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Proposals May Limit Insurance Choices And Squeeze Some Middle Earners
"President Obama and leading Democrats have stressed that people who like their employer-sponsored insurance would be able to keep it, under a health care overhaul. But they haven"t emphasized the flip side: That people who don"t like their coverage might have to keep it," Kaiser Health News reports. "Under the main health bills being debated in Congress, many people with job-based insurance could find it difficult to impossible to switch to health plans on a new insurance exchange, even if the plans there were cheaper or offered better coverage. The restrictions extend to any government-run plan, which would be offered on the exchange." But "there are a few exceptions: Workers would be allowed to buy insurance through the exchange if their job-based coverage gobbled up too much of their incomes or was too skimpy. Also, under the House proposal, people could get insurance through the exchange if they paid their entire premiums - a cost that would be prohibitive for many workers."

Massive Medicare Fraud Case Highlights Miami's Increased Enforcement
Eight defendants were indicted in a massive Florida Medicare fraud case. The Associated Press reports: "It may be the center for Medicare fraud, but even Miami officials said Tuesday they were surprised by the breadth of a ring they say spanned five states, used 29 fake storefronts and attempted to steal $100 million from Medicare and Medicare Advantage. Eight defendants were charged in the elaborate scam authorities say billed Medicare for bogus HIV and cancer infusion drugs using dozens of storefronts in Florida, North Carolina, South Carolina, Georgia and Louisiana, authorities said. Two of the defendants and about $30 million are still missing." The AP notes: "It shows Miami"s stepped up health care fraud task force is working. They"ve prosecuted $1.5 billion in health care fraud cases in the past three years. Miami alone has had 146 convictions since 2007 in these cases. The fact that the suspects had to move to other states and other avenues of Medicare - in this case, Medicare Advantage - signals an understanding on the streets that officials are on to their old tricks."
News of the day
Study Redefines Roles Of Alcohol, Smoking In Risk For Pancreatitis
Although alcohol consumption is known to be associated with chronic pancreatitis, new evidence indicates that a threshold of five or more drinks per day is required to significantly raise risk; however, most patients with chronic pancreatitis do not drink this amount, according to a report in the June 8 issue of Archives of Internal Medicine, one of the JAMA/Archives journals. In addition, smoking is an independent, dose-dependent risk factor.
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The Genetic Interest Group Welcomes EU Health Ministers' Move To Tackle Rare Diseases

The Genetic Interest Group, the UK patient organisation for all those affected by genetic disorders, has welcomed the adoption yesterday by EU Health Ministers of a Council Recommendation that calls on Member States to develop and implement plans or strategies for the treatment of rare diseases. Alastair Kent, Director of the Genetic Interest Group, said: "This is an important step forward for the estimated 3.5 million people in the UK who are affected by rare disease. We are also delighted that this initiative has received wide cross-party support. It now needs to be taken forward in all the nations of the UK." He added: "It is important that families affected by rare conditions are offered a strategic approach to the provision of their healthcare. We are still hearing frequently that patients are having difficulties accessing high quality care and services. A national strategy for integrated service delivery would help to ensure that these vital services reach all the people who so desperately need them." Dr Peter Corry, a leading Paediatrician at St Luke"s Hospital, Bradford, said: "Diagnosing rare diseases, many of which are severe or life-threatening, is often difficult and the complex treatments required may involve several specialists. A national strategy that integrated rare disease services would enable patients and health professionals to provide and use best practice care and the health services to make best use of scarce expertise and improve outcomes for patients." There are over 6000 rare conditions identified, and they affect over 3.5 million people in the UK and over 30 million people in the EU at some point in their life. Notes -- The Genetic Interest Group (GIG) is a UK national alliance of organisations with a membership of over 130 charities that support children, families and individuals affected by genetic disorders. -- GIG"s primary goal is to promote awareness and understanding of genetic disorders so that high quality services for people affected by genetic conditions are developed and made available to all who need them. -- Individually, many genetic conditions are rare and as such it is difficult to raise their profile and the needs of those affected by them. GIG provides a common platform from which effective programmes to raise awareness, inform the media and influence government, industry and the NHS can be launched -- As an organisation focusing on issues of policy and practice GIG keeps an active watch on developments in the UK and Europe that will influence the effective transfer of knowledge and understanding into products and services for families that are supported by our member groups. -- In a potentially controversial field like genetics GIG provides a strong voice advocating the benefits of scientific progress in understanding the contribution being made now and that will be made in the years to come for improving health and combating many currently incurable diseases. -- For more information please go to http://www.gig.org.uk -- The Genetic Interest Group has jointly founded Rare Disease UK with others in response to unmet health care needs of families who currently struggle to get access to integrated care and support from the NHS. -- The EU"s Council of Ministers consists of representatives of Member States at ministerial level. In this case, the Member States" Health Ministers (collectively known as the Health Council) have adopted the Council Recommendation on a European action in the field of Rare Diseases. -- The Council Recommendation is important because it calls for concerted action at EU and national level in order to: - Ensure that rare diseases are adequately coded and classified - Enhance research in the field of rare diseases - Identify Centres of Expertise and foster their participation into European Reference Networks - Support the pooling of expertise at European level - Share assessments on the clinical added value of orphan drugs - Foster patient empowerment by involving patients and their representatives at all stages of the decision-making process - Ensure the sustainability of infrastructures developed for rare diseases Genetic Interest Group


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