Community Health Partnership, which operates Community Care of Central Colorado, a Regional Care Collaborative Organization for Medicaid members in Colorado Springs, is pioneering the effort to bring innovation and transformation to Medicaid delivery. "This event is designed to bring creative minds together both inside and outside the health care
Aug. 31 Three Allegheny County residents are accused of taking thousands of dollars for acting as personal care assistants for their loved ones but billing Medicaid for services they did not perform, the state Attorney General's Office said Monday. Danielle Glover, 37, of Sheraden; Richard Palmer, 32, of Hazelwood; and Kena Powe, 35, of McKees Ro
-Researchers for Atlantic Information Services, Inc. s Medicare-Medicaid Dual Eligibles Database have added comprehensive information on two new duals programs: Rhode Island Integrated Care Initiative, the newest CMS-backed alignment demonstration approved for a December 2015 launch; and Idaho s partnership to revamp Blue Cross of Idaho s
Sept. 01 Medicaid expansion will start in Alaska Tuesday after the Alaska Supreme Court said it would not block enrollment in the broadened health care program. Bill Walker in an ongoing lawsuit between his administration and the state Legislature over the legality of expanding Medicaid without legislative approval. While the Supreme Court denied
Thousands of lower-income Alaskans will become eligible for Medicaid after the Alaska Supreme Court on Monday refused to temporarily block the state from expanding the health care program. Walker earlier this summer announced plans to accept federal funds to expand Medicaid coverage after state legislators tabled his expansion legislation for...
Blue Grass Community Action Partnership and its Bluegrass Ultra-Transit Service Program, a demand response and Medicaid brokerage transit provider, recently turned to RouteMatch Software to help them expand trip capacity and offer more routes as well as improve Medicaid trip management. A large portion of BGCAP's ridership is from Medicaid requests
Terry Branstad is defending his administration's handling of the bidding process for companies looking to manage the state's Medicaid program, hoping to avoid lawsuits that could delay plans to privatize the $4.2 billion program serving 560,000 Iowans annually. Three companies that were among the 11 bidders for the state's Medicaid modernization...
Well documented proof that a hospital, a drug company, a medical device company, or almost any kind of healthcare imaginable is bribing physicians, or overbilling Medicare, or Medicaid is wrongdoing the Corporate Whistleblower Center would like to hear about. In the instance of Medicare, or Medicaid, overbilling amounts must be over a million dolla
Ron Fujimoto, chief medical officer of UnitedHealthcare Community Plan of Hawaii. x0D;. Skin cancer and other skin-related issues are a significant concern in Hawaii due to constant sunshine and the state's close proximity to the equator. The rate of new melanoma diagnoses in Maui, Hawaii and Kauai counties is higher than the national average; in
Community Health Partnership, which operates Community Care of Central Colorado, a Regional Care Collaborative Organization for Medicaid members in Colorado Springs, is pioneering the effort to bring transformation to Medicaid delivery. "This event is designed to bring creative minds together both inside and outside the health care field to find..
KMART Corp., a discount department store chain that operates approximately 780 in-store pharmacies throughout the United States, Puerto Rico and the U.S. Virgin Islands, has paid the United States $1.4 million to resolve allegations that it violated the False Claims Act by using drug manufacturer coupons and gasoline discounts as improper Medicare.
ZeOmega Inc., a market leader in population health solutions, today announced that one of the country s leading healthcare plans serving low income and disabled populations has expanded its use of ZeOmega s Jiva? platform with the rollout of its new dual-eligibles program. The payer has used ZeOmega s Jiva population health platform f
HAMPSTEAD Will you be eligible to receive Medicare this year? A Medicare education workshop will be 5:30 p.m. Sept. 14 at the Topsail Senior Center, 20959 U.S. 17. Disaster Preparedness, 6:30 -9: 30 p.m. Sept. 10; Fire Safety, 6:30 p.m. Sept. 17; Disaster Medical Operations Part 1, 6:30 -9 p.m. Sept. 24; Disaster Medical Operations Part 2, 6:30 -
Governor Walker made the right decision to expand Medicaid to tens of thousands of Alaska residents, including Alaska Natives, beginning today. Alaska is the 29th state in addition to the District of Columbia to implement this option and prioritize the health of the state's citizens over narrow political interests. Today's news is an important step
The Centers for Medicare& Medicaid Services issued 2014 quality and financial performance results showing that more Medicare Accountable Care Organizations continue to generate financial savings while improving the quality of care for Medicare beneficiaries by fostering greater collaboration between doctors, hospitals, and health care providers.
In 2005, economist Steven Levitt and journalist Stephen Dubner published "Freakonomics: A Rogue Economist Explores the Hidden Side of Everything." On Aug. 12, the New York Times trumpeted the headline, "Number of Uninsured Has Declined by 15 Million Since 2013, Administration Says. The law expanded coverage through Medicaid and through subsidies fo
Villa Medical Center has served its community for more than 50 years and currently provides care services with one physician, three physician assistants and a team of nurses and support staff. The practice is in the process of transitioning to Allscripts Professional EHR? from which it will be able to identify Medicare and Medicaid patients with
The nine are authors of papers cited by Medicare as supportive of its planned move, but the letter writers say that their work cannot be used to justify the rule change. The letter from the eminent group disavowing the use of their research is important because the Medicare rule change to restrict care for amputees can only be made if it is justifi
By a News Reporter-Staff News Editor at Managed Care Weekly Digest BUFFALO, N.Y.- Medicare Part D provides help to beneficiaries struggling with the cost of prescriptions drugs, but the plan's coverage gap hits some populations harder than others, particularly African-Americans age 65 and older. "Don't assume that the existence of Part D means t
Aug. 31 The Pennsylvania Office of Attorney General accused three Southeastern Pennsylvania residents of fraudulently billing Medicaid a total of $26,558 for personal-care services. William Swinson III, 40, of Philadelphia, was accused of billing Medicaid $11,503 for services to a Medicaid beneficiary for more than two months after the beneficiar
The new agreement pairs Cedars-Sinai physicians and health care teams from CareMore, one of California s highest-rated Medicare Advantage plans that works to keep patients healthy and out of the hospital by coordinating the care they receive from various medical professionals. More than 60 primary care doctors and nearly 130 specialists from...
Data from Northwestern University Provide New Insights into Medicare and Medicaid. By a News Reporter-Staff News Editor at Managed Care Weekly Digest Research findings on Medicare and Medicaid are discussed in a new report. Our news journalists obtained a quote from the research from Northwestern University, "In contrast to studies involving earl
By a News Reporter-Staff News Editor at Managed Care Weekly Digest New research on Medicare and Medicaid is the subject of a report. The news correspondents obtained a quote from the research, "In 2014, we matched death records to Medicaid eligibility files to determine enrollment status at the time of unintentional death from prescription opioid
Data on Medicare and Medicaid Reported by M.H. Li and Co-Researchers. By a News Reporter-Staff News Editor at Managed Care Weekly Digest Fresh data on Medicare and Medicaid are presented in a new report. This study is a pooled cross-sectional study of a nationally representative sample of community-dwelling Medicare beneficiaries from 2006 to 201
People enrolled in UnitedHealthcare s Medicaid plan in Hawaii can now receive faster diagnosis and treatment of skin disorders using remote imaging and telemedicine technology. Ron Fujimoto, chief medical officer of UnitedHealthcare Community Plan of Hawaii. Skin cancer and other skin-related issues are a significant concern in Hawaii due to con