NRHA's Rural Health Voices blog offers informed commentary on the latest news in rural health care from NRHA staff and editorials from selected contributors.

CMS postpones RAC complex reviews of medical necessity until 2010

CMS anticipates Recovery Audit Contractor (RAC) automated reviews will begin in late June and July, according to Marie Casey, deputy director of the Division of Recovery Audit Operations at CMS. However, this is not set in stone, she says, noting, "there is some leeway." But complex reviews won't begin until later, says Casey. CMS is aiming to begin certain types of complex reviews (e.g., coding and DRG validation) this fall. However medical necessity complex reviews won't begin until...

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An Economic Case for Reform

The White House Council of Economic Advisers has released a compelling report on June 2 which attempts to make the economic case for healthcare reform. It's a comprehensive overview of the issues surrounding the current state of healthcare in the USA. The most important fact, in my opinion, that could generate more momentum for change is the drag that healthcare costs makes on employee salary and wages. This graph from the report makes the case: [caption id="attachment_40" align...

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Kennedy Plan: Insurance Mandate and Public Option

[caption id="attachment_29" align="alignright" width="136" caption="Sen. Edward M. Kennedy"][/caption] Sen. Ted Kennedy, Chair of the Senate HELP Committee, is stepping up his efforts to reform the U.S. healthcare system. Sen. Kennedy wrote an OpEd piece in the Boston Globe, giving an overview of his plan. The Washington Post has printed an article which outlines some of Sen. Kennedy's plan that are as of yet, publicly undisclosed and more controversial. What will be the impact of these...

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