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HFMA News - Wednesday, June 18, 2008

HFMA NEWS


Wednesday, June 18, 2008
Employer Medical Costs to Increase by 9.6 Percent in 2009: PricewaterhouseCoopers Report

Although medical costs have increased steadily for decades, the rate of growth has been slowing in each of the past five years. No more, however: In 2009, the downward trend is expected to level off, and actual medical costs are expected to grow 9.6 percent, according to a new PricewaterhouseCoopers Health Research Institute (HRI) report, Behind the Numbers: Medical Cost Trends for 2009. The report is based on HRI analyses and a survey of more than 500 employers and provider-based health plans.

According to the report, multiple factors are expected to help drive medical cost increases in 2009, including booming healthcare construction and increasing cost-shifting from the uninsured, Medicare, and Medicaid to private payers. Also, a recession in 2009 could result in higher costs, since medical price growth historically has risen faster during recessions. The outcome of this year’s elections also could have an impact: If a Democratic president takes office in 2009 and puts in place initiatives to expand coverage of the uninsured, cost-shifting could be reduced, which may benefit employers and workers, but also may increase taxes. Access the report.

posted on 6/18/2008 7:15:55 AM (CST)  Permalink   
OIG Reports More than $2 Billion in Recoveries from Fighting Fraud and Waste During First Half of FY08

The Department of Health and Human Services (HHS) Office of Inspector General (OIG) Semiannual Report to Congress has announced expected recoveries of $2.2 billion for the first half of FY08 from efforts to reduce fraud, waste, and abuse in HHS programs.

Specifically, OIG’s $2.2 billion in expected recoveries encompasses $1.1 billion in audit-related recoveries and another $1.1 billion in investigative-related recoveries. Also for this period, OIG reported exclusions of 1,291 individuals and organizations for fraud or abuse of federal healthcare programs; 293 criminal actions against individuals or organizations that engaged in crimes against HHS programs; and 142 civil actions, which include False Claims Act and unjust enrichment suits filed in district court, Civil Monetary Penalties Law settlements, and administrative recoveries related to provider self-disclosure matters. Download the report.

posted on 6/18/2008 7:15:07 AM (CST)  Permalink