July 26 An Anchorage grand jury indicted a physician Thursday on multiple felony charges accusing him of fraudulently billing Medicaid, tampering with physical evidence and misconduct involving a controlled substance. Shubhranjan Ghosh, 39, of billing Medicaid more than $300,000 for services he never provided. Peterson said Ghosh is still practic
The State of Alaska, Department of Law, Medicaid Fraud Control Unit, announced today the indictment of an Anchorage area physician. Shubhranjan Ghosh, 39, of Anchorage and founder of Ghosh Psychiatric Services, was indicted yesterday by a grand jury on 18 felony counts for fraudulently billing Medicaid, committing a scheme to defraud Medicaid, tamp
Although a state attorney general investigation into possible Medicaid fraud is ongoing, he suggested litigation might be needed to resolve how much of New Mexico behavioral health care providers either owe the state or are due to be paid. The state Human Services Department last year halted Medicaid funding to 15 nonprofits that served the mentall
MARIETTA, Ga., July 25, 2014/ PRNewswire-USNewswire/ Georgia Association for Home Health Agencies, Inc. today thanked Congressman Tom Price for introducing new Medicare legislation that would replace across-the-board Medicare cuts with targeted reform that will improve the quality of home healthcare services. "We applaud Congressman Price for ta
SUMMARY: This quarterly notice lists CMS manual instructions, substantive and interpretive regulations, and other Federal Register notices that were published from April through June 2014, relating to the Medicare and Medicaid programs and other programs administered by CMS. The Centers for Medicare& Medicaid Services is responsible for administeri
July 25 A major Medicaid overhaul that largely disregards the wishes of health care providers, the state House and Gov. The overhaul would introduce to the state commercial managed care for Medicaid patients, a move that doctors and hospitals are fighting. But after several years of overruns, legislators crave "budget predictability" for Medicaid
July 25 Virginians remain deeply divided on the issue of Medicaid expansion but lean somewhat against, according to the first poll to come out since this year's budget impasse ended with no agreement on offering health insurance coverage to more of their low-income neighbors. The latest Roanoke College poll reports 41 percent of Virginians want t
The Talladega and Calhoun County Democratic parties hosted a town hall-style meeting at the Ritz Theater in downtown Talladega on Thursday night to discuss expanding Medicaid in the state of Alabama under the Affordable Care Act. Robert Bentley's refusal to expand Medicaid in the state is "not based on what's best for the people in Alabama, but on
Recent Findings from Rutgers State University Has Provided New Information about Medicare and Medicaid. By a News Reporter-Staff News Editor at Insurance Weekly News Investigators publish new report on Medicare and Medicaid. This study assessed the operating characteristics of a Medicaid claims-based measure of antipsychotic polypharmacy. "
Diane Black, R- Tenn., has introduced legislation to "establish a demonstration program requiring the utilization of Value-Based Insurance Design to demonstrate that reducing the copayments or coinsurance charged to Medicare beneficiaries for selected high-value prescription medications and clinical services can increase their utilization and...
Researchers from University of Iowa Report Details of New Studies and Findings in the Area of Medicare and Medicaid. By a News Reporter-Staff News Editor at Insurance Weekly News Researchers detail new data in Medicare and Medicaid. The news reporters obtained a quote from the research from the University of Iowa, "Baseline and biennial follow-up
Benjamin Sommers a Harvard University health economist who advises the U.S. Department of Health and Human Services and colleagues come to that conclusion in an analysis published in the New England Journal of Medicine. The PPACA health insurance exchange program and Medicaid expansion program may have helped 10.3 million adults get health cove
Des Moines County Supervisor Tom Broeker recently was appointed by Iowa Gov. The issue covered in the rule change is how Medicaid- offset payments are to be calculated. It has been one year since the state took over Medicaid services from the county for those who qualify with mental illness or disabilities.
Although a state attorney general investigation into possible Medicaid fraud is ongoing, he suggested litigation might be needed to resolve how much of New Mexico behavioral health care providers either owe the state or are due to be paid. The state Human Services Department last year halted Medicaid funding to 15 non-profits that served the mental
Home health leaders today said that growing support for the Securing Access Via Excellence Medicare Home Health Act introduced last week by Representatives Greg Walden and Tom Price underscores the importance of legislation to repeal the 14 percent, four-year rebasing cuts instituted by the Centers for Medicare and Medicaid Services on Januar
Aldona Wos called the Medicaid reform plan proposed by her department and endorsed by Gov. She said during her visit she continues to track Medicaid reform efforts being considered by the state. Wos said the Senate's version would push Medicaid reform too quickly, while the reform plan approved by the House takes a more gradual approach that is "..
Bipartisan legislation would allow Medicare Advantage plans to reduce certain copayments or coinsurance for beneficiaries to drive better health care outcomes and lower costs. Diane Black and Earl Blumenauer, both members of the House Ways and Means Committee, introduced H.R. 5183 the Value-Based Insurance Design for Better Care Act of 2014 a b
Vern Buchanan, R- FL, a member of the Health Subcommittee, today urged the Administration to reverse devastating cuts to Medicare Advantage health plans that serve more than 54,000 seniors in Sarasota and Manatee Counties. Speaking at a Ways& Means Committee hearing on the future of Medicare Advantage, Buchanan warned that future cuts to the progra
As of today, the federal Centers for Medicare and Medicaid Services has authorized the Indiana Family and Social Services Administration to stop enrollment into the existing Healthy Indiana Plan. Enrollment in the current Healthy Indiana Plan has reached the point where funding from Indiana's tobacco tax cannot support additional enrollees.
July 24 Last month, hundreds of representatives from North Carolina hospitals and other health-care institutions brought a united message to Raleigh: Cuts in the Medicaid program are causing them serious economic harm. That doesn't begin to consider the financial drain that comes from treating the thousands of North Carolinians who have no health
If you're a senior voter living in Maine, compare and contrast the actions of the Republican and Democratic candidates for governor. Mike Michaud, Maine's Democratic candidate for governor, has a long distinguished history of supporting Maine seniors. Paul LePage, who recently lumped Social Security and Medicare in a diatribe of his, calling them "
Congressman Joe Garcia has called on the state of Florida to expand Medicaid, but offers no solutions for the serious problems plaguing the program. Additionally, in light of the increasing national Debt crisis, some in Washington are recognizing that the growing cost of the current Medicaid program is unsustainable which may result in cuts to the
Thank you for the opportunity to testify on the future of Medicare Advantage plans. n1 Our testimony will explain the benefits of recent changes to MA under the Affordable Care Act, describe the current MA landscape based upon our client work and our analysis of the MA market in New York State, and offer recommendations to further strengthen MA, wi
July 24 When John Bluford came to Truman Medical Center 15 years ago, its new CEO inherited a hospital system in turmoil. Deep cuts to Missouri's Medicaid program were threatening an important source of the safety-net hospitals' revenues. As administrator of Hennepin County Medical Center in Minneapolis, Bluford converted a perennial money-loser