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| HCA profits rise ?€" The profits of HCA, the nation's largest for-profit hospital chain, are anticipated to rise markedly for the first quarter of 2009. HCA said that it anticipates first-quarter pre-tax wages of $600 to $650 million, in comparison with $344 million for the prior-year period. Revenue is anticipated to reach $7.4 billion, up from $7.27 billion to the year-earlier quarter. The increase in revenue stemmed largely from higher outpatient volume; same-facility hospital admissions dropped slightly. Meanwhile, HCA as well as other hospitals across the country are raising charges so that you can counter the effects in the recession on their main point here. Still, the news from HCA can help quell fears that medical, too, is for the ropes. Another source of comfort: HCA has sold $1.5 billion of 10-year notes which has a yield of 9 percent. <Sources> Fierce Healthcare, Modern Healthcare, The Wall Street Journal, The Tennessean]Allina refunds unlawful interest fees ?€" One of Minnesota's largest healthcare systems, Allina, will refund about $1.2million to patients have been charged high interest rates on the hospital balances. Under a settlement with the state's attorney general, Allina will reimburse patients who paid over 8 percent in interest between 2007 and 2009. The not-for-profit system's credit unit charged some patients as much as 18 percent on their debts. Now no patient must pay more than 8 percent--still a fairly high rate with the current economic economy. <Source> Minneapolis Star-Tribune]California hospitals want to hire doctors directly ?€" California's corporate practice of medication law prohibits hospitals from employing physicians directly, unless they're teaching or public hospitals. Instead, they have to contract with physician groups, usually through foundations. But the California Hospital Association is intending to change that, arguing that hospitals have to reverse the rapid decline of physicians in rural and inner-city areas. The California Medical Association takes the opposite position, saying that corporate practice of medicine statutes--which are also found in Ohio, Iowa, Texas, and Colorado--are necessary to prevent hospitals from exerting a lot of power over physicians. What's unclear is how these states change from the rest of the country, the location where the absence of such laws won't seem to have led to the demise of non-public practice. <Source> HealthLeaders Media]Spike in electronic prescriptions ?€" The Centers for Medicaid and Medicaid Services apparently got a lot of physicians thinking in the event it offered them a two percent bonus for electronic prescribing. Walgreens pharmacies filled 3.A million electronic prescriptions in March, which is a 211 percent increase from March 2008. The organization expects to receive 40 million e-prescriptions in 2010; last year, it filled only 15 million. Walgreens said it expects the health IT incentives within the federal stimulus legislation to boost e-prescribing further. <Source> iHealthBeat]Home sweet medical home ?€" The modern York State Health Department will offer $60 million in grants this year to practices that be patient-centered medical homes. Here is the latest in a number of health IT grants that Nyc has provided as part of a $1 billion healthcare reform effort that began in 2006. Altogether, the state has poured nearly $159 million into health IT. A "medical home" is defined as a site where a personal physician coordinates most of a patient's care. Precisely why it involves health It's that the use of an electronic digital medical record is considered essential for the coordination of care. But practices must reengineer themselves in lots of other ways to be named medical homes. <Source> Modern Healthcare] ugg sale clearance uk Special prosecutor Patrick Fitzgerald said the CIA leak investigation is substantially complete, though "it's not over."Fitzgerald spoke to reporters with the Justice Department, following a indictment of Vice President Cheney's chief of staff, I. Lewis "Scooter" Libby , following a two-year investigation. Fitzgerald wouldn't comment about the possible involvement of President Bush's closest adviser, Karl Rove, who remains under investigation.CBS News chief White House correspondent John Roberts reports that Fitzgerald wants to know why Rove didn't tell the grand jury in regards to a telephone conversation eventually reporter Matt Cooper by which he identified CIA agent, Plame. Rove's legal team wishes to convince the prosecutor it was an honest omission. Libby resigned Friday after he was indicted by a grand jury, accused of obstructing its investigation and lying about an effort to blow the top's of Plame.CBS News legal analyst Andrew Cohen reports the indictment "makes it more than likely, almost a certainty" that Cheney will need to testify in the criminal trial against Libby.If you do, Cheney, who prizes secrecy, will likely be called upon as a witness to spell out why the administration launched an offer against Plame's husband, diplomat Joseph Wilson, a critic with the war who questioned Mr. Bush's assertion that Iraq had sought nuclear material.Wilson, who spoke to An hour correspondent Ed Bradley in their first interview since Libby's indictment, asserted his wife has been threatened. "There have been specific threats <against>Plame]. Beyond that, I just can't go," Wilson tells Bradley.Libby took over as first high-ranking White House official in decades to get criminally charged while still at work. Rove was spared from criminal charges for now.Cohen said that for Rove, the president's right-hand man, it was a day of relief tempered by angst. "Fitzgerald's investigation to the disclosure of the identity of the CIA agent is not over, and Rove with his fantastic lawyer know it, and today both have to deal with the idea that Libby, who presumably talked with Rove regularly about things small and big, now has great incentive to express whatever he has never shared with Fitzgerald and Company," Cohen said.Libby wasn't indicted especially for the leak, but Fitzgerald left little question that he believed Cheney's top aide learned Plame's classified identity in the CIA, State Department and his own boss then revealed it to reporters."It's important that a CIA officer's identity be protected, which it be protected not only for the officer, but also for the nation's security," the prosecutor said. "Mr. Libby was the first official known to have told a reporter."CBS News correspondent Gloria Borger reports that for Cheney, Libby's resignation is really a loss, but some say it isn't a fatal blow."My sense is although he has enormous regard for Scooter Libby and the other way around, that the relationship isn't quite as central to his political life as the relationship of the president to Karl Rove," said former congressman Vin Weber.Cheney said he accepted the resignation with regret because Libby is "one of the extremely capable and talented individuals I've ever known."Though Cheney was one of the officials who told Libby about Plame's secret help the CIA before it was leaked to reporters, Fitzgerald said he wasn't alleging any wrongdoing by the second in command."I'm not making allegations about anyone not charged from the indictment," he said.Libby's attorney, Joseph Tate, promised to vigorously challenge the charges.The 22-page indictment was the most recent blow in one of the darkest weeks of the Bush presidency, which also saw the 2,000th U.S. military death in Iraq and the embarrassing withdrawal of Harriet Miers as Mr. Bush's Supreme court nominee. Read the Libby Indictment (.pdf) along with the Special Counsel's statement (.pdf). Mr. Bush, whose approval rating is close to the lowest point of his presidency, praised Libby's a lot of government service but acknowledged the "ongoing legal proceedings are serious.""In our bodies, each individual is presumed innocent and entitled to due process and a fair trial," obama said. no previous page next 1/2 mulberry luggage NEW YORK (MarketWatch) -- U.S. stocks ended a volatile session mostly lower on Tuesday, with the market tracking gyrations in oil prices, while remarks by Fed Chairman Ben Bernanke on inflation raised concerns the Fed may hike rates later this year.In the speech late Monday, Bernanke emphasized the central bank's determination to support down inflation expectations, which the market viewed as a sign the Fed will proceed to tighten monetary policy later this season."The concern for investors is that the Fed has now confirmed a transfer of focus toward fighting inflation," said Ken Tower, market strategist at Covered Bridge Tactical. "The question now becomes when (not if) they'll begin raising rates of interest," he said. "That suggests there will be no further steps to boost economic growth. The economy is on its own."The market earlier received an enhancement from a sharp fall in crude oil prices after the U.S. Energy Department lowered its global oil consumption forecasts. Crude closed having a loss of over 2% retreating from an earlier high above $137 a barrel. The Dow Jones Industrial Average rose 9 points, or 0.1%, to end at 12,289, as 17 of the 30 components rose. The Dow's financial components -- AIG , Citigroup , Bank of America , and J.P. Morgan Chase -- all advanced, providing support to the Dow.With concerns regarding the credit crisis still casting doubts about financial stocks, the sector received a good start from regional bank National City , which stated it signed a memorandum of understanding with regulators which its required capital levels remained strong. .The S&P 500 index dipped 3.3 points, or 0.24%, to 1,358, while the Nasdaq Composite lost 10.52 points, or 0.4%, to 2,448.The energy sector lost probably the most on the S&P, while financials and consumer-related sectors advanced.Technology stocks, however, remained under water.Tech bellwether Texas Instruments raised the midpoint of their earnings forecast but still did not convince the market about the outlook for the chip-making industry. Bernanke fuels rate-hike fears"The Federal Open Market Committee will strongly resist an erosion of longer-term inflation expectations, as a possible unanchoring of those expectations could be destabilizing from growth and also inflation," Bernanke said inside a speech Monday night. The market industry has been plagued by concerns that surging oil prices will further dampen consumption, especially after having a surge in the jobless rate in May rekindled concerns about the ailing U.S. economy.Concurrently, should commodity price inflation start seeping into core prices, the market industry fears the Fed may ultimately hike interest rates."The main question which investors also have to face for quite some time continues to be is this a bear market accompanied by a recession, in which case there's more bad things ahead for stocks, or even a very severe correction accompanied by a slowdown throughout the market," said Hugh Johnson, chairman of Johnson Illington Advisors."After Bernanke's speech, this is is that we had an extreme correction and that the economy and also the market will recover within the second half," he said. "But the market is also saying ' Wait an additional Ben, what about oil prices?'" The dollar received a lift against major global currencies as Bernanke's remarks stoked expectations a rate hike could be in store sooner rather than later. The greenback was also lifted late Monday by comments from U.S. Treasury Secretary Henry Paulson, who said he wouldn't consider the option of foreign-exchange intervention from the table. A higher dollar will pressure dollar-denominated, such as crude oil and gold, mainly because it makes them more expensive for holders of other currencies.Gold futures also extended stiff losses right into a second day Tuesday, falling 3% and coming under heavy selling pressure because the U.S. dollar surged aganst other major currencies. Data pointsIn economic news, the U.S. trade deficit widened to $60.9 billion in April on higher prices for oil and other commodities, the Commerce Department reported. Imports rose 4.5% to $216.4 billion, while exports increased 3.3% to $155.5 billion. Excluding the impact of inflation, the trade deficit slipped by 0.1% towards the lowest level in nearly 5yrs. .In the markets Monday, the Dow industrials ended which has a gain of 70 points to 12,280 -- a little rebound in the wake of Friday's nearly 400-point slide.European markets were also lower Tuesday. By Nick Godt mulberry.co.uk NEW YORK (MarketWatch) -- U.S. stocks on Wednesday leaped ahead initially this month after early data cast a much more optimistic light for the U.S. economy before Friday's payrolls report, while leaving intact thinks of another interest-rate cut next week."The data were in sharp contradiction to expectations of an impending recession," said analysts at Action Economics.Up a lot more than 180 points earlier on, the Dow Jones Industrial Average trimmed its gains after Moody's Investors Service warned bond insurer MBIA Inc. is more likely to face a capital shortfall than any other time thought. The Dow lately gained 163.6 points, or 1.2%, to 13,413.5, with 28 of the company's 30 components trading higher.Another blue chip increasing was Intel Corp. , recently up 3.7%, following your chip giant's stock drew upgrading on expectations of a robust personal computer market in 2008. .The S&P 500 gained 18.23 points, or 1.3%, to 1,481.02, while the technology-heavy Nasdaq Composite advanced 42.18, or 1.6%, to two,662.03.On the Nyc Mercantile Exchange, crude-oil futures rose above $90 a barrel following your Organization of Petroleum Exporting Countries opted to help keep production as is and crude inventories from the U.S. fell to close two-year lows. .Volume on the New York Stock Exchange topped 816 million shares, with advancing stocks before those declining over 3 to 1, while volume around the Nasdaq came to 1.3 billion, and advancing stocks topped decliners about 2 to 1. Positive playAhead from the opening bell, major stock index futures had extended early gains after ADP reported hiring in the private sector expanded more quickly in November, gaining 189,000 following a revised 119,000 begin October. The latest monthly hike is well above forecasts with a rise of 60,000. "While the ADP report is notoriously volatile instead of necessarily a good indicator for Friday's payroll data, it flies in the face of the notion that the economy is teetering getting ready to recession, said Frederic Ruffy, analyst, Optionetics.Within a separate report, the Labor Department said productivity from the nonfarm business sector rose with a 6.3% annual rate inside the third quarter, an upward revision from your 4.9% tally a month ago.And, in a signal of milder inflationary pressure than any other time thought, the government revised unit labor costs down, showing a 2% annual decline compared to a 0.2% drop estimated a month ago. .In a later report, the Commerce Department said orders for U.S.-made factory goods climbed 0.5% in October, its biggest surge in three months. .The Institute for Supply Management said its nonmanufacturing index declined to 54.1% in November from 55.8% in October, together with the drop larger than expected. "The economic news that people got today was quite positive. We had factory orders go up; we saw the non-manufacturing sector continue to grow," said Peter Cardillo, chief market economist at Avalon Partners. .Banking centralOn Wednesday, the Reserve Bank of Australia didn't cut rates, as the Bank of Canada did Tuesday, nonetheless it did sound a more dovish tone. "Sentiment in global credit markets has deteriorated recently after a youthful improvement and prospects for growth in the major economies seem to be weakening," the Aussie central bank said. The lender of England as well as the European Central Bank is likely to make rate decisions on Thursday, with all the U.K. central bank under increasing pressure to slice rates after data released showed measures of house prices, consumer confidence and services sector falling.European shares snapped a two-day losing streak as numerous economists penciled in an imminent rate cut for your U.K. .In Asia, several markets rebounded to finish higher amid bargain-hunting. ., U.S. stocks posted another straight session of losses being a spate of downgrades for financias fueled concerns regarding the credit-market crisis and updates from Nokia Corp. and Merck & Co. Inc. disappointed investors.By Kate Gibson ugg classic short grey A pair of out-of-control wildfires roared along California's central coast Friday, chewing through opposite ends of a parched forest and threatening when using more than 4,500 homes.While flames through the stubborn fire from the northern flank of the Los Padres National Forest inched closer to Big Sur's historic vacations, state emergency officials said hot winds had caused a more recent blaze 200 miles south in Santa Barbara County to double in size overnight. That fire has become the first priority for California firefighters, reports CBS News correspondent Bill Whitaker.Residents greater than 1,700 homes near the city of Goleta were ordered to evacuate, joining an equal number of people who were told to leave Big Sur days earlier.Driven by really winds as high as 40 mph, the Santa Barbara County fire was so fierce early Friday that firefighters at one point took shelter in about 70 homes we were holding trying to defend, said Capt. Eli Iskow of the county fire department."Hundreds of firefighters were set up around hundreds of structures," Iskow said. "I think we saved every one of those structures on the bottom."Wind was less of a symptom in Big Sur, which remained eerily empty under a thick blanket of fog and smoke at the beginning of the long holiday weekend. Forget about properties were lost since Thursday, though the density of the parched terrain allowed the 13-day-old wildfire to keep advancing on the storied tourist town, where flames made their way toward the scenic Pacific Coast Highway and sent forest creatures running toward the Sea for cover."It came down to the canyon last night. I couldn't sleep. It's still within lurking about," said Kurt Mayer, who ignored the essential evacuation orders to douse his Big Sur Deli with fire-retardant gel.Gov. Arnold Schwarzenegger doubled the volume of National Guard called up for fire training Friday, reports Whitaker. 400 troops should be willing to do battle in the future. Schwarzenegger also discouraged residents from buying fireworks, which may spark other blazes. Some cities have already banned them over the christmas weekend. Daniel Berlant, a spokesman for your California Department of Forestry and Fire Protection, said weather forecasts with winds to kick up again in the afternoon had officials worried the outlook for both blazes was not going to improve in the near future.By Friday morning, the Big Sur was only 5 % contained and had consumed greater than 100 square miles and 20 homes, whilst the Goleta fire was 10 % contained and had destroyed in regards to a half-dozen outbuildings and more than 8 square miles.A rise in humidity and reduced temperatures helped decrease fire activity overnight, as well as the humidity remains high. Firefighters are still working on getting lines across the Big Sur fire, with their highest priority protecting town itself. Although fire jumped a line overnight around the south end, crews could get a handle on it. Total burned acreage for your Big Sur blaze now stands at 65,393 (growing approximately 1,088 acres overnight). The flames is five percent containedThere are 1,642 fire personnel (local, federal and state) working on this fire.A 35-mile stretch of Highway 1 is closed to the public.The Los Padres blazes were 2 of 335 active wildfires burning in California, down coming from a peak of roughly 1,500 fires earlier this week, but they were commanding the highest share of equipment and personnel for their locations near populated areas, Berlant said."Any time we've got structures threatened and lives vulnerable, it's a top priority," he stated.Of those 335 active fires, officials consider 27 to become "major" (threatening life and/or property). Another fire generating problem is in the Sequoia National Forest east of Bakersfield, where a wind-driven blaze had burned 25 square miles, destroyed one home and threatened 1,000 more in nearby communities.In Arizona, officials said a blaze southeast of Prescott had burned four homes because it broke out June 28. The blaze has forced the evacuation of the mountain town of Crown King and was simply 10 percent contained Friday. mulberry darwin It was the public relations same in principle as a declaration of war aimed at the national media: President Bush claiming the American people aren't getting the truth about Iraq."I'm conscious of the filter in which some news travels," Mr. Bush said, "and sometimes you just have to go over the heads of the filter and speak directly to the people. And that's what we'll carry on doing."In interviews with regional television outlets Monday – that the White House feels go easier on the president – Mr. Bush basically ignored the daily attacks on U.S. troops and personnel and said this news about Iraq is nice, reports CBS News Chief White House Correspondent John Roberts."The Iraqi everyone is beginning to prosper. Electricity expires and running and millions, or a huge number of children have been immunized. Hospitals are open, schools are functioning," Mr. Bush said."There's an expression that people in America are certainly not getting the truth," he told Hearst-Argyle television. Monday's interviews marked the second phase an administration publicity offensive on Iraq that began a week ago with a series of speeches by Mr. Bush, Vice President Dick Cheney, National Security Adviser Condoleezza Rice and in many cases first lady Laura BushThe PR offensive may come as polls show Americans increasingly worried by the administration's Iraq policy, in addition to being Congress prepares to vote about the president's $87 billion proposal for military operations and reconstruction in Iraq and Afghanistan. Monday also marked exactly one full year since Congress dicated to endorse Mr. Bush's arrange for military action in Iraq.Obama has been taking it about the chin in recent weeks from lawmakers who claim he lacks a coherent insurance policy for postwar Iraq, even from individuals his own party who say infighting and mixed messages among his top aides supply the impression he's not responsible.On Sunday, Sen. Richard Lugar, R-Ind., chairman from the Senate Foreign Relations Committee, urged Mr. Bush to consider control of his quarrelsome foreign policy team. "The president must be president," Lugar said. "That means the president over the vice president, and over these secretaries" – meaning Secretary of State Colin Powell and Secretary of Defense Donald Rumsfeld.On Monday, President Bush told Tribune Broadcasting that "the person who is in charge is me" and that people who criticize his strategy are "just wrong" – though he left it down to Americans to figure out why."The American people, all they have got to do if they need to figure out the strategy is usually to look at exactly what we said and just what we did," Mr. Bush saidHe also said he isn't operating on a political calendar in Iraq. "The meaning of when we get out is the place there is a free and peaceful Iraq based upon a constitution and elections, and clearly we'd like that to occur as quickly as possible. "But we are tuned in to rushing the process which could create the conditions for failure," he said.However, to gain support for a U . n . resolution to broaden the occupation force, Mr. Bush did propose a December 15 deadline for your Iraqi governing council to put a timetable for writing a constitution and holding electionsThe deadline would be a major concession to Security Council members France and Russia expecting getting a vote later this week. French diplomats said Monday the new proposal was "progress," though they're not ready to sign off about it just yet. mulberry bayswater sale
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