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 The leading web portal for pharmacy resources, news, education and careers October 26, 2014
Pharmacy Choice - News - Medicare & Medicaid - October 26, 2014

Pharmacy News

 Medicare & Medicaid
Current Articles | 7 - 30 Days Old | 30 - 90 Days Old | Over 90 Days
Articles(s): 1 - 25 of 141     Next >>     Go To Page:

10/25/14 - 10 charged with Medicaid fraud at Beach health center [The Virginian-Pilot]
Oct. 25 NORFOLK Progressive Counseling Services in Virginia Beach has been hit with more than 50 violations of its license by state regulators since 2011.. Now its owner, Baffour E. Opoku, is facing a criminal indictment charging him and nine associates with bilking Medicaid out of more than $2 million. The 48- year-old citizen of Ghana lives i
10/25/14 - BRIEF: Review Medicare coverage [Commercial-News, Danville, Ill.]
Oct. 25 Medicare's Part D Open Enrollment period has begun. Georgetown Township is offering to check Georgetown Township seniors' prescription coverage. Make an appointment by calling Georgetown Township at 662-8649..
10/25/14 - Closed behavioral health provider sues state [Albuquerque Journal, N.M.]
Oct. 25 SANTA FE A behavioral health nonprofit in southern New Mexico that went out of business last year after an administration crackdown on Medicaid services providers sued the state on Friday. A northern New Mexico nonprofit, Easter Seals El Mirador, sued the Human Services Department in August, making some similar claims. Fifteen providers
10/25/14 - EDITORIAL: Care about Medicaid expansion? Vote for Jill Schupp [St. Louis Post-Dispatch]
The health care industry is the top employer in the 24th District. There is one issue that matters above all else to voters in Maryland Heights, in Creve Coeur, in Olivette, Town and Country and St. Ann. You want jobs in the 24th District?
10/25/14 - Expanding Medicaid would help El Paso's uninsured, officials say [El Paso Times, Texas]
Oct. 25 The expansion of Medicaid programs in Texas would help the current 150,000 uninsured El Pasoans get health care coverage, local leaders agreed during a roundtable discussion on health care Friday. Participants said the expansion of Medicaid would help close the health care coverage gap in the state, it would save tax dollars, reduce insur
10/25/14 - Humana Reports on Medicare Stars Quality Ratings [Professional Services Close - Up]
Humana reported that the company continues to achieve strong Medicare Stars Quality Ratings for its Medicare Advantage plans. According to a media release, Humana currently serves more than 6.7 million Medicare members in all 50 states, Washington, D.C. and Puerto Rico, 2.8 million of which are Medicare Advantage members and 3.9 million are stand-a
10/25/14 - Kaiser Permanente Medicare Plans Garner 5-Star Rating [Professional Services Close - Up]
Kaiser Permanente recently reported that its Medicare plans in California once again have earned 5 stars, the highest overall rating for quality and service for 2015, from the Centers for Medicare& Medicaid Services. Kaiser Permanente noted that the Medicare Star Quality Ratings, developed by CMS, assigns scores of 1 to 5 stars to Medicare plans ba
10/25/14 - Las Cruces behavioral health-care provider sues state over Medicaid freeze [Las Cruces Sun-News, N.M.]
Oct. 25 LAS CRUCES A Las Cruces- based provider forced to close last year after the state froze Medicaid funding during a controversial, statewide behavioral health-care investigation filed a lawsuit Friday against the New Mexico Human Services Department. In its suit, Southwest Counseling Center Inc. alleges HSD violated the nonprofit's due pr
10/25/14 - Medicaid to begin covering dental care in SC in December [The State (Columbia, S.C.)]
Starting Dec. 1, the state Medicaid agency will begin meeting some of that demand, as for the first time it will provide preventive dental benefits to nearly 300,000 adult Medicaid clients in the state. People 21 and older with full Medicaid benefits will be eligible for cleaning, fillings and extractions, with a $750 per year maximum benefit.
10/25/14 - Now is the time to choose Medicare plans for 2015 [The Palm Beach Post, Fla.]
Oct. 25 With the Medicare enrollment season in full swing, Palm Beach County seniors have seven weeks to make their final selections. Appointments are being scheduled a month in advance, so Medicare clients should act now if they want one-on-one assistance. The private plans are called Medicare Advantage.
10/24/14 - Beyond the 'Private Option' for Medicaid Expansion []
Oct. 24 Less than a year after low-income Arkansans started receiving health coverage under the Affordable Care Act's controversial Medicaid expansion, the state is declaring its so-called "private option" experiment a success. Mike Beebe is a Democrat and the legislature is controlled by Republicans, have already asked the federal government for
10/24/14 - DHH Announces Five Contract Recommendations for Next Phase of Bayou Health
The Louisiana Department of Health and Hospitals today announced the recommendation of five managed care organizations to administer the next contract period for Bayou Health, which has transformed the way two-thirds of the state's Medicaid recipients receive health care services. Earlier this summer, DHH announced changes to the program aimed at..
10/24/14 - Findings from Washington University Provides New Data on Medicare and Medicaid (Measuring Risk-Adjusted Value Using Medicare and ACS-NSQIP Is...
Findings from Washington University Provides New Data on Medicare and Medicaid. By a News Reporter-Staff News Editor at Insurance Weekly News Investigators publish new report on Medicare and Medicaid. Records for all patients undergoing colectomy procedures in the American College of Surgeons National Surgical Quality Improvement Program were...
10/24/14 - Gorman Health Group Announces Expansion Into Medicaid; Appoints New Senior Vice President to Lead Division
Gorman Health Group, LLC, the leading consulting firm and solutions provider in government health care programs, announced its further expansion into Medicaid, and the promotion of one of the nation's leading Medicaid experts, Heidi Arndt, to lead the division. As Senior Vice President of Medicaid, Heidi and her team will continue to expand their
10/24/14 - HealthMetrix Research Sees Marginal Changes in Benefit Value & Overall Performance Among 2015 Medicare Advantage Plans
HealthMetrix Research president Alan Mittermaier reports that marginal changes occurred among Medicare Advantage plans after evaluating the new 2015 plan benefits along with the recently-issued Star performance ratings from the Centers for Medicare& Medicaid Services. Among the major multi-state Medicare Advantage competitors, Humana captured...
10/24/14 - High court to hear Medicaid arguments at UA [The Arizona Daily Star, Tucson]
Oct. 24 The Arizona Supreme Court will hold oral arguments in Tucson next month on the lawsuit seeking to block the state's expansion of Medicaid. The five-justice court is holding the hearings in Tucson as part of an ongoing public education push. "Every year the justices the hold oral arguments at Arizona's three law schools," said Heather Mur
10/24/14 - Latino Health Forum Addressed Medicaid Coverage Gap, Insurance Access as Latinos Ready to Cast Votes
While many of Texas' Latinos have been able to obtain coverage through the Health Insurance Marketplace, thousands of others remain uninsured because they fall within the Medicaid coverage gapthey cannot afford traditional insurance and do not qualify for Medicaid because the state has, thus far, refused to accept federal funding to expand the pr
10/24/14 - Long-Term Care for Seniors is an Emerging Issue, Says AMAC
The Association of Mature American Citizens issued the following news release:. Long-term care is poised to become an important issue in the U.S. as the nation's population grows older, according to Dan Weber, president of the Association of Mature American Citizens. Medicare might be used to resolve the problem for those in the middle, he said, bu
10/24/14 - Medicare event helps area residents [The Portsmouth Daily Times, Ohio]
Oct. 24 If you are a Medicare beneficiary and want to learn more about Medicare and how the Medicare Annual Coordinated Election Period can work for you or you just want to stay informed and healthy and save money, mark your calendars for an upcoming Medicare Check-Up that will be held on Thursday, Nov. 6 in Portsmouth. Attending the event in Por
10/24/14 - Millennium Health to Sponsor Fraud and Abuse Presentation at Medicaid Health Plans of America's Annual Conference
Contacts: Nicole Quiroz, Millennium Health 858-217-1159
10/24/14 - NARCOG helping seniors with Medicare open enrollment [The Cullman Times, Ala.]
Oct. 23 Local senior citizens on Medicare or those who are 65 and eligible for Medicare benefits can enroll or revise their current plans with open enrollment beginning last week. The deadline to change plans or sign up for Medicare is December 7. Those on Medicare can call NARCOG at 256-355-4515 to set up a time to meet with a staff member to re
10/24/14 - NC House Speaker Thom Tillis, a US Senate candidatate and former foe of Medicaid expansion for poor, urges state to consider it [The Charlotte Observer]
Oct. 24 In last spring's Republican primary, U.S. Senate candidate Thom Tillis ran an ad touting his fight against an expanded Medicaid program. "Tillis stopped Obama's Medicaid expansion cold. "It wasn't like I had an ideological objection to expanding Medicaid," he told Time Warner Cable News. "
10/24/14 - New Dentistry Findings Reported from Boston Medical Center (Effects of Cuts in Medicaid on Dental-Related Visits and Costs at a Safety-Net Hospital)
According to news reporting from Boston, Massachusetts, by VerticalNews journalists, research stated, "We used data from Boston Medical Center, Massachusetts, to determine whether dental-related emergency department visits and costs increased when Medicaid coverage for adult dental care was reduced in July 2010.". For more information on this resea
10/24/14 - New Medicare and Medicaid Data Have Been Reported by Researchers at New York University (Can a Hip and Knee Adult Reconstruction Orthopaedic Surgeon...
New Medicare and Medicaid Data Have Been Reported by Researchers at New York University. By a News Reporter-Staff News Editor at Insurance Weekly News New research on Medicare and Medicaid is the subject of a report. Practice information from the Medical Group Management Association Cost Survey and Private practice Compensation Survey and CMS loc
10/24/14 - Plan would aid behavioral services providers [Albuquerque Journal, N.M.]
Under her proposal, contractors that provide Medicaid- paid services to those with mental illness or substance abuse problems would be notified by HSD of suspected overpayments and given a chance to refute the findings. The bill would set out what HSD must do in order to conclude that there is a "credible allegation of fraud" against a provider a
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