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TOP STORIES

House passes health reform bill, debate moves to Senate
Democratic leaders prevailed with help from anti-abortion members of the caucus. The House could vote on Medicare physician pay the week of Nov. 16.

New database for out-of-network pay set to replace disputed Ingenix system
The independent project claims it's fairer than the previous system, run by a UnitedHealth Group-owned company. But the effect on physician payments remains unknown.

House option for public plan wouldn't limit physician pay to Medicare rates
Democratic leaders also introduced a stand-alone Medicare physician pay reform measure as a companion to the health system overhaul.

GOVERNMENT & MEDICINE

Liability reform demos must have patient safety element
It's not clear how closely projects must focus on medical errors in order to qualify for some of the $25 million in federal grants.

Are health system reform polls meaningful?
Americans' opinions about reform proposals depend in part on how survey questions are worded, pollsters say.

PROFESSIONAL ISSUES

Journal editors propose detailed disclosure form for authors
It asks about research pay and industry relationships. Some doctors say it goes too far.

California licensing backlog keeping doctors from starting jobs
The state medical society has sued, saying three-day furloughs each month are causing the medical board's delays in issuing licenses.

Fertility doctors tighten guidelines in wake of "octomom" controversy
Among the American Society for Reproductive Medicine's recommendations: Physicians should warn patients about the dangers of multifetal pregnancies.

Ethics Forum - CME must be untainted -- no matter who's paying

OPINION

Editorial - What commentators are saying about the Senate's public plan option
Even before the House bill was introduced, the Senate was asserting that the public insurance option was not dead.

BUSINESS

Health care spending for middle-age Americans booming
Experts say increased use of services, expanded screening, technical advances and more in-office procedures are driving costs.

Individual mandate proposals driving insurers to expand offerings
Plans are preparing for millions more customers to enter what has been a declining marketplace.

Practice Management - Misclassifying nonexempt employees as exempt can cost you

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