guid isPermaLink="false">http://www.villageconstitution.com/?p=560</guid>
		<description><![CDATA[“The Affordable Care Act puts patients in control of their healthcare,” said HHS Secretary Kathleen Sebelius.  “Today, if your health plan tells you it won’t cover a treatment your doctor recommends, or it refuses to pay the bill for your child’s last trip to the emergency room, you may not know where to turn.  The Affordable Care Act provisions announced today will provide patients with new important new rights and resources that will help ensure they get the care they need.” 

“The appeals rules today will extend important protections and simplify the system for consumers,” said Labor Secretary Hilda Solis. “And they will ensure that consumers in new health plans have access to internal and external appeals processes that are clearly defined, impartial, and designed to ensure that, when health care is needed and covered, consumers get it.”

]]></description>
		<wfw:commentRss>http://www.villageconstitution.com/2010/07/administration-announces-new-affordable-care-act-measures-to-protect-consumers-and-put-patients-back-in-charge-of-their-care/feed/</wfw:commentRss>
		<slash:comments>0</slash:comments>
		</item>
		<item>
		<title>Taking Prevention Into Your Own Hands</title>
		<link>http://www.villageconstitution.com/2010/07/taking-prevention-into-your-own-hands/</link>
		<comments>http://www.villageconstitution.com/2010/07/taking-prevention-into-your-own-hands/#comments</comments>
		<pubDate>Wed, 14 Jul 2010 21:56:44 +0000</pubDate>
		<dc:creator>Editor</dc:creator>
				<category><![CDATA[Government]]></category>
		<category><![CDATA[Healthcare]]></category>
		<category><![CDATA[News]]></category>
		<category><![CDATA[Affordable Care Act]]></category>
		<category><![CDATA[Healthcare prevention]]></category>

		<guid isPermaLink="false">http://www.villageconstitution.com/?p=550</guid>
		<description><![CDATA[If we want to truly reform health care in our country, we need to make sure our health care system provides Americans with the care they need to stop illness and disease before it starts. Chronic diseases, such as heart disease, cancer, and diabetes, are responsible for 7 of 10 deaths among Americans each year – and often are preventable.]]></description>
		<wfw:commentRss>http://www.villageconstitution.com/2010/07/taking-prevention-into-your-own-hands/feed/</wfw:commentRss>
		<slash:comments>0</slash:comments>
		</item>
		<item>
		<title>Minnesota Hospital to Pay U.S. to Resolve Allegations of False Claims Involving Unnecessary Admissions</title>
		<link>http://www.villageconstitution.com/2010/01/minnesota-hospital-to-pay-u-s-to-resolve-allegations-of-false-claims-involving-unnecessary-admissions/</link>
		<comments>http://www.villageconstitution.com/2010/01/minnesota-hospital-to-pay-u-s-to-resolve-allegations-of-false-claims-involving-unnecessary-admissions/#comments</comments>
		<pubDate>Tue, 05 Jan 2010 03:06:33 +0000</pubDate>
		<dc:creator>Editor</dc:creator>
				<category><![CDATA[Healthcare]]></category>
		<category><![CDATA[News]]></category>
		<category><![CDATA[fraud]]></category>
		<category><![CDATA[False Claims Act]]></category>
		<category><![CDATA[Wheaton Community Hospital]]></category>

		<guid isPermaLink="false">http://www.villageconstitution.com/?p=533</guid>
		<description><![CDATA["Hospitals and doctors have a responsibility to provide patients with reasonable and necessary care. When they neglect those obligations, patients and taxpayers suffer]]></description>
		<wfw:commentRss>http://www.villageconstitution.com/2010/01/minnesota-hospital-to-pay-u-s-to-resolve-allegations-of-false-claims-involving-unnecessary-admissions/feed/</wfw:commentRss>
		<slash:comments>0</slash:comments>
		</item>
		<item>
		<title>Former Owners of Medical Equipment Company Sentenced to Prison for Defrauding Medicare in Wheelchair Scam</title>
		<link>http://www.villageconstitution.com/2009/12/former-owners-of-medical-equipment-company-sentenced-to-prison-for-defrauding-medicare-in-wheelchair-scam/</link>
		<comments>http://www.villageconstitution.com/2009/12/former-owners-of-medical-equipment-company-sentenced-to-prison-for-defrauding-medicare-in-wheelchair-scam/#comments</comments>
		<pubDate>Sat, 12 Dec 2009 04:40:16 +0000</pubDate>
		<dc:creator>Editor</dc:creator>
				<category><![CDATA[Healthcare]]></category>
		<category><![CDATA[News]]></category>
		<category><![CDATA[fraud]]></category>
		<category><![CDATA[durable medical equipment (DME) companies]]></category>
		<category><![CDATA[health care fraud]]></category>
		<category><![CDATA[motorized wheelchairs]]></category>

		<guid isPermaLink="false">http://www.villageconstitution.com/?p=500</guid>
		<description><![CDATA[At a hearing this morning, U.S. District Judge Ewing Werlein Jr. sentenced Amudat Williams, 54, and his spouse and co-defendant Sunday Adebisi to 44 months each in federal prison without parole and ordered them to jointly to pay $2,190,772 in restitution to Medicare. Williams and Adebisi, both of Houston, were convicted after pleading guilty on Dec. 18, 2008, to conspiracy to commit health care fraud and receiving kickbacks. During today’s proceedings, Judge Werlein further ordered that neither Williams nor Adebisi were to have any involvement with the operation of a business that submits claims to the Medicare program.]]></description>
		<wfw:commentRss>http://www.villageconstitution.com/2009/12/former-owners-of-medical-equipment-company-sentenced-to-prison-for-defrauding-medicare-in-wheelchair-scam/feed/</wfw:commentRss>
		<slash:comments>0</slash:comments>
		</item>
		<item>
		<title>Justice Department Recovers $2.4 Billion in False Claims Cases in Fiscal Year 2009; More Than $24 Billion Since 1986</title>
		<link>http://www.villageconstitution.com/2009/11/justice-department-recovers-2-4-billion-in-false-claims-cases-in-fiscal-year-2009-more-than-24-billion-since-1986/</link>
		<comments>http://www.villageconstitution.com/2009/11/justice-department-recovers-2-4-billion-in-false-claims-cases-in-fiscal-year-2009-more-than-24-billion-since-1986/#comments</comments>
		<pubDate>Thu, 19 Nov 2009 18:58:08 +0000</pubDate>
		<dc:creator>Editor</dc:creator>
				<category><![CDATA[Financial]]></category>
		<category><![CDATA[Government]]></category>
		<category><![CDATA[Healthcare]]></category>
		<category><![CDATA[Housing]]></category>
		<category><![CDATA[News]]></category>
		<category><![CDATA[fraud]]></category>
		<category><![CDATA[$2.4 billion recovered]]></category>
		<category><![CDATA[fraud against the government]]></category>
		<category><![CDATA[Fraud Enforcement and Recovery Act of 2009]]></category>
		<category><![CDATA[Health Care Fraud Prevention and Enforcement Team (HEAT)]]></category>
		<category><![CDATA[health care system]]></category>
		<category><![CDATA[Justice Department]]></category>
		<category><![CDATA[Medicaid Fraud Control Units]]></category>

		<guid isPermaLink="false">http://www.villageconstitution.com/?p=461</guid>
		<description><![CDATA["Rooting out fraud and safeguarding taxpayers from illegal conduct are among the Justice Department’s highest priorities," said Tony West, the Assistant Attorney General for the Civil Division. "I applaud the dedication of the public servants who investigate and prosecute fraud, and the courage of the many private citizens who risk their careers by reporting fraud."

]]></description>
		<wfw:commentRss>http://www.villageconstitution.com/2009/11/justice-department-recovers-2-4-billion-in-false-claims-cases-in-fiscal-year-2009-more-than-24-billion-since-1986/feed/</wfw:commentRss>
		<slash:comments>0</slash:comments>
		</item>
		<item>
		<title>PacifiCare with more than 100,000 violations of Law In Processing Health-Insurance Claims</title>
		<link>http://www.villageconstitution.com/2009/11/pacificare-with-more-than-100000-violations-of-law-in-processing-health-insurance-claims/</link>
		<comments>http://www.villageconstitution.com/2009/11/pacificare-with-more-than-100000-violations-of-law-in-processing-health-insurance-claims/#comments</comments>
		<pubDate>Fri, 13 Nov 2009 23:20:40 +0000</pubDate>
		<dc:creator>Editor</dc:creator>
				<category><![CDATA[Healthcare]]></category>
		<category><![CDATA[News]]></category>
		<category><![CDATA[Commissioner Poizner]]></category>
		<category><![CDATA[PacifiCare Life & Health Ins. Co.]]></category>
		<category><![CDATA[Superior Court Throws Out Insurance Company Lawsuit Against Commissioner Poizner]]></category>

		<guid isPermaLink="false">http://www.villageconstitution.com/?p=431</guid>
		<description><![CDATA[I am pleased that this distraction is over and the Department of Insurance can return to the serious business of enforcing the law," said Commissioner Poizner. "PacifiCare faces serious charges, brought after an unprecedented flood of complaints from doctors and consumers."
]]></description>
		<wfw:commentRss>http://www.villageconstitution.com/2009/11/pacificare-with-more-than-100000-violations-of-law-in-processing-health-insurance-claims/feed/</wfw:commentRss>
		<slash:comments>0</slash:comments>
		</item>
		<item>
		<title>Dennis Kucinich  Wants Single Pay System</title>
		<link>http://www.villageconstitution.com/2009/11/dennis-kucinich-wants-single-pay-system/</link>
		<comments>http://www.villageconstitution.com/2009/11/dennis-kucinich-wants-single-pay-system/#comments</comments>
		<pubDate>Sun, 08 Nov 2009 23:02:37 +0000</pubDate>
		<dc:creator>Editor</dc:creator>
				<category><![CDATA[Healthcare]]></category>
		<category><![CDATA[News]]></category>
		<category><![CDATA[Clearly]]></category>
		<category><![CDATA[Congressman Dennis Kucinich (D-OH]]></category>
		<category><![CDATA[Democrats]]></category>
		<category><![CDATA[elimination of for-profit insurance]]></category>
		<category><![CDATA[Single Payer System]]></category>
		<category><![CDATA[the insurance companies are the problem]]></category>
		<category><![CDATA[Whi I voted No to HR 3962]]></category>

		<guid isPermaLink="false">http://www.villageconstitution.com/?p=420</guid>
		<description><![CDATA[“Notwithstanding the fate of H.R. 3962, America will someday come to recognize the broad social and economic benefits of a not-for-profit, single-payer health care system, which is good for the American people and good for America’s businesses, with of course the notable exceptions being insurance and pharmaceuticals.”
]]></description>
		<wfw:commentRss>http://www.villageconstitution.com/2009/11/dennis-kucinich-wants-single-pay-system/feed/</wfw:commentRss>
		<slash:comments>0</slash:comments>
		</item>
		<item>
		<title>Historic Vote in House; Great Victory For the American People</title>
		<link>http://www.villageconstitution.com/2009/11/historic-vote-in-house-great-victory-for-the-american-people/</link>
		<comments>http://www.villageconstitution.com/2009/11/historic-vote-in-house-great-victory-for-the-american-people/#comments</comments>
		<pubDate>Sun, 08 Nov 2009 04:58:30 +0000</pubDate>
		<dc:creator>Editor</dc:creator>
				<category><![CDATA[Healthcare]]></category>
		<category><![CDATA[News]]></category>
		<category><![CDATA[HR 3962]]></category>
		<category><![CDATA[President Barack Obama]]></category>

		<guid isPermaLink="false">http://www.villageconstitution.com/?p=416</guid>
		<description><![CDATA[I suffer no illusions that this will be an easy process. It will be hard. But I also know that nearly a century after Teddy Roosevelt first called for reform, the cost of our health care has weighed down our economy and the conscience of our nation long enough. So let there be no doubt: health care reform cannot wait, it must not wait, and it will not wait another year."
]]></description>
		<wfw:commentRss>http://www.villageconstitution.com/2009/11/historic-vote-in-house-great-victory-for-the-american-people/feed/</wfw:commentRss>
		<slash:comments>0</slash:comments>
		</item>
		<item>
		<title>Affordable Health Care for America Act H.R. 3962</title>
		<link>http://www.villageconstitution.com/2009/11/affordable-health-care-for-america-act-h-r-3962/</link>
		<comments>http://www.villageconstitution.com/2009/11/affordable-health-care-for-america-act-h-r-3962/#comments</comments>
		<pubDate>Sat, 07 Nov 2009 20:21:44 +0000</pubDate>
		<dc:creator>Editor</dc:creator>
				<category><![CDATA[Healthcare]]></category>
		<category><![CDATA[News]]></category>
		<category><![CDATA[a temporary national high-risk pool program to provide health benefits to certain uninsured individuals who have a medical condition]]></category>
		<category><![CDATA[a temporary reinsurance program to assist participating employment-based plans with the cost of providing health benefits to retirees and their beneficiaries.]]></category>
		<category><![CDATA[Affordable Health Care for America Act]]></category>
		<category><![CDATA[Amends the Internal Revenue Code]]></category>
		<category><![CDATA[Amends the Public Health Service Act]]></category>
		<category><![CDATA[Amends the Public Health Service Act to set forth provisions related to]]></category>
		<category><![CDATA[Amends title XIX (Medicaid) of the SSA to:]]></category>
		<category><![CDATA[Amends title XVIII (Medicare) of the Social Security Act (SSA) to revise provisions relating to payment]]></category>
		<category><![CDATA[and access]]></category>
		<category><![CDATA[Authorizes state-based Health Insurance Exchanges to operate in a state or group of states instead of the Health Insurance Exchange]]></category>
		<category><![CDATA[coverage]]></category>
		<category><![CDATA[Employee Retirement Income Security Act of 1974 (ERISA)]]></category>
		<category><![CDATA[Establishes accountability requirements for long-term care facilities and provides for transparency with respect to them.]]></category>
		<category><![CDATA[Establishes the Health Choices Administration as an independent agency to be headed by a Health Choices Commissioner]]></category>
		<category><![CDATA[House Passes Historic Bill]]></category>
		<category><![CDATA[including to:]]></category>
		<category><![CDATA[limit preexisting condition exclusions]]></category>
		<category><![CDATA[prohibit aggregate dollar lifetime limits on benefits.]]></category>
		<category><![CDATA[Provides enhanced penalties for fraud and abuse.]]></category>
		<category><![CDATA[Requires the HHS Secretary to establish within the Agency for Healthcare Research and Quality a Center for Comparative Effective Research.]]></category>
		<category><![CDATA[Sets forth miscellaneous provisions relating to]]></category>
		<category><![CDATA[Sets forth provisions to prevent health care fraud]]></category>
		<category><![CDATA[with approval of the Commissioner.]]></category>

		<guid isPermaLink="false">http://www.villageconstitution.com/?p=408</guid>
		<description><![CDATA[Establishes standards for qualified health benefits plans, including standards to: (1) prohibit any preexisting condition exclusions; (2) require guaranteed availability and renewability of health insurance coverage; (3) limit premium variances, except for reasons of age, area, or family enrollment; (4) prohibit discrimination based on health status factors; and (5) require parity for mental health benefits.

Requires qualified health benefits plans to provide coverage that meets the standards for the essential benefits package. Prohibits an essential benefits package from imposing any annual or lifetime limits on coverage. Lists required covered services, including hospitalization, prescription drugs, mental health services, maternity care, and children's oral health, vision, and hearing services. Prohibits cost-sharing for preventive items and services. Limits annual cost-sharing to $5,000 for an individual and $10,000 for a family. Prohibits abortion services from being required under an essential benefits package or under a qualified health benefits plan.
]]></description>
		<wfw:commentRss>http://www.villageconstitution.com/2009/11/affordable-health-care-for-america-act-h-r-3962/feed/</wfw:commentRss>
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