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 The leading web portal for pharmacy resources, news, education and careers July 25, 2014
Pharmacy Choice - News - Medicare & Medicaid - July 25, 2014

Pharmacy News

 Medicare & Medicaid
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7/25/14 - Auditor: Lawsuits likely over Medicaid [Albuquerque Journal, N.M. :: ]
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
7/25/14 - Medicare and Medicaid Programs; Quarterly Listing of Program IssuancesApril Through June 2014
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
7/25/14 - NC Senate votes for Medicaid overhaul [The News & Observer (Raleigh, N.C.) :: ]
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
7/25/14 - Poll shows deep divide on Medicaid expansion in Virginia [Daily Press (Newport News, Va.) :: ]
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
7/25/14 - Pro-expansion panel tries to get Medicaid message across [The Anniston Star, Ala. :: ]
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
7/25/14 - Recent Findings from Rutgers State University Has Provided New Information about Medicare and Medicaid (Validation of a claims-based antipsychotic...
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. "
7/25/14 - Researchers from University of Iowa Report Details of New Studies and Findings in the Area of Medicare and Medicaid (The Concordance of Survey...
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
7/25/14 - Researchers: PPACA helped more than 7.3 million adults get covered [LifeHealthPro]
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
7/25/14 - State auditor: Suits over Medicaid likely [Albuquerque Journal, N.M. :: ]
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
7/25/14 - Wos calls House Medicaid plan the correct one for the state [Times-News, Burlington, N.C. :: ]
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 "..
7/24/14 - Blumenauer, Black Introduce the VBID for Better Care Act of 2014
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
7/24/14 - Buchanan Slams Medicare Cuts at Congressional Hearing
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
7/24/14 - EDITORIAL: Yes, Republicans can expand Medicaid, too [The Fayetteville Observer, N.C. :: ]
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
7/24/14 - Friday, July 25, 2014: Remembering Charlie Howard, responding to sexual assault, Michaud support [Bangor Daily News (ME)]
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 "
7/24/14 - Garcia Medicaid Expansion Shortsighted
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
7/24/14 - House Ways and Means Subcommittee on Health Hearing
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
7/24/14 - Leader retires from health system funded in part by taxpayers north of the river [The Kansas City Star :: ]
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
7/24/14 - Many low-income N.C. workers are locked out of Medicaid [The Charlotte Observer :: ]
But they go without health insurance because their incomes aren't high enough to qualify for federal subsidies and too high to qualify for North Carolina's current Medicaid program for low-income and disabled citizens. More than half of the 689,000 uninsured adults North Carolinians who fall into this so-called " Medicaid gap" are employed in jobs
7/24/14 - MOMENTUM BUILDS FOR ROTHFUS LEGISLATION TO RESTORE MEDICARE CHOICES FOR SENIORS
The simple and common-sense legislation restores the open enrollment period for seniors who choose Medicare Advantage plans and empower them to choose the health care plan that best meets their needs. " The Medicare Advantage program has a proven track record of success. With more than thirteen million seniors enrolled in the program nationwide, Me
7/24/14 - Owner and Administrator of Miami Home Health Companies Pleads Guilty for Role in $74 Million Health Care Fraud Scheme
A Miami resident who owned a home health care company and was the administrator of another home health care company pleaded guilty today for her participation in a $74 million Medicare fraud scheme. Attorney Wifredo A. Ferrer of the Southern District of Florida, Special Agent in Charge George L. Piro of the FBI's Miami Field Office and Acting Speci
7/24/14 - Proponents rally support for Medicaid referendum [The Post-Crescent, Appleton, Wis. :: ]
July 24 APPLETON Appleton's Brian Sorensen feels the impact of the state's decision to turn down additional Medicaid funds every time a bill reaches his mailbox. The Sorensens have a limited income and manage a tight budget, but the family still brings in too much money under the new Medicaid guidelines. The event was sponsored by Citizen Actio
7/24/14 - Quality Innovation Network Contract Awarded to Support Medicare Quality Improvement in Minnesota, Michigan and Wisconsin
FARMINGTON HILLS, Mich., July 24, 2014/ PRNewswire-USNewswire/ The Centers for Medicare& Medicaid Services has awarded a Quality Innovation Network- Quality Improvement Organization contract to support its work improving health care for Medicare beneficiaries in Minnesota, Michigan and Wisconsin. Stratis Health of Minnesota, MPRO of Michigan and
7/24/14 - RC Poll: Virginians Split on Medicaid Expansion, But Oppose Unilateral Action; Think McDonnell Acted Wrongly
Roanoke College issued the following news release:. Registered Virginia voters are largely split on Medicaid expansion, but 61 percent oppose potential unilateral action by Governor Terry McAuliffe to expand the program, according to the Roanoke College Poll. The Roanoke College Poll interviewed 566 registered voters in Virginia between July 14 and
7/24/14 - Roanoke College Poll: Virginians Think McDonnell Acted Wrongly
Registered Virginia voters are largely split on Medicaid expansion, but 61 percent oppose potential unilateral action by Governor Terry McAuliffe to expand the program, according to the Roanoke College Poll. Roanoke College Poll interviewed 566 registered voters in Virginia between July 14 and July 19 and has a margin of error of+ 4.2 percent.
7/24/14 - Study: 10M have gained coverage through health law
WASHINGTON A new study estimates that more than 10 million adults gained health insurance by midyear as the coverage expansion under President Barack Obama's law took hold in much of the country. States that embraced the law's Medicaid expansion saw significant coverage gains among low-income uninsured people. The law offers subsidized private..
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