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April 23, 2012

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California Lawmakers To Vote on Bill Addressing Patient 'Capturing'

State lawmakers will vote this week on a bill that would reduce insurer payments to hospitals that admit too many out-of-network, privately insured patients. The bill follows reports of aggressive billing practices by Prime Healthcare. California Watch.

State Senate To Conduct Hearing on Bill Limiting Stop-Loss Insurance

The Senate this week will hold a hearing on a bill that would limit health plans known as stop-loss policies for small businesses. The bill would ban stop-loss coverage below $95,000 for each worker to equalize risk among small businesses that self-insure. Los Angeles Times.

GAO Report: U.S. Should Abandon Bonus Program for Medicare Advantage

A new report from the Government Accountability Office calls for canceling a demonstration program that provides quality bonus payments to Medicare Advantage plans. The report contends that the program is unlikely to "produce meaningful results." New York Times et al.

Misuse of Prescription Painkillers Becoming More Widespread Among Young Californians

Tom Lenox of the Drug Enforcement Administration, Michael Plopper of Sharp HealthCare Behavioral Health Services, Sherrie Rubin of the not-for-profit organization HOPE and Robert Wailes of the California Medical Association's board of trustees spoke with California Healthline about prescription drug misuse.

Running Time: 6:02

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