On the heel’s of an announcement yesterday that nearly 100 individuals have defrauded the government for $223 million in Medicare fraud, home health leaders are calling for a more targeted approach to zero-in on suspected areas within their industry. Read more >>

“Yesterday’s announcement that the Medicare Fraud Strike Force has charged nearly 100 individuals for allegedly defrauding the federal government for $223 million should prompt immediate action by lawmakers and stakeholders to advance policies that stop Medicare fraud and abuse before it takes place. Read more >>

The Partnership for Quality Home Healthcare today thanked Pennsylvania lawmakers for supporting access to coordinated home-based care. The bipartisan group of Pennsylvania legislators requested that the Centers for Medicare & Medicaid Services (CMS) extend the grants provided in the Medicare Coordinated Care Demonstration (MCCD) beyond its current expiration date of June 2013. Read more >>

Washington, DC – The Partnership for Quality Home Healthcare today thanked a bipartisan group of Pennsylvania legislators for requesting that the Centers for Medicare and Medicaid Services (CMS) extend the grants provided in the Medicare Coordinated Care Demonstration (MCCD) beyond the current expiration date of June 2013. The program, which began in 2001, has yielded savings for Medicare. Read more >>

The Partnership for Quality Home Healthcare applauds the Senate Finance Committee for exploring program integrity initiatives that the home health community has long pushed -- including requiring home health agencies to establish compliance and ethics programs, and temporarily limiting new providers in areas of economic growth. These are among a laundry list of proposals included in the committee's recently released report highlighting recommendations from stakeholders on how to fight Medicare and Medicaid waste, fraud and abuse. Read more >>

The Partnership for Quality Home Healthcare – a coalition of home health providers dedicated to developing innovative reforms to improve the program integrity, quality, and efficiency of home healthcare for our nation's seniors – today commended Senate Finance Committee leaders for supporting a collaborative effort with the nation’s healthcare community to strengthen the integrity of the Medicare and Medicaid programs. Read more >>

This month, the Illinois House of Representatives approved a supplemental spending bill that provides funds for community care to keep seniors in their homes. Approved in a landslide 115-2 vote, the legislation allocates $173 million for home health services. Read more >>

The Partnership for Quality Home Healthcare – a national coalition representing more than 1,500 community- and hospital-based home health agencies nationwide – today praised the Illinois House for approving a supplemental spending bill that provides funds for community care to help senior citizens remain in their homes as long as possible. Approved in a landslide 115-2 vote, the legislation allocates $173 million for community care services. Read more >>

The vast majority of fraud in the home care industry is still isolated in a handful of counties, a new industry study finds, and a coalition that includes home health firms and AARP says lawmakers could glean billions more in savings by ending Medicare fraud instead of making seniors pay more for services and cutting provider pay. The president's budget includes across-the-board cuts to home health pay and calls for home health copays, which together total $3.75 billion in Medicare savings over 10 years, and the industry group Partnership for Quality Home Healthcare says its fraud fighting proposals would save in the neighborhood of $15 billion over a decade. Read more >>

In response to President Barack Obama’s proposed fiscal year 2014 budget, home healthcare community members today expressed concern that recommendations to further cut Medicare payments and increase copayments on seniors using home health will not achieve the long-term costs savings our nation needs, while also harming seniors and healthcare providers. Read more >>

The Partnership for Quality Home Healthcare commended Senators Orrin Hatch (R-UT), Chuck Grassley (R-IA) and Tom Coburn (R-OK) for urging regulators to increase efforts to combat Medicare waste, fraud and abuse by halting the installment of new providers in areas identified as high-risk to the Medicare program. The lawmakers are urging the Centers for Medicare and Medicaid Services (CMS) to implement the moratorium on providers allowed under the Affordable Care Act (ACA). Read more >>

The home health care industry could experience some changes in 2014 such as Medicare copayments for new beneficiaries or increased fraud prevention measures for agencies receiving federal reimbursements. Read more >>

The challenges facing our nation's health care system today are driven by demographics. The first member of the baby boom generation turned 65 last year. Our health care system now stands directly in the path of a tidal wave of aging baby boomers who will be retiring at the rate of 10,000 a day for the next 20 years. That system will clearly have to adapt and change if it is to survive that impact. Read more >>

Now that sequestration is in effect, healthcare leaders are eager to see exactly how these cuts will take shape and the impact they will have. While the sequester remains politically unpopular with both parties, cuts to programs geared toward saving Medicare funds such as HHS’s Health Care Fraud and Abuse Control program, seem to make even less sense than others. Read more >>

The Partnership for Quality Home Healthcare expressed support for MedPAC's recommendation that Medicare crack down on the relatively small number of home health agencies with fraudulent and abusive billing practices. Read more >>

Washington, DC - The Partnership for Quality Home Healthcare today reiterated its support for program integrity reforms to curb fraud and abuse in the Medicare system, as recommended by the Medicare Payment Advisory Commission (MedPAC) and committee members. The home healthcare community continues to reinforce the need for increased efforts to strengthen Medicare to prevent fraud and abuse before it occurs for the benefit of patients, honest providers and American taxpayers. Read more >>

The Partnership for Quality Home Healthcare today commended a proposed rule by the U.S. Department of Veterans Affairs (VA) to ease regulations permitting Veterans to access skilled home healthcare services. Read more >>

The Partnership for Quality Home Healthcare - a coalition of home healthcare agencies dedicated to developing innovative reforms to improve the program integrity, quality, and efficiency of home healthcare for our nation's seniors – today commended the Departments of Justice and Health and Human Services for the healthcare fraud recovery reported in the Health Care Fraud and Abuse Control Program (HCFAC) Report. Read more >>

WASHINGTON – Members of the home healthcare community today commended a newly released report from Senate Finance Committee members, which presents recommendations for combatting fraud, abuse and waste in the Medicare and Medicaid programs collected from 160 stakeholder organizations including the Partnership for Quality Home Healthcare. Read more >>

“Last week’s indictment in Detroit is further evidence that immediate action is needed to increase national efforts to target and catch criminals who are stealing billions of taxpayer dollars and victimizing America’s seniors. The prosecution of criminals involved in fraudulent activity is critical to protecting the Medicare program, however more must be done to stop Medicare fraud and abuse before it begins. Read more >>

Sens. Tom Carper (D-Del.), Tom Coburn (R-Okla.), Max Baucus (D-Mont.) and Orrin Hatch (R-Utah) on Thursday questioned the effectiveness of anti-waste and fraud-prevention efforts for Medicare. Read more >>

A bipartisan group of senators is calling on the Obama administration to improve a program designed to detect and deter Medicare fraud and abuse, following a report that questioned its effectiveness. Read more >>

Medicare Administrative Contractors (MAC) prevented $275 million of improper payments to home health agencies, but they could do a much better job according to a report from the HHS Office of the Inspector General. Read more >>

A report released yesterday by the Office of the Inspector General, CMS and Contractor Oversight of Home Health Agencies, underscores the need to reform Medicare’s current “pay and chase” practices and advance targeted program integrity reforms, according to the Partnership for Quality Home Healthcare. Read more >>

Though allowing Medicare beneficiaries to pay part of the costs of their home healthcare would give them “skin in the game” and alleviate program costs, co-payments could ultimately end up doing just the opposite, according to analysis by the Partnership for Quality Home Healthcare with Avalere Health. Read more >>

A new bipartisan Public Policy Polling (D)/Fabrizio Ward (R) survey finds registered voters overwhelming oppose increased fees on seniors’ Medicare services, indicating that burdening beneficiaries with additional out-of-pocket expenses is not the preferred approach among Americans for reducing federal spending in Washington. Read more >>

The Partnership for Quality Home Healthcare today thanked U.S. Representative Cathy McMorris Rodgers (WA-5) for supporting efforts by the home healthcare community to strengthen the integrity of the Medicare program by targeting waste, fraud and abuse. Read more >>

A recently released financial report from the Centers for Medicare and Medicaid Services (CMS) underscores the need for program integrity reforms in the Medicare system as evidenced by the increased amount of funds lost to improper payments in 2012 from 2011. According to the report, the amount of funds lost to improper payments grew to $29.6 billion in 2012 from $28.8 billion in 2011, which equals an improper payment rate of 8.5 percent for fiscal 2012. In 2010, the Administration set a goal of reducing the rate to 5.4 percent by 2012, half of the improper payment rate for 2009. Read more >>

WASHINGTON – A new analysis conducted by the Partnership for Quality Home Healthcare with Avalere Health finds that Medicare home health beneficiaries already bear significant out-of-pocket expenditures by staying in their own homes. The study also finds that Medicare home health beneficiaries enable Medicare to avoid considerable costs that would otherwise be borne by the program and taxpayers if beneficiaries were instead served in institutional settings. Read more >>

WASHINGTON – A newly released plan for healthcare savings and reform by the National Coalition on Health Care (NCHC) underscores the need to strengthen the Medicare program through program integrity reforms such as those advanced by leaders in the home healthcare community, according to the Partnership for Quality Home Healthcare. Read more >>

Using home health care services in appropriate circumstances can be highly effective in improving care while reducing costs, according to a recent study by the American Action Forum that examined a home-based care program offered by the Veterans Administration. Read more >>

At a recent meeting of the Medicare Payment Advisory Commission (MedPAC), commissioners engaged in a meaningful discussion on program integrity reforms that can strengthen the Medicare home health benefit and reduce avoidable hospital admissions and readmissions that may be related to aberrant behaviors. The Partnership for Quality Home Healthcare today commended the commission’s attention to this issue and stressed the importance of program integrity reforms. Read more >>

An analysis released this week by the American Action Forum (AAF), “VA Home Based Primary Care Program: A Primer and Lessons for Medicare,” offers further evidence that the appropriate utilization of home healthcare services can be highly effective in improving patient care and reducing healthcare costs, according to the Partnership for Quality Home Healthcare. Read more >>

How to take care of senior citizens at home and save Medicare were two topics at a home healthcare discussion in Bridgeport Wednesday morning. Read more >>

BRIDGEPORT, WV – Congressman David McKinley (WV-1) joined home healthcare providers, clinicians, patients and family members today to discuss the value of home healthcare services for West Virginia seniors as well as the importance of post-acute care reforms to strengthen the Medicare program, foster the delivery of quality care and reduce Medicare costs. Read more >>

The Medicare program could save billions in the next decade if care models are restructured says a newly released analysis commissioned by a nonprofit, national consortium of home healthcare organizations. Read more >>

Leaders in the home healthcare community today called for targeted Medicare reforms to combat fraud and abuse in response the U.S. Government Accountability Office (GAO) report on healthcare fraud, “Types of Providers Involved in Medicare, Medicaid, and the Children’s Health Insurance Program Cases.” Read more >>

The Medicare program could save as much as $100 billion over the next 10 years and the life of the Part A trust fund could be extended by two-and-a-half years, if post-discharge patients were served in a more clinically appropriate, post-acute care setting, according to a study released Oct. 10 by a consulting group. Read more >>

Placing patients in lower cost, yet appropriate, facilities following hospital discharge and cutting post-discharge spending 7.5 percent could save Medicare could up to $100 billion over a decade and add two and a half years to the Medicare Part A Trust Fund, according to a home care industry-funded report by Dobson DaVanzo & Associates. Read more >>

Changing patient-care settings—without re-designing the way care is provided—could save the Medicare program about $34.7 billion over 10 years, according to a new report released by the Alliance for Home Health Quality and Innovation. Read more >>

Directing Medicare beneficiaries into the most cost-efficient setting possible after a hospital stay could save the program $35 billion to $100 billion over the next decade, the Alliance for Home Health Quality and Innovation, a home care trade association, reported Wednesday. Read more >>

In response to a report released today by the Office of the Inspector General (OIG), the Partnership for Quality Home Healthcare reiterated its support for the implementation of surety bonds for home health agencies. The recent report mirrors a program integrity proposal advanced by the Partnership to address isolated pockets of wasteful and fraudulent spending. Read more >>

At a time when political friction is great and resources are not, expecting miraculous breakthrough solutions to our problems is not only unrealistic but counterproductive. Instead, the best way to "think big" may just be to "go small," by focusing on specific and relatively affordable changes. Read more >>

The Alliance for Home Health Quality and Innovation (AHHQI) is touting an industry-funded paper it says shows that using more home care services could prevent avoidable hospitalizations and readmissions for pre-acute, post-acute and non-post-acute episodes. Read more >>

In response to a report released yesterday by The Office of the Inspector General (OIG), leaders from the home healthcare community reiterated their support for targeted Medicare reforms. The report, which aligns closely with policy solutions supported by the home healthcare community, provides recommendations for strengthening the Medicare benefit to prevent inappropriate billing practices through reforms including improved billing processes, prevention of aberrant claims payment, and a temporary moratorium on new provider enrollments in targeted areas. Read more >>

Homebound Americans who have difficulty travelling to polling places during the 2012 election cycle will have help casting their votes, thanks to a collaborative initiative launched today by state home healthcare associations and other leaders in America’s home healthcare community. The Bring the Vote Home initiative aims to engage the nation’s 12 million home healthcare patients – including 3.5 million Medicare beneficiaries – via voter and absentee ballot registration initiatives. Read more >>

Home health agencies in more than a dozen states will be asked to take part in a get-out-the-vote effort that could give the sector more political clout while allowing thousands of seniors to participate in the November elections. Under the initiative, backed by the Partnership for Quality Home Healthcare and the Council of State Home Care Associations, caregivers could assist patients and their families in registering to vote, and help them request absentee ballots if needed. Read more >>

Following today’s announcement of a public-private partnership designed to eliminate healthcare fraud, members of the home healthcare community commended the U.S. Department of Health and Human Services (HHS) and the Office of the Attorney General for their efforts to strengthen the integrity of the U.S. healthcare system and stem the loss of taxpayer dollars to fraud and abuse. Read more >>

A collaborative effort among hospitals, home health agencies, and a Medicaid-managed care program in upper New York state to reduce hospital readmissions has been successful, according to recently-released data, and this could have positive implications for decreasing healthcare expenditures. Read more >>

Newly released data demonstrates that the Care Transitions Intervention pilot program successfully reduced inpatient hospital readmissions by 25 percent between Fall 2010 and Spring 2012 through a collaborative effort among hospitals, home health agencies and a Medicaid-managed care program in upper New York State. Researchers suggest such a reduction in readmissions will result in a significant decrease in healthcare expenditures. Importantly, while the program was under a Medicaid managed care program, its key savings were derived within the Medicare program. Read more >>

The Centers for Medicare and Medicaid Services (CMS) released the Home Health Prospective Payment System (HHPPS) proposed rule for 2013 on Friday, July 6th. Among its provisions, the proposed rule introduces a measure of stability for the funding of skilled home healthcare services. Read more >>

One way to cut down on Medicare fraud in the home health care industry is to reform the payment system and get rid of the “pay and chase” model, says national industry coalition the Partnership for Quality Home Healthcare in response to the Senate Finance Committee’s solicitation for recommendations that can strengthen the integrity of the Medicare and Medicaid programs. Read more >>

The Partnership for Quality Home Healthcare, a national coalition representing more than 1,500 skilled home healthcare agencies nationwide, responded today to a recent solicitation by the U.S. Senate Finance Committee for recommendations that can strengthen the integrity of the Medicare and Medicaid programs. Read more >>

Hospital at Home - an innovative healthcare delivery system developed by the Johns Hopkins University School of Medicine and Public Health to provide acute care at a lower cost - further illustrates the importance of home healthcare in delivering clinical care to America’s seniors, improving patient care and reducing overall healthcare costs. The Partnership for Quality Home Healthcare today commended the program for its innovative approach to quality patient care and cost containment. Read more >>

The Bureau of Labor Statistics (BLS) recently released its May jobs report indicating that the economy added 69,000 jobs in the month of May. BLS also reported that the nation’s unemployment rate has risen to 8.2 percent, up from 8.1 percent. Read more >>

Home care companies this week released a study showing that when patients are discharged from the hospital to their homes, where they receive home care services, they tend to stay out of institutional facilities, which saves the health care system money. Those patients receive healthcare services longer than those who go directly into other facilities, such as nursing homes, but they receive that care in ambulatory settings, typically doctors' offices, which is cheaper than sending them to institutions, according to the analysis, by Dobson Davanzo & Associates, of Medicare claims for the Alliance for Home Health Quality & Innovation. Read more >>

Patients who receive home health care as the first care setting following hospital discharge tend to have lower overall Medicare episode payments, compared with patients who receive care from other facility-basedsettings, a study released May 22 found. Read more >>

Home healthcare is the most cost-effective post-acute care setting for patients discharged from hospitals when comparing average payments across settings such as skilled nursing facilities, inpatient residential facilities, and long-term care hospitals, according to a Dobson | DaVanzo & Associates study, commissioned by the Alliance for Home Health Quality and Innovation. Read more >>

The U.S. Department of Veterans Affairs issued a final rule eliminating copayments for tele-health services for veterans receiving skilled home healthcare through the agency’s Home Based Primary Care program, in a move lauded by The Partnership for Quality Home Healthcare. Read more >>

A Department of Labor (DOL) report released last week signaled that 19,000 American jobs were added in April, primarily resulting from 15,000 new jobs in the ambulatory care field, which includes the home healthcare sector. This news comes at a critical time as the economy and American job creation remain a top priority for all lawmakers. Read more >>

For centuries, military conflicts and battlefield hospitals have been the birthplace of countless medical advances. Staples of today’s modern medicine — vaccines, infection-prevention techniques, blood transfusions and antibiotics — can be credited to the innovative thinking of our military men and women. Read more >>

The Partnership for Quality Home Healthcare today praised the U.S. Department of Veterans Affairs final rule eliminating copayments for tele-health services for Veterans receiving skilled home healthcare through the agency’s Home Based Primary Care (HBPC) program. With this step, the VA has removed a barrier to Veteran and dependent use of clinically- and cost-effective home healthcare. Read more >>

“Yesterday’s announcement that the Medicare Fraud Strike Force and Health Care Fraud Prevention & Enforcement Action Team successfully completed the coordinated takedown of 107 criminals allegedly responsible for $452 million in false Medicare billing is another striking reminder that targeted reforms to fight waste, fraud and abuse in the Medicare program are urgently needed. Read more >>

The Partnership for Quality Home Healthcare today praised the Centers for Medicare & Medicaid Services (CMS) for finalizing the Community First Choice Option, a new program which encourages states to boost participation in home and community-based services (HCBS) among their Medicaid populations. The rule provides states with incentive payments to better utilize HCBS care rather than more expensive, institutional care settings. Read more >>

Following Wednesday’s hearing Is Government Adequately Protecting Taxpayers from Medicaid Fraud?, the Partnership for Quality Home Healthcare praised the House Committee on Oversight and Government Reform for calling attention to the impact Medicaid fraud is having on beneficiaries and taxpayers alike. Read more >>

The Partnership for Quality Home Healthcare – a national coalition representing more than 1,500 community- and hospital-based home health agencies nationwide – today commended Senators Max Baucus (D-MT) and Orrin Hatch (R-UT) for calling attention to the need for Medicare program integrity improvements in a hearing before the Senate Finance Committee. Read more >>

n the occasion of the Senate Finance Committee’s important hearing on Medicare fraud and abuse, the Partnership for Quality Home Healthcare reiterated its call for tough action targeting fraud and abuse. The home healthcare community has developed targeted program and payment integrity reforms specifically designed to protect beneficiaries, cost-efficient providers and taxpayers alike by preventing fraud and abuse before it occurs. Read more >>

Leaders in the home healthcare community are calling this week’s Senate Aging Committee hearing a positive step toward improving the efficiency and delivery of long-term care services for America’s aging population. In examining how long term-care is delivered and funded in America today, lawmakers and community leaders were informed of the valuable role skilled home healthcare can play in improving patient care and significantly reducing healthcare costs. Read more >>

The Partnership for Quality Home Healthcare – a national coalition representing more than 1,500 community- and hospital-based home health agencies nationwide – today commended the U.S. Department for Health and Human Services (HHS) on its announced establishment of the Administration for Community Living (ACL), which will promote community and independent living. The new agency’s objective is to enable seniors and people with disabilities to access home healthcare and other services so they can remain in their homes and communities rather than in institutions. Read more >>

The U.S. Department of Veterans’ Affairs has long been an advocate of using telehealth to reach veterans in their homes. Now they’re helping out financially as well. Saying it wants the home to be the “preferred place of care” for veterans, the VA is fast-tracking a proposal to eliminate patient co-pays for in-home video telehealth consultations in its Home-Based Primary Care (HBPC) program. Read more >>

The Department of Veterans’ Affairs has long been an advocate of using telehealth to reach veterans in their homes. Now it is working to make adoption easier and more appealing by fast-tracking a proposal to eliminate patient co-pays for in-home video telehealth consultations in its Home-Based Primary Care (HBPC) program. Read more >>

Ohio’s Republican governor is drawing praise from several healthcare groups for working with a new federal office created by President Obama’s healthcare law.

 The law created the Center for Medicare and Medicaid Innovation (CMMI) to test new ways of cutting costs and improving quality. Read more >>

The Partnership for Quality Home Healthcare – a national coalition representing more than 1,500 community- and hospital-based home health agencies nationwide – today praised the Integrated Care Delivery System (ICDS) proposal submitted by Ohio’s Office of Health Transformation to better coordinate care for the state’s sickest and most costly Medicare and Medicaid patients. Read more >>

A U.S. Department of Veterans Affairs proposal could lower one barrier to telehealth--the agency is considering waiving patient co-pays for remote visits, saying it aims to make "the home a preferred place of care," whenever appropriate. Read more >>

Unless there are significant adverse comments on rules published in March, the Department of Veterans Affairs in May will eliminate co-payments for in-home video telehealth sessions. Read more >>

As Medicare is experimenting with plans for more extensive in-home health care it could look to the Veterans Affairs Department, which has had a similar program in place for three decades, one the VA is proposing to make even easier to use. Read more >>

Home health care is the most cost effective post-acute care setting when it is used as the first setting for post-acute care, a study released April 5 found. Read more >>

The Partnership for Quality Home Healthcare today expressed strong support for a proposed rule by the U.S. Department of Veterans Affairs to remove barriers to home healthcare by exempting in-home video telehealth care from having a required copayment for patients participating in the Home Based Primary Care (HBPC) Program. Read more >>

When patients are sent home from hospitals to recover with the help of home health-care services, Medicare saves a significant amount of money on average compared to other post-acute settings, according to a industry funded study released Thursday (April 5). Although there are clinical reasons for patients to be sent to more expensive facilities, the study shows that often patients who need similar care are sent to different settings, and industry representatives say they hope policymakers will use the research to steer more patients toward the lower-cost home-care services both during post-acute care and for patients with chronic illnesses to avoid hospitalizations in the first place. Read more >>

The Partnership for Quality Home Healthcare today praised the Medicare Payment Advisory Commission’s (MedPAC) recommendation to target waste, fraud and abuse in the Medicare program. Read more >>

The Partnership for Quality Home Healthcare today praised Representative Charles Boustany (R-LA), Chairman of the House Ways and Means Subcommittee on Oversight, for his leadership in Congressional efforts to combat fraudulent billing practices within the Medicare program which divert resources from beneficiaries and increase costs borne by taxpayers. Read more >>

On behalf of the Partnership for Quality Home Healthcare - a coalition of community- and hospital-based, non-profit and propriety home healthcare agencies dedicated to developing innovative reforms to improve the program integrity, quality, and efficiency of home healthcare for our nation's seniors - Chairman Billy Tauzin (R-LA) and Senator John Breaux (D-LA) made the following statement. Read more >>

In response to President Obama’s budget released today, the home healthcare community continues to express concern that proposed Medicare cuts and beneficiary copayments for home healthcare would limit patient access to the clinically advanced, cost-effective care that an overwhelming majority of American seniors prefer. Read more >>

Even after steep cuts to skilled nursing facility reimbursements that went into effect last October, President Obama’s 2013 Federal Budget calls for still more Medicare payment and reimbursement reductions, causing associations representing the skilled nursing and home healthcare industries to blast back against the Administration’s strategy of “cuts only” without reforms. Read more >>

A home health industry group estimates that Medicare saved $853 million in 2010 thanks to a cap on outlier home health payments, and home health lobbyist Billy Tauzin says those savings are proof that a proposal he is lobbying for, which uses similar approaches, would also save money. Read more >>

Medicare covers a variety of heath care services that you can receive in the comfort and privacy of your home. These include intermittent skilled nursing care, physical therapy, speech-language pathology services, and occupational therapy. Such services used to be available only at a hospital or doctor’s office. But they’re just as effective, more convenient, and usually less expensive when you get them in your home. Read more >>

A special Medicare program that stresses home health visits for patients with chronic diseases helped keep diabetes patients out of the hospital and may have lowered costs using time-honored prevention methods, researchers reported on Monday. Read more >>

As the demographic population of Colorado ages and doctors are stretched thin, nurses and medical assistants have taken on an expanded role in providing health care. Read more >>