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 The leading web portal for pharmacy resources, news, education and careers December 19, 2014
Pharmacy Choice - News - Medicare & Medicaid - December 19, 2014

Pharmacy News

 Medicare & Medicaid
Current Articles | 7 - 30 Days Old | 30 - 90 Days Old | Over 90 Days
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12/19/14 - Agency Information Collection Activities: Proposed Collection; Comment Request
SUMMARY: The Centers for Medicare& Medicaid Services is announcing an opportunity for the public to comment on CMS' intention to collect information from the public. Under the Paperwork Reduction Act of 1995, federal agencies are required to publish notice in the Federal Register concerning each proposed collection of information and to allow 60 da
12/19/14 - Findings from University of North Carolina Update Understanding of Breast Cancer (Endocrine therapy initiation among Medicaid-insured breast cancer...
Our news journalists obtained a quote from the research from the University of North Carolina, "We sought to characterize ET use in a low-income Medicaid- insured population in North Carolina. Medicaid claims data were matched to state cancer registry records for survivors aging 18-64 diagnosed with stage 0- II HR+ breast cancer from 2003 to 2007,
12/19/14 - Governor: Medicaid comments not backtracking [The Anniston Star, Ala.]
Robert Bentley says his new openness to expanding Medicaid under the right conditions isn't a change of mind. For much of his first term, Bentley has been one of the nation's staunchest holdouts on the expansion of Medicaid, one of the few aspects of the Affordable Care Act that states have the power to accept or reject. Under the federal healt
12/19/14 - Invitae Announces Reimbursement Coverage Decision by Blue Shield of California and Acceptance as a Medicare Provider
By a News Reporter-Staff News Editor at Insurance Weekly News Invitae Corporation, a genetic information company, announced that its testing services are eligible for coverage by two additional payors, Blue Shield of California and the Centers for Medicare and Medicaid Services. "Securing reimbursement is an important step towards realizing our
12/19/14 - Medicare and Medicaid Programs: Application from the Joint Commission for Continued CMS-Approval of its Hospice Accreditation Program
SUMMARY: This proposed notice with comment period acknowledges the receipt of an application from the Joint Commission for continued recognition as a national accrediting organization for hospices that wish to participate in the Medicare or Medicaid programs. A hospice that participates in Medicaid must also meet the Medicare conditions for...
12/19/14 - Researchers from University of North Carolina Describe Findings in Medicare and Medicaid (North Carolina Medicaid Recipient Management Lock-In...
Researchers from University of North Carolina Describe Findings in Medicare and Medicaid. By a News Reporter-Staff News Editor at Insurance Weekly News Investigators discuss new findings in Medicare and Medicaid. According to news reporting originating in Chapel Hill, North Carolina, by VerticalNews journalists, research stated, "The misuse and a
12/19/14 - State Medicaid going regional [The Decatur Daily, Ala.]
Officials announced Thursday six regional care organizations have been selected to change Alabama's Medicaid delivery system from a fee-for-service model by late 2016.. Robert Bentley said in October the change would save the state $25 million to $50 million a year. Medicaid serves mostly the disabled, elderly, children and pregnant women.
12/18/14 - BRIEF: Lake Geneva woman charged with Medicaid fraud [The Janesville Gazette, Wis.]
Dec. 17 MADISON A Lake Geneva woman has been charged with three counts of medical assistance fraud, according to a news release Wednesday from state Attorney General J.B. Van Hollen. Registered nurse Linda J. Turner, a certified Wisconsin Medicaid provider, is accused of billing 873 hours and receiving about $28,538 for services not rendered, a
12/18/14 - Ebola hysteria or terminating Medicare: Which PolitiFact Lie of the Year is the biggest whopper? [The Oregonian, Portland, Ore.]
2014: Fox News and GOP talking heads' "Ebola hysteria". Almost all of the false claims were made in October in the run-up to the mid-term election that put both houses of Congress in Republican control. 2013: President Barack Obama and other Democrats' insistence that "If you like your health care plan, you can keep it.
12/18/14 - EDITORIAL: Don't wait for health insurance [The Santa Fe New Mexican]
"You don't have to do it alone," says state health exchange CEO Amy Dowd. Whether people who need to buy insurance want to go online, make a phone call or drop by a consumer walk-in center in Albuquerque, there are experts to help. The enrollment assistants also can help people sign up for Medicaid, which insures lower-income Americans.
12/18/14 - EDITORIAL: Say yes, already [News & Record, Greensboro, N.C.]
Dec. 18 One of the best policy decisions North Carolina can make in 2015 is to expand Medicaid coverage. By refusing to expand Medicaid eligibility, North Carolina passed up $2.7 billion in federal funding this year. One hundred percent federal funding was offered through 2016. That would decrease to 95 percent in 2017 and 90 percent in 2020 and
12/18/14 - Lawmakers ready to look at Haslam Medicaid plan [Chattanooga Times Free Press, Tenn.]
But the governor readily acknowledges some party compatriots will resist his proposal for the two-year pilot project he says breaks new ground in Medicaid programs. It seeks to use federal Medicaid expansion dollars under the Affordable Care Act to extend health coverage to as many as 200,000 people, but Haslam says the plan carries a distinct Tenn
12/18/14 - Medicaid contract extended, after other deal axed
BATON ROUGE, La. Lawmakers agreed Thursday to continue Louisiana's multimillion-dollar Medicaid claims processing contract for another year, an extension needed after Gov. Jindal cancelled the state's $200 million contract with Maryland- based Client Network Services Inc., known as CNSI, in 2013 because of concerns the firm was given favorable t
12/18/14 - Medicaid expansion could mean more jobs, health coverage for Lee County [The Sanford Herald, N.C.]
Dec. 18 GREENSBORO A new study contracted by a Greensboro nonprofit found the expansion of Medicaid in North Carolina by 2016 could lead to more than 300 jobs and health coverage for more than 3,000 people in Lee County by 2020.. The Cone Health Foundation worked with the George Washington University Milken Institute School of Public Health, Wa
12/18/14 - Memphis forum highlights health crisis, rallies for Medicaid expansion [The Commercial Appeal, Memphis, Tenn.]
Dec. 17 A well-timed community health forum on Wednesday provided an information-packed opportunity for business and health care executives in Greater Memphis to rally around a Medicaid expansion plan unveiled earlier this week by Tennessee's governor. If approved by the Legislature early next year, the program would use Medicaid expansion dollar
12/18/14 - NRG gets 10 years in jail for fraud [DNA : Daily News & Analysis (India)]
New Jersey: Vijay Patel, 57, has pleaded to health care fraud in a scheme to bill for diagnostic testing services, which he did not render and to enable a cardiologist to evade Medicare program's pre-payment review of his claims, reported He was also a participant in Medicare. Patel had an associate identified as' SA', who was a
12/18/14 - Raise for Medicaid Primary Care Docs to Disappear []
Dec. 18 A temporary bump in Medicaid fees paid to primary care doctors, an Affordable Care Act provision intended to get more physicians to accept Medicaid patients, will expire at the end of this month. Congress did not extend the higher rates, so unless states take action themselves or the new Congress revisits the issue, primary care doctors i
12/18/14 - Sen. Hatch's role in Medicare Part D and small pharmacies [Deseret News (UT)]
The Medicare Part D prescription drug benefit is truly a revolutionary government program. But much of that progress could be undone if the government does not take swift action to restore real competition and consumer choice to the Medicare prescription-drug program. The law allows, but does not compel, Medicare to completely set aside those small
12/18/14 - Texas Medicaid fraud contract unfairly awarded to 21CT, rivals say [Austin American-Statesman]
Dec. 18 Industry rivals of an Austin tech company, whose pending $90 million no-bid contract extension was stripped last week, say Texas health officials misled them when they competed for a Medicaid fraud contract, which they now allege was tailor-made for the winner, 21 CT. Jack Stick, the top attorney for the Health and Human Services Commissi
12/18/14 - The Medicare Payment Advisory Commission (MedPac) - Meeting
EVENT: The Medicare Payment Advisory Commission holds a meeting, December 18-19. 9:15 a.m.: Session on "The Medicare Advantage program: status report. LOCATION: Ronald Reagan Building and International Trade Center, 1300 Pennsylvania Avenue NW, Horizon Ballroom, Washington, D.C..
12/17/14 - Arkansas' model Medicaid experiment in jeopardy
LITTLE ROCK, Ark. Arkansas became the first southern state to expand its Medicaid program in a way that many Republicans found acceptable. The state bought private insurance for low-income people instead of adding them to the rolls of the Medicaid system, which GOP lawmakers considered bloated and inefficient. Now Arkansas could be on the brink
12/17/14 - Blessing Hospital Meets Stage 2 Meaningful Use Criteria With Infor
Infor, a leading provider of business application software serving more than 73,000 customers, today announced Blessing Hospital's success with the Infor Cloverleaf Integration Suite, Infor's enterprise-caliber integration platform, and 15- year anniversary using the application. Blessing Hospital, located in Quincy, Ill., serves a 15- county area.
12/17/14 - BRIEF: Medicaid fraud alleged in Lake Geneva case [The Wisconsin State Journal]
Dec. 17 A private registered nurse in Lake Geneva has been accused of collecting Medicaid for services that were not provided, according to a state Department of Justice report from its Medicaid Fraud and Elder Abuse units. Linda J. Turner, a certified state Wisconsin Medicaid provider of private duty nurse services since 1995, was charged with t
12/17/14 - EDITORIAL: A GOP push to expand Medicaid [The Charlotte Observer]
And the Republican-led legislature he works with has opposed the Affordable Care Act's Medicaid expansion in the past. Haslam has been negotiating with the Obama administration for months to craft a Tennessee- specific Medicaid expansion proposal. It includes some co-pays and some premiums not typically required under Medicaid.
12/17/14 - EDITORIAL: Congress should look into rising cost of drugs [Albuquerque Journal, N.M.]
Dec. 17 ALBUQUERQUE, N.M. When one in three New Mexicans is on Medicaid, the government health insurance program for the poor and disabled, it's important to try to contain costs for the two in three New Mexicans who are helping pay for it. And with Medicaid, that goes for the patients as well as the taxpayers who subsidize their care. New Mexi
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