Presidential Debate, Round 2

Pressure on Obama to check Romney surge at NY debate
Published October 16, 2012 | FoxNews.com
First, President Obama was too cool. Then Vice President Biden was, by some accounts, too hot.
Can Obama get it just right?

At his second debate against Mitt Romney, the pressure is unquestionably on the president to recapture the momentum. The debate at Hofstra University in Hempstead, N.Y., comes as new polls continue to show Romney closing the gap in key battleground states in the wake of the candidates' opening bout.

And the president's team is making clear that Obama will have a more aggressive -- and more prepared -- approach this time.

"He's excited for it," campaign spokeswoman Jen Psaki said. "He's calm and energized."
Romney's campaign has said little about how and whether the Republican nominee's style might differ Tuesday night, compared with the opening debate, though a second clear-cut victory for the Republican challenger could be a game-changer. A senior Romney adviser said the campaign anticipates a "more aggressive" Obama.

"We expect he'll launch one attack after another in an attempt to distract from his record and make up for his weak performance in Denver," the adviser said.

Both campaigns are stacking the debate hall with surrogates, who will be in place to spin the performances and try to get their version to dominate media coverage going into Wednesday.
Romney's campaign also announced a fresh endorsement Tuesday morning from Ross Perot, though the former presidential candidate is not on the surrogate list for the New York debate.

"We can't afford four more years in which national debt mushrooms out of control, our government grows, and our military is weakened. Mitt has the background, experience, intelligence and integrity to turn things around," Perot said in a statement. Read the full story on FoxNews.com ....

Via: Fox News

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BACKFIRE: Medicare Bills Rise as Records Turn Electronic

When the federal government began providing billions of dollars in incentives to push hospitals and physicians to use electronic medical and billing records, the goal was not only to improve efficiency and patient safety, but also to reduce health care costs.

But, in reality, the move to electronic health records may be contributing to billions of dollars in higher costs for Medicare, private insurers and patients by making it easier for hospitals and physicians to bill more for their services, whether or not they provide additional care.

Hospitals received $1 billion more in Medicare reimbursements in 2010 than they did five years earlier, at least in part by changing the billing codes they assign to patients in emergency rooms, according to a New York Times analysis of Medicare data from the American Hospital Directory. Regulators say physicians have changed the way they bill for office visits similarly, increasing their payments by billions of dollars as well.

The most aggressive billing — by just 1,700 of the more than 440,000 doctors in the country — cost Medicare as much as $100 million in 2010 alone, federal regulators said in a recent report, noting that the largest share of those doctors specialized in family practice, internal medicine and emergency care.

For instance, the portion of patients that the emergency department at Faxton St. Luke’s Healthcare in Utica, N.Y., claimed required the highest levels of treatment — and thus higher reimbursements — rose 43 percent in 2009. That was the same year the hospital began using electronic health records.

The share of highest-paying claims at Baptist Hospital in Nashville climbed 82 percent in 2010, the year after it began using a software system for its emergency room records.

Via: NYT

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