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Clinton to punish insurers who deny health coverage

Article Abstract:

Health insurers will be punished if they violate the 1996 Kassenbaum-Kennedy law by denying health coverage to persons with pre-existing medical conditions. President Clinton will issue a directive to the Federal Office of Personnel Management that requires insurers to certify compliance with the law as a prerequisite to participation in the Federal Employees Health Benefits Program, the US's largest employer-sponsored health insurance program. States will inform the Federal government, through the National Association of Insurance Commissioners, of fines or penalties imposed on health insurers for violations of the 1996 law. The Clinton Administration also is seeking relief for 3 million low-income elderly and disabled persons who are having problems paying Medicare premiums.

Comment:

Clinton Administration issues directive to punish health insurers who violate 1996 law

Author: Pear, Robert
Publisher: The New York Times Company
Publication Name: The New York Times
Subject: Business, general
ISSN: 0362-4331
Year: 1998
Government regulation (cont), Regulation, Licensing, and Inspection of Miscellaneous Commercial Sectors, Executive Offices, Executive Office of the President, Office of Personnel Management

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Medicare contractor admits longtime pattern of fraud

Article Abstract:

Blue Cross and Blue Shield of Illinois, also known as the Health Care Service Corp., will pay $4 million in criminal penalties and $140 million in a civil settlement after pleading guilty to charges of defrauding Medicare during the period from 1984 to 1995. The settlement, which is the largest for a Medicare contractor, represents a Federal crackdown on abuses in the Medicare program. The company had been accused of concealing evidence of a bad record in reviewing and paying Medicare claims in Illinois and Michigan.

Comment:

Will pay $4 mil in criminal fines and $140 mil in civil settlement after pleading guilty to charges of defrauding Medicare

Author: Pear, Robert
Publisher: The New York Times Company
Publication Name: The New York Times
Subject: Business, general
ISSN: 0362-4331
Year: 1998
Legal issues & crime, Accident & Health Insurance, Insurance Carriers, Health Care Service Corp.

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White House plans Medicaid coverage of Viagra by states

Article Abstract:

The Clinton Administration has indicated its intention to seek Medicaid coverage for approved uses of the impotence drug Viagra, angering some state health officials as states pay for their share of Medicaid coverage, about 43% of the cost of the program. States would be allowed to set up restrictions in the numbers of pills issued and only 10% of Medicaid recipients are men.

Comment:

Federal government supports Medicaid coverage of Viagra, some states resist

Author: Pear, Robert
Publisher: The New York Times Company
Publication Name: The New York Times
Subject: Business, general
ISSN: 0362-4331
Year: 1998
Government domestic functions, Pharmaceutical Preparation Manufacturing, Hormones NEC, Hormones, Pfizer Ltd.

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Subjects list: United States, Article
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