In a letter sent late Wednesday, Insurance Commissioner Michael Consedine, Attorney General Kathleen Kane and Health Secretary Michael Wolf said Highmark must suspend its announced termination of 700 UPMC physicians while UPMC was directed to retract statements that Highmark's Medicare Advantage products would exclude UPMC hospitals and physicians.
Nov. 26 Nearly a half-million people have enrolled in 2015 health insurance coverage on the federally-run exchange serving 35 states including Pennsylvania, according to figures released Wednesday by the Centers for Medicare and Medicaid Services. The coverage begins Jan. 1, although people aren't covered until they pay their first premium.
The state agency released a report Wednesday recommending that the state accept a modified version of the optional Medicaid expansion. "The state of Wyoming has thousands of residents without health coverage... and they are out of luck unless the state elects to expand," said Department of Health Director Tom Forslund. Like the traditional Medicai
During a conference call with reporters, U.S. Department Health and Human Services Secretary Sylvia Mathews Burwell said enrollment efforts in the 37 states, including Florida, that use the federal exchange were "off to a solid start.''. The report also did not include data on Medicaid enrollment, which eligible consumers can sign up for through th
"This program serves as a perfect example of our commitment at Priority Health to improve the health and lives of the individuals we serve," said Wayne Wilson, vice president of Medicare at Priority Health. According to the journal of American Medical Association nearly one-third of Americans ages 57 to 85 take at least five prescription drugs.
At the top of the list was Medicaid expansion, an initiative rejected by Gov. Walker has said repeatedly that Medicaid expansion will be a priority for his administration. Medicaid expansion was one of the tenets of the Affordable Care Act, designed to be implemented in every state.
The Wyoming Department of Health is describing its newly released recommendations for expanding healthcare coverage to thousands of uninsured residents as a fiscally responsible, Wyoming- centered approach. People with incomes below the federal poverty line are not eligible for federal subsidies to purchase private insurance or for coverage through
Attorney General Marty Jackley and Avera Gregory Hospital announced today that they have reached a settlement involving Medicaid payments. According to the settlement agreement, the State contends that Avera Gregory Hospital submitted allegedly improper claims to Medicaid involving coding errors during the approximate time period from January 1,...
Today, Department of Health and Hospitals Secretary Kathy Kliebert announced that the federal Centers for Medicare and Medicaid Services has approved a two-year renewal of federal authority to operate a demonstration program focused on advancing and sustaining access to health care services in the New Orleans area. The program, called the Greater N
Medicaid services are critical for enrollees, and there simply are too many problems surfacing requiring more than an everything-is-fine attitude. Yet when a member of the Legislature's Home- and Community-Based Services and KanCare Oversight Committee requested a special joint committee to examine operations, Rep. A sampling of what the KanCare...
Nov. 26 The federal government is reviewing whether Highmark Inc. has enough doctors in its network for Medicare subscribers since the insurer cancelled contracts with 689 UPMC physicians last week. UPMC has said Highmark's decision would make the doctors out-of-network for the insurer's Medicare Advantage subscribers. "Medicare Advantage plans
Nov. 25 Santiago B. Montoya, a 72- year-old Miami doctor, was the medical front man for a one-of-a-kind scam that raked in $25 million from Medicare for services provided to retired U.S. citizens living in Nicaragua and the Dominican Republic, authorities say. In total, a federal prosecutor said Tuesday, about 1,200 expatriates established fake F
The Department of Health Care Policy and Financing announced today that Gretchen Hammer will join the Department as Colorado's Medicaid Director effective January 5, 2015. "I am incredibly excited about the opportunity to join the Department and contribute to the mission to improve health care access and outcomes for those served by Medicaid and C
Since last September's Competitive Bid for Medicare, medical equipment availability and payments have been slashed in half by Medicare, 47 percent to be exact. In San Diego only a couple Durable Medical Equipment providers are allowed to bill Medicare now from a previous 30- plus providers. This has left many people unable to get the much-needed eq
Nov. 26 Each year, Timothy and Diane Young select a Medicare Advantage plan for Diane's 81- year-old mother. That means neither under-65 commercial customers nor over-65 Medicare Advantage patients will be able to see those doctors, even though both Highmark and UPMC have promised for years that seniors wouldn't be affected by the break-up of the
Nov. 26 Less than two weeks before the Medicare open enrollment period for 2015 closes, UPMC and Highmark officials still disagree about which UPMC physicians will be in Highmark's network next year, or whether the absence of signed contracts will even matter for Medicare recipients. Highmark last week terminated the commercial and Medicare contr
WASHINGTON An owner and operator of a Miami home health care agency pleaded guilty today in connection with a long-running $6.2 million Medicare fraud scheme involving Professional Medical Home Health LLC, and similar schemes at two other Miami home health care agencies. Attorney Wifredo A. Ferrer of the Southern District of Florida, Special Agen
Nov. 26 The Justice Department may want a do-over in a major Medicare fraud case. Roger Rousseau and three state-licensed therapists Doris Crabtree, Angela Salafia and Liliana Marks of a fraud conspiracy while working for Healthcare Solutions Network, a Miami-Dade chain of mental health clinics. The case grew out of a federal investigation in
Topeka's Midland Care announced Tuesday the expansion of its PACE program in which older Medicare and Medicaid recipients can receive community care as an alternative to nursing homes into Lyon, Marshall and Nemaha counties. Midland currently offers the services of PACE the Program of All-Inclusive Care for the Elderly in seven counties: Sh
Benjamin Sommers of the Harvard School of Public Health. The researchers found that most uninsured veterans lived in states that had decided not to accept the Affordable Care Act's federal funding to expand Medicaid, the government's insurance program for low-income people. None of those states, all with Republican governors, are expanding their Me
SUMMARY: The Department of Defense is publishing this notice to announce that it is renewing the charter for the Department of Defense Medicare-Eligible Retiree Health Care Board of Actuaries. SEC 1114 and in accordance with the Federal Advisory Committee Act of 1972 and 41 CFR 102-3.50, established the Board. SEC 1114, will provide independent adv
by MERLY LAPIG Targeted News Service. For more information about congressional legislation and services offered by Targeted News Service to track issues, key words or members of Congress who introduce or co-sponsor legislation, please contact email@example.com or call 703/ 304-1897.. For more information about Targeted News Service products a
Senior Planning Services, providing "expert guidance for elder care issues," and Florida- based SeniorNet, a nonprofit organization providing the adult demographic education and access to computer technologies, have teamed up to help seniors navigate the rough seas of applying for Medicaid. Part of this program will focus on educating seniors on th