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 The leading web portal for pharmacy resources, news, education and careers July 29, 2016
Pharmacy Choice - News - Medicare & Medicaid - July 29, 2016

Pharmacy News

 Medicare & Medicaid
Current Articles | 7 - 30 Days Old | 30 - 90 Days Old | Over 90 Days
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7/28/16 - Anthem earnings, dissected [LifeHealthPro]
Anthem, the holder of Blue Cross licenses, Blue Shield licenses or both in 14 states, is reporting $781 million in net income for the latest quarter on $21 billion in revenue, compared with $859 million in net income on $20 billion in revenue for the second quarter of 2015.. Medicaid enrollment grew 9.9 percent, to 6.3 million, and national account
7/28/16 - Combined Insurance Marks Anniversary of Medicare Law
Combined Insurance, a leading provider of individual supplemental accident, disability, health, and life insurance products, and a Chubb company, is encouraging seniors to mark the 51 st anniversary of this historic date by taking time out to determine if they are prepared to face an unexpected illness or injury with Medicare alone. Medicare benefi
7/28/16 - ConcertoHealth and Molina Healthcare Expand Partnership to Serve Dual-Eligible Medicare/Medicaid Members in Greater Detroit Area
ConcertoHealth and Molina Healthcare today announced a partnership to deliver ConcertoHealth's personalized healthcare experience to Molina Healthcare's dual-eligible Medicare/ Medicaid members in the Greater Detroit area. ConcertoHealth has extensive experience caring for Medicare, Medicaid and complex medical needs patients.
Parkinson s Support Group: Parkinson s Support Group will meet Wednesday, Aug. 3 at 10:30 a.m. Kimberly Arouth, BSN, from Greater Medford VNA will be leading the group. Planning for Medicare: On Tuesday, Aug. 2 at 1 p.m., seniors are invited to attend Planning for Medicare Countdown to 65, a comprehensive seminar that helps peo
7/28/16 - EDITORIAL: Fleecing of Medicare (and taxpayers) must stop [Walla Walla Union-Bulletin, Wash.]
July 27 Medicare is a great program that's saved millions of lives and kept millions from being financially ruined by medical costs. It appears U.S. taxpayers are being fleeced by Big Pharma as drugmakers are taking advantage of a well-intended change in the Medicare program aimed at protecting older people with multiple chronic conditions from t
7/28/16 - eHealth, Inc. Announces Second Quarter 2016 Results
Scott Flanders, chief executive officer of eHealth, stated, "We are pleased with strong growth in our Medicare business during the quarter, and our ability to run our individual and family health insurance business for profitability despite the turbulent market environment. As the new chief executive officer, I recently initiated a strategic review
7/28/16 - Former mental health providers take fight over Medicaid funds to lawmakers [The Santa Fe New Mexican]
"Three years after the fact, and we are still plodding through this," Shannon Freedle, who was an executive with the now-defunct Teambuilders Counseling Services in Santa Fe, told lawmakers on the Health and Human Services Committee during a hearing in Albuquerque. Along with Freedle, executives of the Santa Fe- based Easter Seals El Mirador and Al
7/28/16 - Husband laid off, will Medicare pay for medical care overseas for contract worker?
My question for you is about whether he should apply for Medicare and since he will live outside of the United States, can he receive Medicare coverage in the various oil related countries overseas where he will be living and traveling on a daily basis. How does Medicare pay if he is receiving care while he is working overseas? Yes, your husband sh
7/28/16 - Iowa's Medicaid switch won't be deterred, Branstad maintains [The Gazette, Cedar Rapids, Iowa]
Terry Branstad fired back Wednesday at critics of the state's decision to contract with three managed care organizations to oversee Iowa's $5 billion Medicaid program for more than 560,000 recipients a change that has played to mixed reviews since the April 1 implementation. It's managed care for Medicaid. "The Democrats don't like it and the De
7/28/16 - Is Medicaid killing state universities?
Surprisingly Medicaid, the government health insurance program for low income and disabled Americans, may be responsible, as a 2005 study from the Brookings Institution argued. Fifty years ago, seven state universities were in the top twenty of the U.S. News and World Report annual college rankings. Between 1985 and 2003, Medicaid increased from 8%
7/28/16 - Medical marijuana cuts down overdose deaths in other states [Dayton Daily News, Ohio]
July 28 The debate preceding the legalization of medical marijuana in Ohio focused primarily on its risks, but a number of recent studies indicate the benefits of marijuana treatment could mean the difference between life and death in some instances, and even help control Medicare spending. In the 17 states and District of Columbia that had medic
7/28/16 - Medicare cuts wrong prescription for Americans with rheumatoid arthritis
After learning they have the disease, many patients head to their local Infusion Center for treatment, as many of the best medicines for RA are delivered via IV. But if Medicare officials in Washington proceed with a new plan to cut Medicare funding, many of these centers will close or be forced to turn away patients who need these advanced treatme
7/28/16 - Medicare Program; Request for an Exception to the Prohibition on Expansion of Facility Capacity Under the Hospital Ownership and Rural Provider...
SUMMARY: The Social Security Act prohibits a physician-owned hospital from expanding its facility capacity, unless the Secretary of the Department of Health and Human Services grants the hospital's request for an exception to that prohibition after considering input on the hospital's request from individuals and entities in the community where the.
7/28/16 - NCI Wins $76M CMS Program Integrity Task Order
NCI, Inc., a leading provider of information technology and professional services and solutions to U.S. Federal Government agencies, announced today that its wholly-owned subsidiary AdvanceMed has been awarded the first task order under the $2.5 billion Centers for Medicare and Medicaid Services indefinite-delivery, indefinite-quantity Unified...
7/28/16 - NCI's Unit Wins $76 Million CMS Program Integrity Task Contract
NCI, Inc. revealed Thursday that its fully-owned unit, AdvanceMed, has been granted the first task order under the $2.5 billion Centers for Medicare and Medicaid Services indefinite-delivery, indefinite-quantity Unified Program Integrity Contractor contract. The company stated the contract would enable it perform fraud, waste and abuse detection an
7/28/16 - Robbins Arroyo LLP Is Investigating the Officers and Directors of American Renal Associates Holdings, Inc. (ARA) on Behalf of Shareholders
SAN DIEGO& BEVERLY, Mass. Shareholder rights law firm Robbins Arroyo LLP is investigating whether certain officers and directors of American Renal Associates, Inc. violated applicable laws by causing the company to engage in health insurance fraud. ARA specifically targeted Medicaid- and Medicare- eligible patients to convince them to drop or r
7/28/16 - Texas attorney general took gift while investigating medical imaging company [Daily Star, The (Lebanon)]
Texas Attorney General Ken Paxton, who is under indictment on felony charges of duping investors in a tech startup, accepted $100,000 for his criminal defense from the head of a medical imaging provider while his office investigated the company for Medicaid fraud. Dallas- based Preferred Imaging LLC settled a $3.5 million whistleblower lawsuit in a
7/28/16 - TONI KING: Will Medicare pay for overseas care as a contract worker?
My question for you is about whether he should apply for Medicare and since he will live outside of the United States, can he receive Medicare coverage in the various oil related countries overseas where he will be living and traveling on a daily basis. How does Medicare pay if he is receiving care while he is working overseas? Yes? your husband
7/28/16 - UPDATE athenahealth Announces Industry's First MIPS Guarantee
athenahealth, Inc., a leading provider of cloud-based services and mobile applications for medical groups and health systems, today announced its Merit-Based Incentive Payment System Guarantee, which aims to shield healthcare providers and practices from downward payment adjustments under the proposed Medicare reimbursement program of the same na
7/28/16 - UPMC, others to pay government $2.5 million in Medicare billing case [The Pittsburgh Tribune-Review]
July 27 UPMC and three related entities have agreed to pay the United States $2.5 million to partly settle a 2012 lawsuit claiming they deliberately overbilled federal health insurance programs for surgeries, the U.S. Attorney's Office said Wednesday. The settled claims contend that UPMC billed Medicare for neurosurgeons it claimed assisted or...
7/28/16 - Vizient, Inc. Statement on Centers for Medicare and Medicaid Services Release of Overall Hospital Star Ratings
Vizient, Inc. concurs with statements made by hospitals and industry associations regarding the release of the Centers for Medicare and Medicaid Services Overall Hospital Star Ratings. More specifically, after an analysis of the April and July Star Rating preview reports provided by member hospitals and health systems, Vizient identified the follow
7/28/16 - Why Expand Social Security Now? Medicare Costs Taking Bigger Share Of Social Security Benefits Says New Survey From The Senior Citizens League
Medicare costs are taking an increasing share of the Social Security benefits of retirees far more quickly than experts predict, according to a new survey from The Senior Citizens League. Forty-one percent of survey participants said they spent more than one-third of their Social Security benefits on Medicare premiums and out-of-pocket healthcare c
7/27/16 - Anthem Reports Second Quarter 2016 Results
Anthem, Inc. today announced that second quarter 2016 net income was $780.6 million, or $2.91 per share. Membership: Medical enrollment totaled approximately 39.8 million members at June 30, 2016, an increase of approximately 1.2 million members, or 3.2 percent, from 38.5 million at June 30, 2015. Enrollment also grew by 572 thousand in the Medicai
7/27/16 - Catasys Expands Rollout of OnTrak-H Solution in Florida with Leading National Health Insurance Provider
Catasys, Inc., a provider of proprietary data, predictive analytics, and modeling based behavioral health management services for health plans, announced today that it has extended its On Trak?- H solution in Florida to Medicare Advantage members with one of the nation's leading health plans. "We are excited to now provide our On Trak- H solut
7/27/16 - Danbury Physician and Mental Health Practice Pay $36,000 to Settle False Claims Act Allegations
The government alleges that DR. FRY and CPC ASSOCIATES submitted improper claims to Medicare for psychiatric services that were provided over the phone to certain Medicare beneficiaries, instead of by meeting with the beneficiaries in the office and treating them in person. However, the patients treated over the phone by DR. FRY and CPC ASSOCIATES
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