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

Pharmacy News

 Medicare & Medicaid
Current Articles | 7 - 30 Days Old | 30 - 90 Days Old | Over 90 Days
Articles(s): 1 - 25 of 136     Next >>     Go To Page:

10/25/14 - 10 charged with Medicaid fraud at Beach health center [The Virginian-Pilot]
Oct. 25 NORFOLK Progressive Counseling Services in Virginia Beach has been hit with more than 50 violations of its license by state regulators since 2011.. Now its owner, Baffour E. Opoku, is facing a criminal indictment charging him and nine associates with bilking Medicaid out of more than $2 million. The 48- year-old citizen of Ghana lives i
10/25/14 - EDITORIAL: Care about Medicaid expansion? Vote for Jill Schupp [St. Louis Post-Dispatch]
The health care industry is the top employer in the 24th District. There is one issue that matters above all else to voters in Maryland Heights, in Creve Coeur, in Olivette, Town and Country and St. Ann. You want jobs in the 24th District?
10/25/14 - Humana Reports on Medicare Stars Quality Ratings [Professional Services Close - Up]
Humana reported that the company continues to achieve strong Medicare Stars Quality Ratings for its Medicare Advantage plans. According to a media release, Humana currently serves more than 6.7 million Medicare members in all 50 states, Washington, D.C. and Puerto Rico, 2.8 million of which are Medicare Advantage members and 3.9 million are stand-a
10/25/14 - Kaiser Permanente Medicare Plans Garner 5-Star Rating [Professional Services Close - Up]
Kaiser Permanente recently reported that its Medicare plans in California once again have earned 5 stars, the highest overall rating for quality and service for 2015, from the Centers for Medicare& Medicaid Services. Kaiser Permanente noted that the Medicare Star Quality Ratings, developed by CMS, assigns scores of 1 to 5 stars to Medicare plans ba
10/25/14 - Las Cruces behavioral health-care provider sues state over Medicaid freeze [Las Cruces Sun-News, N.M.]
Oct. 25 LAS CRUCES A Las Cruces- based provider forced to close last year after the state froze Medicaid funding during a controversial, statewide behavioral health-care investigation filed a lawsuit Friday against the New Mexico Human Services Department. In its suit, Southwest Counseling Center Inc. alleges HSD violated the nonprofit's due pr
10/24/14 - Beyond the 'Private Option' for Medicaid Expansion []
Oct. 24 Less than a year after low-income Arkansans started receiving health coverage under the Affordable Care Act's controversial Medicaid expansion, the state is declaring its so-called "private option" experiment a success. Mike Beebe is a Democrat and the legislature is controlled by Republicans, have already asked the federal government for
10/24/14 - DHH Announces Five Contract Recommendations for Next Phase of Bayou Health
The Louisiana Department of Health and Hospitals today announced the recommendation of five managed care organizations to administer the next contract period for Bayou Health, which has transformed the way two-thirds of the state's Medicaid recipients receive health care services. Earlier this summer, DHH announced changes to the program aimed at..
10/24/14 - Findings from Washington University Provides New Data on Medicare and Medicaid (Measuring Risk-Adjusted Value Using Medicare and ACS-NSQIP Is...
Findings from Washington University Provides New Data on Medicare and Medicaid. By a News Reporter-Staff News Editor at Insurance Weekly News Investigators publish new report on Medicare and Medicaid. Records for all patients undergoing colectomy procedures in the American College of Surgeons National Surgical Quality Improvement Program were...
10/24/14 - Gorman Health Group Announces Expansion Into Medicaid; Appoints New Senior Vice President to Lead Division
Gorman Health Group, LLC, the leading consulting firm and solutions provider in government health care programs, announced its further expansion into Medicaid, and the promotion of one of the nation's leading Medicaid experts, Heidi Arndt, to lead the division. As Senior Vice President of Medicaid, Heidi and her team will continue to expand their
10/24/14 - HealthMetrix Research Sees Marginal Changes in Benefit Value & Overall Performance Among 2015 Medicare Advantage Plans
HealthMetrix Research president Alan Mittermaier reports that marginal changes occurred among Medicare Advantage plans after evaluating the new 2015 plan benefits along with the recently-issued Star performance ratings from the Centers for Medicare& Medicaid Services. Among the major multi-state Medicare Advantage competitors, Humana captured...
10/24/14 - High court to hear Medicaid arguments at UA [The Arizona Daily Star, Tucson]
Oct. 24 The Arizona Supreme Court will hold oral arguments in Tucson next month on the lawsuit seeking to block the state's expansion of Medicaid. The five-justice court is holding the hearings in Tucson as part of an ongoing public education push. "Every year the justices the hold oral arguments at Arizona's three law schools," said Heather Mur
10/24/14 - Latino Health Forum Addressed Medicaid Coverage Gap, Insurance Access as Latinos Ready to Cast Votes
While many of Texas' Latinos have been able to obtain coverage through the Health Insurance Marketplace, thousands of others remain uninsured because they fall within the Medicaid coverage gapthey cannot afford traditional insurance and do not qualify for Medicaid because the state has, thus far, refused to accept federal funding to expand the pr
10/24/14 - Long-Term Care for Seniors is an Emerging Issue, Says AMAC
The Association of Mature American Citizens issued the following news release:. Long-term care is poised to become an important issue in the U.S. as the nation's population grows older, according to Dan Weber, president of the Association of Mature American Citizens. Medicare might be used to resolve the problem for those in the middle, he said, bu
10/24/14 - Medicare event helps area residents [The Portsmouth Daily Times, Ohio]
Oct. 24 If you are a Medicare beneficiary and want to learn more about Medicare and how the Medicare Annual Coordinated Election Period can work for you or you just want to stay informed and healthy and save money, mark your calendars for an upcoming Medicare Check-Up that will be held on Thursday, Nov. 6 in Portsmouth. Attending the event in Por
10/24/14 - Millennium Health to Sponsor Fraud and Abuse Presentation at Medicaid Health Plans of America's Annual Conference
Contacts: Nicole Quiroz, Millennium Health 858-217-1159
10/24/14 - NARCOG helping seniors with Medicare open enrollment [The Cullman Times, Ala.]
Oct. 23 Local senior citizens on Medicare or those who are 65 and eligible for Medicare benefits can enroll or revise their current plans with open enrollment beginning last week. The deadline to change plans or sign up for Medicare is December 7. Those on Medicare can call NARCOG at 256-355-4515 to set up a time to meet with a staff member to re
10/24/14 - NC House Speaker Thom Tillis, a US Senate candidatate and former foe of Medicaid expansion for poor, urges state to consider it [The Charlotte Observer]
Oct. 24 In last spring's Republican primary, U.S. Senate candidate Thom Tillis ran an ad touting his fight against an expanded Medicaid program. "Tillis stopped Obama's Medicaid expansion cold. "It wasn't like I had an ideological objection to expanding Medicaid," he told Time Warner Cable News. "
10/24/14 - New Dentistry Findings Reported from Boston Medical Center (Effects of Cuts in Medicaid on Dental-Related Visits and Costs at a Safety-Net Hospital)
According to news reporting from Boston, Massachusetts, by VerticalNews journalists, research stated, "We used data from Boston Medical Center, Massachusetts, to determine whether dental-related emergency department visits and costs increased when Medicaid coverage for adult dental care was reduced in July 2010.". For more information on this resea
10/24/14 - New Medicare and Medicaid Data Have Been Reported by Researchers at New York University (Can a Hip and Knee Adult Reconstruction Orthopaedic Surgeon...
New Medicare and Medicaid Data Have Been Reported by Researchers at New York University. By a News Reporter-Staff News Editor at Insurance Weekly News New research on Medicare and Medicaid is the subject of a report. Practice information from the Medical Group Management Association Cost Survey and Private practice Compensation Survey and CMS loc
10/24/14 - Plan would aid behavioral services providers [Albuquerque Journal, N.M.]
Under her proposal, contractors that provide Medicaid- paid services to those with mental illness or substance abuse problems would be notified by HSD of suspected overpayments and given a chance to refute the findings. The bill would set out what HSD must do in order to conclude that there is a "credible allegation of fraud" against a provider a
10/24/14 - Reports Outline Medicare and Medicaid Study Findings from K. DeSalvo and Colleagues (Using Medicare Data to Identify Individuals Who Are Electricity...
By a News Reporter-Staff News Editor at Insurance Weekly News Data detailed on Medicare and Medicaid have been presented. Our news editors obtained a quote from the research, "In June 2013, we piloted a first-in-the-nation emergency preparedness drill in which we used Medicare claims data to identify individuals with electricity dependent durable
10/24/14 - Statement from Ralph G. Neas, President and CEO of the Generic Pharmaceutical Association on 'The $500 Billion Medicare Slowdown'
Generic Pharmaceutical Association issued the following statement by Ralph G. Neas:. "The Health Affairs blog entry of October 21st entitled" The $500 Billion Medicare Slowdown: A Story About Part D, "confirms the central role that generic drugs have played in lowering healthcare costs in Medicare. This new analysis follows a recent report by the
10/24/14 - States Drop Pay Raises for Medicaid Doctors [Governing]
The initiative of the Affordable Care Act boosted rates for primary care doctors and some specialists to Medicare levels, which are higher than Medicaid, in hopes of boosting access to doctors as states expanded Medicaid. Doctors have long blamed low rates for lower levels of participation in Medicaid, which varies dramatically by state, from a low
10/24/14 - Support for Medicaid expansion strong among low-income adults
"In the debate over whether or not states should participate in Medicaid expansion, we rarely hear the perspectives of those people most directly impacted by policies surrounding Medicaid," said study co-author Benjamin Sommers, assistant professor of health policy and economics at HSPH. "Our survey shows that expanding Medicaid under the Affordab
10/24/14 - Survey: 9 in 10 Rural/Small Town Seniors have Convenient Access to Preferred Pharmacies in Medicare
By a News Reporter-Staff News Editor at Insurance Weekly News A new survey conducted by Hart Research Associates on behalf of the Pharmaceutical Care Management Association shows that nine in 10 seniors from urban, suburban, small town and rural areas have convenient access to preferred pharmacies in Medicare Part D. "This poll explains why seni
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