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Health Insurers Feel Heat in California

Just 72 hours into his new job, the state’s insurance commissioner, Dave Jones, started challenging insurance companies that are raising prices on individual policies. On Jan. 6, he called on Blue Shield of California to delay premium increases of up to 59%. This week, he asked Aetna Inc. and units of WellPoint Inc. and UnitedHealth Group Inc. to postpone their price jumps as he reviews them, the Wall Street Journal reports. (WALL STREET JOURNAL, 1/14)

Poll: Health care reform is Barack Obama's best and worst

Americans are so evenly divided over health care that nearly identical percentages say reform is President Barack Obama’s greatest accomplishment and his worst one since taking office, according to a new poll, Politico reports. (POLITICO, 1/14)

House Republicans Edge Back to Business as Usual

Republicans are carefully trying to return to normal business in the House, announcing on Thursday that lawmakers will next week consider the effort to repeal the health care law that was pulled from the agenda after the Saturday shooting rampage in Arizona. (NEW YORK TIMES, 1/14)

Oregon Sues J.&J. in Motrin Buyback

An effort by Johnson & Johnson to buy back defective Motrin pills from store shelves — described as a “phantom recall” by some members of Congress — has come under fire in a lawsuit filed by the state of Oregon against the company, the New York Times reports. (NEW YORK TIME, 1/13)

As New York City Defends Medicaid Approvals, Fear of Suit’s Fallout Grows

But this week, Medicaid fraud investigators struck out in a new direction as federal prosecutors brought a civil fraud lawsuit accusing the New York City government of using the bureaucracy to run its own Medicaid mill. And in the minds of several advocates for aged and disabled people, the lawsuit raised new questions about health policy, just as the government is expanding health care. (NEW YORK TIMES, 1/13)

Investors see health reform's potential

As Republicans push forward on repealing health reform, planning the law’s demise, a different conversation is happening among thousands of health care investors gathered in San Francisco for this week’s J.P Morgan Health Care Conference: how to capitalize on health reform’s new business opportunities. (POLITICO, 1/13)

GOP in a bind over healthcare repeal vote

House Republican leaders are eager to fulfill their promise to vote to repeal the legislation, but taking up the divisive issue could hurt the party at a time of calls for rejecting partisan rhetoric. (LA TIMES, 1/13)

FAQ On ACOs: Accountable Care Organizations, Explained

Accountable care organizations take up only seven pages of the massive new health law yet have become one of the most talked about provisions. This latest model for delivering services offers doctors and hospitals financial incentives to provide good quality care to Medicare beneficiaries while keeping down costs. A cottage industry of consultants has sprung up to help even ordinary hospitals become the first ACOs on the block. Kaiser Health News examines them. (KAISER HEALTH NEWS, 1/13)

California insurance chief expands inquiry into healthcare rate hikes

California’s new insurance commissioner has expanded his inquiry into rate hikes by major insurers, calling on them to delay pending increases for 60 days while he examines paperwork submitted to his office.

Commissioner Dave Jones had already urged Blue Shield of California to refrain from raising rates for a third time in five months. The increases would drive up consumers’ bills as much as 59% cumulatively. (LA TIMES, 1/12)

Federal Funds Allowed States To Maintain Health Care For Poor Children

Even as states grappled with crippling budget deficits and the political fallout of the deeply divisive health care overhaul, they maintained high rates of coverage for children in low-income families—thanks to enhanced federal Medicaid funding. That’s according to a recently released report by the Kaiser Family Foundation (KFF). (KAISER HEALTH NEWS, 1/12)

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