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 The leading web portal for pharmacy resources, news, education and careers October 2, 2014
Pharmacy Choice - News - Medicare & Medicaid - October 2, 2014

Pharmacy News

 Medicare & Medicaid
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10/2/14 - Area seniors will pay more for 2015 Medicare Advantage plans [The Buffalo News, N.Y.]
Oct. 02 Area senior citizens who use Medicare Advantage will have fewer choices, and can expect to pay more, when they select a plan for 2015, according to information revealed Wednesday by the federal agency that oversees Medicare. Medicare Advantage enrollees still have a number of options, and some plans are going down in price, but overall th
10/2/14 - Local officials urge approval in Nov. 4 Medicaid vote [La Crosse Tribune, Wis.]
Oct. 02 Wisconsin has a moral imperative to accept billions in federal Medicaid dollars that Gov. Scott Walker has rejected and left thousands without insurance, according to La Crosse County government and religious officials. "People will die," La Crosse County Supervisor Monica Kruse said during a press conference urging passage of a Nov. 4 r
10/2/14 - Medicaid Management Information System [TendersInfo (India)]
Box 2675, Harrisburg PA 17105-2675 contact person: Merry Mitchell Country: United States Email: Notice type: Tender Notice Open date: 2014-10-31.
10/2/14 - Walgreen named preferred pharmacy in Express Scripts Medicare drug plans [St. Louis Post-Dispatch]
Oct. 02 Senior citizens enrolled next year in one of Express Scripts' Medicare Part D plans can save money on medications if they opt to fill their prescriptions at a Walgreens pharmacy. Express Scripts' Medicare Part D beneficiaries will still be able to fill prescriptions at those locations but the cost savings won't be as large as those offere
10/1/14 - Aetna Introduces New, Zero-Plan Premium Medicare Advantage Offering with Northern New Jersey Health Systems
The health systems Atlantic Health System, Hackensack University Health Network and Hunterdon Healthcare as well as the providers affiliated with each of them, will coordinate to provide high quality, efficient, convenient and affordable care to New Jersey Medicare beneficiaries. When we set out to build this plan, we wanted to offer care fr
10/1/14 - Audit: Feds overpaid state $106M for Medicaid
BOSTON A federal audit released Wednesday said the U.S. government overpaid Massachusetts nearly $106 million for Medicaid reimbursements, and recommends that the state be ordered to refund the money. State officials have not disputed the findings, but argue that under the same set of rules being applied by the inspector general, Massachusetts w
10/1/14 - Billy Richardson attacks Sen. Wesley Meredith with Medicaid accusations; Meredith calls it 'below the belt' [The Fayetteville Observer, N.C.]
Wesley Meredith and Democratic challenger Billy Richardson turned rough Tuesday. Richardson changed that dynamic Tuesday when he called a press conference to level the accusation that 18 years ago, Meredith "actively caused or knowingly allowed" his newborn son to receive Medicaid benefits for which the family was not eligible. Richardson, a promin
10/1/14 - Blue Cross Blue Shield of Arizona Advantage Expands Medicare Option to Pima County
TUCSON, Ariz., Oct. 1, 2014/ PRNewswire-USNewswire/ Beginning October 15 of this year, Medicare- eligible, Pima County residents will have the option to enroll with Blue Cross Blue Shield of Arizona Advantage. The expansion of BCBSAZ Advantage into Pima County gives residents the chance to explore more choice and value in their Medicare options.
10/1/14 - BRIEF: Medicare is the topic of discussion at Lodi Library program [The Record, Stockton, Calif.]
Sept. 30 LODI The Lodi Public Library will host a discussiuon on Medicare later this month. Whether people are new to Medicare or have had it for a while, questions inevitably arise. It is scheduled for 6-8 p.m. Thursday, Oct. 9, in the Lodi Public Library, 201 W Locust St., Lodi.
10/1/14 - CareSource to open office in Indiana [Dayton Daily News, Ohio]
CareSource, Ohio's largest Medicaid managed care provider, began selling its CareSource Just4Me brand commercial insurance products in Ohio's marketplace this year. Indiana is expected to generate about 10,000 new marketplace members for CareSource in its first year, according to company officials, who declined to give projections for Kentucky and
10/1/14 - Centers for Medicare & Medicaid Services Issues Correction on 2015 Inpatient Rehabilitation Facility Prospective Payment System
WASHINGTON, Oct. 1 The U.S. Centers for Medicare& Medicaid Services published the following rule in the Federal Register:. A Rule by the Centers for Medicare& Medicaid Services on 10/01/2014. This document corrects technical errors that appeared in the final rule with comment period published in the Federal Register on August 6, 2014 entitled "Me
10/1/14 - Consortium of PA Mental Health Organizations Begin Year Two of Health Insurance Marketplace Navigator Program to Help People with Mental Health Service Needs Enroll in Health Insurance Marketplace
Centers for Medicare& Medicaid Service has again awarded a consortium of Pennsylvania mental health organizations a grant to continue the successful Health Insurance Marketplace Navigator Program. The grant provides funding for another year of the program, which supports individuals across PA who need help navigating the Health Insurance Marketplac
10/1/14 - Detroit-Area Operator of Adult Day Care Center, Two Home Health Care Company Owners Convicted in $29 Million Medicare Fraud Conspiracy
WASHINGTON A federal jury in Detroit late yesterday convicted the operator of an adult day care center and two individuals who owned and operated a network of home health care companies for their participation in a $29 million Medicare fraud scheme. At Williams's direction, Haven billed Medicare for sophisticated mental health services purportedl
10/1/14 - Drug company payments to SC physicians detailed [The State (Columbia, S.C.)]
"Just like we want to know who's paying our elected officials, we want to know who pays our doctors," said Tony Keck, director of the S.C. Department of Health and Human Services and a fan of transparency in health care funding. In fact, his agency uses the same concept, paying higher or lower Medicaid rates for some procedures to influence doctors
10/1/14 - Express Scripts Collaborates with Walgreens to Create Value-Driven Medicare Prescription Drug Plan Pharmacy Network
Express Scripts today announced that its two nationally available 2015 Express Scripts Medicare Prescription Drug Plans will offer a preferred retail pharmacy network featuring Walgreens, helping America's seniors obtain more value, choice and clinical support for their Medicare dollars. Medicare beneficiaries who enroll in the Express Scripts
10/1/14 - Guv wants lawmakers to 'pull together' on Medicaid [Deseret News (UT)]
Gary Herbert told an audience Tuesday at his annual health summit that included Utah lawmakers they need "to find a way to pull together" on his Healthy Utah alternative to Medicaid expansion. The governor said his plan to assist with private insurance for some 111,000 low-income Utahns using nearly $300 million available through the Affordable Car
10/1/14 - Health care enrollment expected to be easier this year [The Fayetteville Observer, N.C.]
"We really think this year is going to be much better," Brenda Jackson, the county's director of Social Services, said at a Tuesday night panel discussion on the health law hosted by the Cumberland County Library. In North Carolina, hundreds of thousands of residents were left without coverage under the law because the state refused to expand Medic
10/1/14 - Inside The October Issue Of AARP Bulletin
WASHINGTON, Oct. 1, 2014/ PRNewswire-USNewswire/ Don't Ignore the Signs of Diabetes: 1 in 4 Americans over the age of 65 have diabetes and a shocking 86 million Americans have prediabetes. In the new issue of AARP Bulletin, Actress S. Epatha Merkerson reveals her own shocking diagnosis and what she's doing to prevent long-term complications. AARP
10/1/14 - Medicare and Medicaid Program; Regulatory Provisions To Promote Program Efficiency, Transparency, and Burden Reduction
In Title 42 of the Code of Federal Regulations, Parts 430 to 481, revised as of October 1, 2013, in parts 430, 431, 433, 435, 436, and 440, make the following changes:. SUBSEC 430.25, 431.120, 431.151, 431.153, 433.56, 435.217, 436.217, 440.1, 440.150. 440.1, in the entry for "1915 (c)"......
10/1/14 - Medicare Program; Inpatient Rehabilitation Facility Prospective Payment System for Federal Fiscal Year 2015; Correction
SUMMARY: This document corrects technical errors that appeared in the final rule with comment period published in the Federal Register on August 6, 2014 entitled "Medicare Program; Inpatient Rehabilitation Facility Prospective Payment System for Federal Fiscal Year 2015". In FR Doc. 2014-18447 of August 6, 2014, there were a number of technical err
10/1/14 - Memorial Hermann Advantage Set to Offer Medicare beneficiaries Health Plans with Enhanced Benefits
HOUSTON, Oct. 1, 2014/ PRNewswire-USNewswire/ Memorial Hermann Health Plan and Memorial Hermann Health Insurance Company announced today that they have contracted with the Centers for Medicare and Medicaid Services to offer Memorial Hermann Advantage plans to Medicare beneficiaries throughout Harris, Fort Bend and Montgomery counties.
10/1/14 - Mercy to discontinue Medicare Advantage coverage [The Janesville Gazette, Wis.]
Sept. 30 JANESVILLE Three years after entering the Medicare Advantage marketplace, Janesville- based MercyCare Health Plans is getting out of it. The decision not to offer Medicare Advantage products for 2015 will affect about 400 people whose policies expire Dec. 31. Open enrollment for Medicare plans begins Wednesday, Oct. 15.
10/1/14 - National Committee to Preserve Social Security & Medicare Endorses Sean Eldridge for Congress
Today, Sean Eldridge for Congress announced that the National Committee to Preserve Social Security and Medicare has endorsed Sean Eldridge in the race for New York's 19th Congressional District. "NCPSSM has worked tirelessly to protect our nation's safety net and to oppose the privatization of Social Security and cuts to Medicare. In Congress, I
10/1/14 - NCI -Georgetown researchers find that landmark Medicare law had little impact on reducing chemotherapy cost
Release date- 30092014- WASHINGTON- Legislation passed in 2003 to slow the spiraling costs of drugs paid for by the federal government to treat Medicare patients has had no meaningful impact on cancer chemotherapy drug costs, say a team of researchers in the Journal of Clinical Oncology published online today. 'We looked at use of outpatient chemot
10/1/14 - New report on hospital sticker prices reveals tremendous variation among hospitals for similar procedures and treatments
SEATTLE, Oct. 1, 2014/ PRNewswire-USNewswire/ The Washington Health Alliance announced today the publication of a new report that details tremendous variation in billing prices for common procedures among hospitals in Washington. The report relies upon data released in April 2014 by the Center for Medicare and Medicaid Services. The report examin
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