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 The leading web portal for pharmacy resources, news, education and careers February 25, 2017
Pharmacy Choice - News - Medicare & Medicaid - February 25, 2017

Pharmacy News

 Medicare & Medicaid
Current Articles | 7 - 30 Days Old | 30 - 90 Days Old | Over 90 Days
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12/31/16 - Amid growing revenues, South Florida hospitals buzz with capital improvements [Sun Sentinel]
Similar capital improvements are under way in large markets across the country, said Allan Baumgarten, an independent health market analyst, partly in response to moves by the federal government to tie Medicare reimbursements to patient satisfaction and "avoidance of hospital-acquired conditions" such as deadly infections. South Florida's hospital.
12/31/16 - Feds OK fix for Medicaid estate claims [Duluth News Tribune]
At issue were the Medicaid payments in Minnesota known as Medical Assistance many more Minnesotans received when Medicaid was expanded in 2014 as part of the Affordable Care Act. Tony Lourey, DFL-Kerrick, but it had affected very few people before Medicaid was expanded since a means test meant almost anyone with property was excluded from cover
12/31/16 - Longview health facility to resume services with new name, other changes
The 76- bed hospital is reopening as Magnolia Behavioral Hospital of East Texas and has undergone extensive renovations of its rooms since all previous patients moved out as of June, said Allison Debruycker, CEO since October. The reopening comes after a months-long closure triggered by the loss of Medicare reimbursements. The Centers for Medicare&
12/31/16 - Medicare payment process needs study
Republicans... want to replace Medicare altogether with a voucher system..... The effort in question was to change the fee that Medicare now pays doctors for administering drugs in their offices, a fee that amounts to 6 percent of the drug s cost. Given that drug spending by Medicare has been rising by 10 percent annually, and now tops $10
12/31/16 - Planned Parenthood asks court to block ouster from Texas Medicaid [Austin American-Statesman]
Dec. 31 Planned Parenthood late Friday asked a federal judge in Austin to block plans by Texas officials to kick the organization out of Medicaid. Planned Parenthood received $4.2 million in Medicaid funding in fiscal year 2015, the latest information available, to provide the services to low-income Texans. Citing undercover videos shot by aborti
12/31/16 - Planned Parenthood asks judge to halt Texas Medicaid cuts
Planned Parenthood has asked a federal judge to stop Texas from cutting it from the state's Medicaid program, which the nation's largest abortion provider says would reduce health services for nearly 11,000 low-income women. Texas is one of several Republican-controlled states that have sought to deny Medicaid funding to Planned Parenthood follo
12/31/16 - Restore Medicare hospital payments with ACA repeal
If they are successful, it is imperative that they restore critical Medicare payment cuts to hospitals and clinics that were embedded in the ACA and which are so important to caregivers in Utah. That means constantly improving the quality of our patient care, preparing for our future needs and managing the Medicare and Medicaid programs to ensure w
12/31/16 - State cancels planned Medicaid rate cuts [The Santa Fe New Mexican]
Dec. 31 The New Mexico Human Services Department is canceling planned cuts in rates paid to behavioral health care providers treating Medicaid patients. It's unclear if officials met the $30 million savings goal through reducing other Medicaid payment rates or by cutting elsewhere in the Medicaid program. Despite volatile state revenues and the g
12/30/16 - Adoption of Turn-Key Health's Community-Based Palliative Illness Management? in Arizona Enhances Care for State's Medicare Beneficiaries
By a News Reporter-Staff News Editor at Drug Week Turn-Key Health, an Advanced Illness Management company serving healthcare payers and at-risk providers focusing on senior populations, announces growing adoption of Palliative Illness ManagementTM- PIMTM. A comprehensive network of palliative care practitioners, now spanning 76 percent of Medicar
12/30/16 - Obamacare isnt making Medicare go broke
In an interview with Fox News on Nov. 10, House Speaker Paul Ryan said, Because of Obamacare, Medicare is going broke.. As U.S. House Speaker Paul Ryan discussed the repeal and replacement of the Affordable Care Act, a top priority of President-elect Donald Trump, he made a claim about the financial health of Medicare. What people don t
12/30/16 - Primary Care Physicians in Universal American ACO to Launch Pilot with Community Pharmacists to Improve Health Outcomes and Preventive Care
By a News Reporter-Staff News Editor at Insurance Weekly News Universal American Corp. announced that the Accountable Care Coalition of the Tri-Counties, a Medicare Shared Savings Program ACO formed with primary care physicians in Charleston, South Carolina, will conduct a pilot with a network of independently-owned pharmacies. Michael Barrett, s
12/30/16 - PuraPly and PuraPly Antimicrobial AM Receive Permanent Q-Code, Expanding Medicare Coverage After January 1 to Include Treatment in Private Physician...
By a News Reporter-Staff News Editor at Insurance Weekly News- HYPERLINK ""\ nOrganogenesis Inc., a global leader in advanced wound care innovations and technologies, announced that the Centers for Medicare and Medicaid Services has assigned permanent Q-codes for its PuraPly? and PuraPly Antimicrobial? wound mana
12/30/16 - Sinclair hopes to tackle budget, Medicaid transition in upcoming session [Newton Daily News, Iowa]
Amy Sinclair, who is serving her second term in Senate District 14, which includes all of Clarke, Decatur, Wayne and Lucas counties with most of Marion County and the southeast quarter of Jasper County. The Legislature convenes Jan. 9, 2017. The state's budget decline due to the commodities market must be our top concern, as well as dealing with th
12/30/16 - Specialty drug prices continue to pressure Medicaid [Daily Press (Newport News, Va.)]
Dec. 30 The rising cost of drugs for rare and complex conditions that come from pharmaceutical companies' newest research continues to squeeze Virginia's Medicaid program, two new state reports suggest. Medicaid, a joint federal-state program, provides health coverage for low-income children, seniors and people with disabilities. In 2015, Medicai
12/30/16 - State Comptroller DiNapoli Releases State Audits
New York State Comptroller Thomas P. DiNapoli issued the following news release:. New York State Comptroller Thomas P. DiNapoli announced today the following audits and examinations have been issued:. An audit released in May 2014 found the state's Medicaid program did not have limitations on the amounts it paid for Part C cost-sharing liabilities
12/30/16 - University of California Reports Findings in Medicare and Medicaid (Differences in Nursing Home Quality Between Medicare Advantage and Traditional...
University of California Reports Findings in Medicare and Medicaid. By a News Reporter-Staff News Editor at Insurance Weekly News Research findings on Medicare and Medicaid are discussed in a new report. According to news reporting originating from Los Angeles, California, by VerticalNews correspondents, research stated, " Medicare Advantage enro
12/30/16 - With Trump's victory, GOP hopes to overhaul Medicaid
ATLANTA When President-elect Donald Trump takes office in January, Republicans will have the opportunity to pull off something they have wanted to do for years overhaul Medicaid, the program that provides health care to tens of millions of lower-income and disabled Americans. Trump initially said during the presidential campaign that he would not c
12/29/16 - 10 Things to Know About Heritage Health
Nebraska's new Medicaid managed care program Heritage Health begins on Jan. 1, and will cover over 230,000 Nebraska Medicaid clients. Heritage Health will better serve Medicaid clients by combining physical health, behavioral health and pharmacy services into a single comprehensive and coordinated system for Nebraska's Medicaid and CHIP clients.
12/29/16 - 18 federal health budget cut options [LifeHealthPro]
The Congressional Budget Office recently came out with what amounts to a new game for people who want to revamp the federal government: a list of 87 ideas for narrowing the federal budget deficit, along with estimates of how much each option might help. Medicare, a federal program, and Medicaid, a program funded by the federal government and state
12/29/16 - Another view: Don't stop pushing on Medicare payment reform
What's worrisome is that this could be the start of a more general retreat from payment reform in health care as the White House changes hands. The effort in question was to change the fee that Medicare now pays doctors for administering drugs in their offices, a fee that amounts to 6 percent of the drug's cost. Given that drug spending by Medicare
12/29/16 - CVS fires back at Texas regulators in $30 million Medicaid fraud case [Austin American-Statesman]
Dec. 28 CVS Pharmacy, accused by the state of Texas of defrauding Medicaid of $30.5 million, is suing the state Health and Human Services Commission, claiming state officials approved the billing practices at the heart of the fraud case, court records show. In those cases, Medicaid fraud investigators identified nearly 100 dentists and orthodonti
12/29/16 - KELLY McCUTCHEN: Price can reform unaccountable bureaucracy that threatens seniors' lives
Georgia Congressman Tom Price, R- Roswell, has been among the most outspoken critics of the Center for Medicare and Medicaid Innovation- one of Obamacare's most dangerous and disastrous components. President-elect Donald Trump plans to nominate the orthopedic surgeon-turned public servant as Secretary of the Department of Health& Human Services.
12/29/16 - Medicaid change covers contraception after delivery [The Morning Call (Allentown, Pa.)]
Tom Wolf's administration announced that Medicaid would pay for new mothers to receive intrauterine devices while still in the hospital, it opened the door for more women to access an increasingly popular form of contraception that's also the most effective. Previously, Medicaid covered an IUD insertion at a follow-up appointment several weeks afte
12/29/16 - Medicare Program; Revisions to Payment Policies Under the Physician Fee Schedule and Other Revisions to Part B for CY 2017; Medicare Advantage Bid...
Medicare Program; Revisions to Payment Policies Under the Physician Fee Schedule and Other Revisions to Part B for CY 2017; Medicare Advantage Bid Pricing Data Release; Medicare Advantage and Part D Medical Loss Ratio Data Release; Medicare Advantage Provider Network Requirements; Expansion of Medicare Diabetes Prevention Program Model; Medicare Sh
12/29/16 - Obama's CMS sends invites to Trump's health plan party [LifeHealthPro]
The Centers for Medicare& Medicaid Services is preparing to get together with exchange plan issuers this spring if the exchange program still exists. CMS has sent a "save the date" notice for an Annual Qualified Health Plan Issuer Conference. The three-day conference could start at CMS headquarters in Baltimore on March 15.
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