Federal mandates not cause of Medicaid cost explosion

Article Abstract:

A study by the Kaiser Commission on the Future of Medicaid reports that spending doubled between 1988 and 1992, with only 10%-11% of the rise caused by mandated additions to coverage for children and pregnant women. Expenditures for treating elderly and disabled persons rose disproportionately because of the high cost of long-term care and acute-care services. Some analysts criticize the report because they claim it does not examine the full range of changes mandated by the federal government.

Admin. of public health programs, Medicaid

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New codes would cover supervision of home infusion

Article Abstract:

The American Society of Internal Medicine (ASIM) has proposed new codes to reimburse physicians for supervising home infusion therapy. Currently, physicians receive no compensation for supervising the therapy unless it takes place in a hospital. The ASIM expects the codes to be accepted by the Health Care Financing Administration and many insurance companies by Jan 1, 1994. The codes, known as the Care Plan Oversight CPT codes, are listed and defined.

Offices & clinics of medical doctors, Management, Planning, Physicians, Medical professions, Infusion therapy, American Society of Internal Medicine

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Blues begin processing other carriers' claims

Article Abstract:

The national Blue Cross and Blue Shield Assoc is developing a system to submit all electronic physician and member's medical claims to a single place. The system, called EDI-USA, will process claims from both Blue Cross and Blue Shield and other commercial carriers. Blue Cross and Blue Shield currently process more than 444 million claims electronically.

Insurance agents, brokers, & service, Patent owners and lessors, Technology application, Information management, Blue Cross and Blue Shield Association

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