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 The leading web portal for pharmacy resources, news, education and careers August 27, 2016
Pharmacy Choice - News - Medicare & Medicaid - August 27, 2016

Pharmacy News

 Medicare & Medicaid
Current Articles | 7 - 30 Days Old | 30 - 90 Days Old | Over 90 Days
Articles(s): 1 - 25 of 82     Next >>     Go To Page:

8/27/16 - Former Priority Partners employee pleads guilty to Medicaid fraud [The Baltimore Sun]
Aug. 26 A former employee of Priority Partners, a Medicaid Managed Care Organization owned by Johns Hopkins HealthCare, pleded guilty to felony Medicaid fraud for altering medical records that caused the Medicaid to improperly pay the company more than $875,000. Inca Elfriede Schultz, 61, of Cudjoe Key, Fla., was sentenced to five years incarcera
8/27/16 - Iowa on track to save $22 million in Medicaid spending [The Gazette, Cedar Rapids, Iowa]
Aug. 26 In the first three months of Iowa's Medicaid managed-care program, all three managed-care organizations resolved beneficiaries' grievances within 30 days of receipt. That and other details were included in the Iowa Department of Human Services's first quarterly report since the state handed over its $5 billion Medicaid program with more t
8/26/16 - Advanced Wound Care Products PuraPly? and PuraPly Antimicrobial? Now Available for Medicare Reimbursement in 10 States
Organogenesis Inc., a global leader in advanced wound care innovations and technologies, today announced that its PuraPly? and PuraPly Antimicrobial? wound management products are now eligible for Medicare coverage and reimbursement in 10 states, providing coverage for an additional 7.5 million Medicare beneficiaries, following the decision b
8/26/16 - Aurora Accountable Care Organization: Medicare Shared Savings Program Performance Year 2015 Quality and Financial Results
The Centers for Medicare& Medicaid Services announced the 2015 performance year results for the Medicare Shared Savings Program and the Pioneer Accountable Care Organization Model that show physicians, hospitals and health care providers participating in Accountable Care Organizations continue to make significant improvements in the quality of...
8/26/16 - Branstad argues managed care reduces fraud; figures show Iowa Medicaid fraud already rare [The Gazette, Cedar Rapids, Iowa]
Terry Branstad this week again defended the state's decision to move its $5 billion Medicaid program over to a managed-care system handled by three private insurers, saying the transition is saving Iowa "significant" money by rooting out fraud that previously went undetected. But while the number of Medicaid investigations in Iowa has risen in rece
8/26/16 - EDITORIAL: Don't let Obamacare faults stop Medicaid expansion. [The Fayetteville Observer, N.C.]
Aug. 26 As they watch the rising premiums and plummeting insurer participation, North Carolina residents have reason for skepticism about Obamacare's future. In North Carolina, Obamacare has never had a chance to work the way it was intended. If the state had participated in Obamacare's expanded Medicaid option, hundreds of thousands more would h
8/26/16 - Editorial: What happens if Bevin's new plan is rejected?
Matt Bevin is determined to get the federal government to let him change the rules for expanded Medicaid benefits in Kentucky. Called a Medicaid waiver, the document seeks to change how the program has been administered so successfully since 2014 when former Gov. His first rewrite of the plan would have had expanded Medicaid clients paying relative
8/26/16 - Hospitals get Medicare funds in billing dispute [The Buffalo News, N.Y.]
Aug. 26 Twelve area hospitals received a total of $1.79 million from the federal government to resolve a Medicare billing dispute, according to the federal Centers for Medicare and Medicaid Services. The money paid to the Western New York hospitals comes as part of $1.5 billion provided to 2,022 hospitals across the country to settle 346,000 Medi
8/26/16 - Medicaid Genius Powered by Ocrolus Allows Users to Instantly Transcribe Noteworthy Events onto Summary Sheet
Medicaid Genius, powered by Ocrolus, allows users to instantly transcribe noteworthy events onto a summary sheet. Users can instantly find transactions of any defined value and are automatically alerted of potentially missing statements and transfers between accounts. The system allows users to quickly detect all significant transactions and attach
8/26/16 - Orange Accountable Care of South Florida: Medicare Shared Savings Program Performance Year 2015 Quality and Financial Results
The Centers for Medicare& Medicaid Services today announced the 2015 performance year results for the Medicare Shared Savings Program and the Pioneer Accountable Care Organization Model that show physicians, hospitals and health care providers participating in Accountable Care Organizations continue to make significant improvements in the quality
8/26/16 - SHAREHOLDER ALERT: Bronstein, Gewirtz & Grossman, LLC Announces Investigation of American Renal Associates Holdings, Inc. (ARA)
NEW YORK, NY/ ACCESSWIRE/ August 26, 2016/ Bronstein, Gewirtz& Grossman, LLC is investigating potential claims on behalf of purchasers of the securities American Renal Associates Holdings, Inc.. American Renal Associates purposely targeted Medicaid- and Medicare- eligible patients to persuade them to switch from their affordable government insuranc
8/26/16 - SHAREHOLDER ALERT: Pomerantz Law Firm Investigates Claims On Behalf of Investors of American Renal Associates Holdings, Inc. - ARA
Pomerantz LLP is investigating claims on behalf of investors of American Renal Associates Holdings, Inc.. On August 18, 2016, following allegations that the Company has steered patients away from Medicare and Medicaid programs into higher paying Affordable Care Act programs, the Centers for Medicare and Medicaid Services said that it had sent war
8/26/16 - The private sector health crisis [Columbus Ledger-Enquirer, Ga.]
Aug. 25 Not all of the problems with health care in the United States have to do with insurance exchanges or Medicare/ Medicaid reimbursement or the Affordable Care Act at least not initially. Not long ago we had the saga of Turing Pharmaceuticals CEO Martin Shkreli, who last fall earned the title of "most hated man in America" for raising the
8/25/16 - Alabama lottery bill headed to make-or-break House vote [Montgomery Advertiser, Ala.]
Aug. 25 Like Schrodinger's cat, it's impossible to tell if the Alabama lottery bill is alive or dead. The legislation, aimed at providing some stability to the ever-troubled General Fund and a Medicaid program critical to health care in the state, advanced out of a House committee Wednesday afternoon and could be on the floor of the chamber Thurs
8/25/16 - Banner Health Network Reports Another Record Year in Medicare's Pioneer ACO Program
Through a fourth year of top financial performance in the Pioneer ACO Model, while simultaneously improving its quality score year-over-year for four consecutive years, Banner Health Network has demonstrated that it is possible to bend the Medicare cost curve while providing the best in quality care as part of this ACA demonstration program.
8/25/16 - Bevin submits revised Medicaid waiver
Matt Bevin on Wednesday announced submission of his much anticipated revised Medicaid waiver application but the revisions haven't erased critics' doubts about the plan. During his successful campaign for governor and his first nine months in office, Bevin has repeatedly said Kentucky cannot sustain the growing costs of Medicaid and he wants more d
8/25/16 - Branstad argues managed care reduces fraud; figures show Iowa Medicaid fraud already rare [The Gazette, Cedar Rapids, Iowa]
Terry Branstad this week again defended the state's decision to move its $5 billion Medicaid program over to a managed-care system handled by three private insurers, saying the transition is saving Iowa "significant" money by rooting out fraud that previously went undetected. But while the number of Medicaid investigations in Iowa has risen in rece
8/25/16 - Claims for expanded Medicaid group $30M over estimates in first year [Alaska Journal of Commerce, Anchorage]
Alaska's new Medicaid enrollees are already costing more than what economists predicted they would in 2021. Centers for Medicare and Medicaid Services recently reported to Congress that Medicaid expansion enrollees cost $6,366 per person for fiscal year 2015, about 49 percent higher than estimated. The Medicaid expansion covers 41,910 low-income...
8/25/16 - Fight to expand Medicaid
The conviction for the " Medicaid 23" for exercising their First Amendment right to peaceably assemble and engage in protest marks a dark day and chapter in Missouri history. For him to characterize me as a victim of the protest not only is cynically untrue, it distracts from the true victims I was fighting for on the floor of the Senate at the mom
8/25/16 - Gov. Bevin submits Medicaid overhaul plan to Feds, with some changes [Lexington Herald-Leader]
Matt Bevin on Wednesday submitted his Medicaid waiver proposal to the federal government, hoping to reshape the program that provides health insurance for 1.32 million Kentuckians. Over the next five years, it could shave $2.2 billion off the expected $37.2 billion expense of Kentucky's Medicaid program, according to the waiver application.
8/25/16 - Medicaid Genius Powered by Ocrolus Allows Users to Instantly Transcribe Noteworthy Events Onto Summary Sheet
Medicaid Genius Powered by Ocrolus Allows Users to Instantly Transcribe Noteworthy Events onto Summary SheetNew York, NY 08/25/2016 Medicaid Genius, powered by Ocrolus, allows users to instantly transcribe noteworthy events onto a summary sheet. Users can instantly find transactions of any defined value and are automatically alerted of potent
8/25/16 - Nonprofit groups question Bevin's plan on Medicaid
Matt Bevin's plan to require volunteer work from unemployed, able-bodied Medicaid members isn't sitting well with the Kentucky Nonprofit Network, which represents nearly 600 of the state's nonprofit groups, because it would mean tens of thousands of people would "need training, supervision and in some instances criminal-background checks," John
8/25/16 - Part of health center settlement to go to Medicaid
INDIANAPOLIS- Part of the $190,000 the Madison County Community Health Center must pay to resolve a federal lawsuit will go into the state's Medicaid program, the Indiana Attorney General's Office said. Nilda Durany, the Indiana attorney general and the U.S. attorney for the Southern District of Indiana. Monica Hernandez, a spokeswoman for the Indi
8/25/16 - Part of health center settlement to go to Medicaid [The Herald Bulletin, Anderson, Ind.]
Aug. 25 INDIANAPOLIS Part of the $190,000 the Madison County Community Health Center must pay to resolve a federal lawsuit will go into the state's Medicaid program, the Indiana Attorney General's Office said. Nilda Durany, the Indiana attorney general and the U.S. attorney for the Southern District of Indiana. Monica Hernandez, a spokeswoman f
8/25/16 - Philosophical divide evident at Medicaid oversight meeting
Matt Bevin prepared to ask federal officials to let him change the state's Medicaid program, a discussion at a legislative committee meeting offered a glimpse of the philosophical differences between the political parties, through a window that showed the two mindsets at work. Steve Beshear's expansion of Medicaid to those who earn up to 138 percen
Articles(s): 1 - 25 of 82     Next >>     Go To Page:


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