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Federal Program Cracks Down On Medicare Fraud In Houston
A federal program targets Medicare fraud in the Houston area as news of three cases representing at least $35 million in false claims emerged within the past week. The Houston Chronicle reports on the three cases, noting: "These Houston-area scams alleged in two FBI complaints and one Montgomery County indictment were among six reported nationally in a single week - representing at least $285 million in false billings, records showed. "This is an astounding amount," said Houston"s FBI spokeswoman Pat Villafranca. The $285 million is more than four times the amount stolen during robberies of U.S. banks during all of 2008, she said. This month, Houston became the fourth metropolitan area - joining Miami, Los Angeles and Detroit - to create a ramped-up fraud strike force. It goes by the acronym "HEAT," Health Care Fraud Prevention and Enforcement Action Team."
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Innovative Treatment Approach Offers New Hope For Eczema Sufferers With Moderate To Severe Disease
Today sees the European launch of the first topical calcineurin inhibitor to be approved for the maintenance treatment of eczema to prevent flares and prolong flare-free intervals. PROTOPIC ointment (tacrolimus monohydrate) is already licensed to treat moderate and severe eczema (atopic dermatitis), often involving the treatment of flares as and when they occur.* It is now also approved for twice-weekly application to previously affected skin to prevent these exacerbations and prolong flare-free periods in PROTOPIC-responsive patients.ò€  Clinical studies have shown that this new approach brings significant benefits with over 40% of patients with moderate to severe eczema remaining flare-free for at least a year.1 Flares are known to place an enormous burden on patients. The International Study of Life with Atopic Eczema (ISOLATE) found that about 55% of these patients worried about the onset of their next exacerbation and that they spent on average over a third of the year (136 days) with their eczema in flare.2
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Protein Isolated That May Be 'Boon' To Medicine
Scientists at UC Santa Barbara have isolated a unique protein that appears to have a dual function and could lead to a "boon in medicine." The findings are published in the August issue of the Journal of Cell Biology.
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Washington's Basic Health Plan Raises Rates To Compensate For Budget Cuts

Washington state"s cash-strapped health insurance program, Basic Health Plan, "is resorting to steep premium increases to achieve what [its officials] were loath to do on their own - expel thousands of working-class people," the Seattle Times reports. Price hikes for the poorest plan members - who earn less than 125 percent of the poverty line - could double their premiums, while spikes are expected to be much higher for members with bigger incomes. "Officials are hoping that boosting premiums will prod 7,000 to 17,000 member to leave the plan on their own, sparing the state the need to kick off people involuntarily," the Times reports. "At least [premium increases] will give these families a choice," said Steve Hill, the plan administrator (Song, 6/9). However, after recent state budget cuts, the plan, with 100,000 enrollees, will have to shed as many as 35,000 to remain sustainable, the Associated Press reports. Other options - aside from just booting people off the rolls -- include shifting about 8,000 eligible plan members to the state"s Medicaid program, meaning Washington would pick up part of their tab (Woodward, 6/8). This information was reprinted from kaiserhealthnews.org with kind permission from the Henry J. Kaiser Family Foundation. You can view the entire Kaiser Daily Health Policy Report, search the archives and sign up for email delivery at kaiserhealthnews.org. © Henry J. Kaiser Family Foundation. All rights reserved.


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