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 The leading web portal for pharmacy resources, news, education and careers September 18, 2014
Pharmacy Choice - News - Medicare & Medicaid - September 18, 2014

Pharmacy News

 Medicare & Medicaid
Current Articles | 7 - 30 Days Old | 30 - 90 Days Old | Over 90 Days
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9/18/14 - 'Healthy Utah' proponents must now convince Legislature [Standard-Examiner, Ogden, Utah]
Sept. 18 OGDEN Tapping federal Medicaid expansion dollars to help insure more of Utah's most vulnerable residents seems like a no-brainer to Dr. Gary Herbert's answer to the Medicaid expansion portion of the federal Affordable Care Act, Patton told a group gathered for a Q& A session Tuesday at Ogden's nonprofit Midtown Community Health Center.
9/18/14 - Candidates aim to protect seniors' benefits [Charleston Daily Mail, W.Va.]
Sept. 18 The two candidates running to represent West Virginia in the U.S. Senate agree seniors' benefits, including retirement, should be protected. Although many seniors depend on retirement and pensions to keep them going in their later years, many more are dependent on Social Security and Medicare two programs at the forefront of partisan d
9/18/14 - Medicaid fraud conviction nets 2-month sentence [Alaska Dispatch News, Anchorage]
Sept. 18 An Anchorage man found guilty of fraudulently billing Medicaid more than $20,000 has been sentenced to two months in prison in addition to restitution and loss of the privilege to bill the federal program. Choi was also ordered to pay $67,435 in restitution, the total amount Medicaid has paid to the former personal care attendant since 2
9/18/14 - MVP Health Care discontinuing managed Medicare plans that serve 2,100 in WNY [The Buffalo News, N.Y.]
Sept. 17 MVP Health Care will no longer offer managed Medicare health insurance plans that serve about 2,100 senior citizens in Western New York and will raise the premiums on its remaining plans, in response to declining federal subsidies for the Medicare Advantage program. Members of Independent Health, BlueCross BlueShield of Western New York
9/17/14 - Ambulance Company Manager Pleads Guilty to $5.5 Million Medicare Fraud Conspiracy
The general manager of a Southern California ambulance company pleaded guilty yesterday in Los Angeles to conspiracy to commit Medicare fraud, conspiracy to obstruct a Medicare audit, and making materially false statements to law enforcement officers. According to court documents, Kingsbury was the general manager of Alpha Ambulance Inc., which...
9/17/14 - Chesapeake couple found guilty of health care fraud [The Virginian-Pilot]
Sept. 17 NORFOLK A federal court jury Tuesday found W. Wayne Perry, the owner of a home health care company, and his wife guilty on all 18 counts of health care fraud and related charges for stealing $1.3 million from Medicaid. Former employees of Perry's now-defunct company, Community Personal Care Inc., which was on Church Street, testified t
9/17/14 - Detroit-Area Doctor Admits to Providing Medically Unnecessary Chemotherapy to Patients; Hematologist-Oncologist Pleads Guilty to Fraudulent Billing, Soliciting Kickbacks and Money Laundering
A Detroit- area hematologist-oncologist pleaded guilty today for his role in a health care fraud scheme, admitting that he administered unnecessary chemotherapy to fraudulently bill the Medicare program and private insurance companies. According to court records, the scheme enabled the doctor to submit approximately $225 million in claims to Medica
9/17/14 - EDITORIAL: Medicare threats [The Hays Daily News, Kan.]
It is debatable whether such a compact would pass through the U.S. Congress, let alone receive the president's signature if necessary, but far-right Kansas legislators had little trouble making it state law. AARP and other senior groups are concerned about potential changes to Medicare, which the Legislature refused to carve out from the bill.
9/17/14 - Governors to Concentrate on Medicaid Transformation
The National Governors Association today announced that Alabama, Nevada and Washington will participate in a year-long project to examine ways to spur changes in how states pay for Medicaid and other health care services. At the forefront of those efforts are broad, statewide reforms to Medicaid programs that can serve as the catalyst for further-r
9/17/14 - Here's how to fight Medicare scams [Asbury Park Press, N.J.]
He wants seniors to check and review their Medicare statement. "Protect their Medicare number at all times from people they don't know or can't trust," said Clarkson, project director at Senior Medicare Patrol of New Jersey. For instance, maybe a X-ray was billed as a CT scan, a form of Medicare fraud called upcoding; or Medicare was billed for a
9/17/14 - Legislature to discuss Medicaid, but results aren't likely [The Virginian-Pilot]
Sept. 17 RICHMOND As a monthslong impasse over Medicaid expansion continues to fester between the Republican-controlled General Assembly and Democratic Gov. So far, the Fairfax County Republican's Virginia Health Care Independence Act is the only Medicaid expansion measure in play in the House of Delegates, where an overwhelming GOP majority ha
9/17/14 - MVP Health Care discontinuing managed Medicare plans that serve 2,100 in WNY [The Buffalo News, N.Y.]
Sept. 17 MVP Health Care will no longer offer managed Medicare health insurance plans that serve about 2,100 senior citizens in Western New York and will raise the premiums on its remaining plans, in response to declining federal subsidies for the Medicare Advantage program. Members of Independent Health, BlueCross BlueShield of Western New York
9/17/14 - MVP Health Care discontinuing some managed Medicare plans [The Buffalo News, N.Y.]
Sept. 17 MVP Health Care is discontinuing managed Medicare health insurance plans that serve about 2,100 Western New York seniors, and raising the premiums on its remaining plans, in response to declining federal subsidies for the Medicare Advantage program, the insurer announced. The Schenectady- based insurer said this week that 19,805 seniors
9/17/14 - New Report: Affordable Care Act Can Improve Families' Health and Economic Stability
WASHINGTON, Sept. 17, 2014/ PRNewswire-USNewswire/ The Aspen Institute and the National Association for State Health Policy tomorrow will release a new report calling the Affordable Care Act and the accompanying Medicaid expansion a significant opportunity to produce better health and economic stability for children and parents together.
9/17/14 - New Virginia poll: Most favor Medicaid expansion [The Virginian-Pilot]
Sept. 17 NEWPORT NEWS A solid majority of Virginia voters questioned in a new poll support expanding the Medicaid health insurance program to cover as many as 400,000 uninsured low-income Virginians. Terry McAuliffe have been at loggerheads over Medicaid expansion for months. "Most support the general idea of Medicaid expansion, but many are w
9/17/14 - ProfNet Experts Available on Domestic Violence, Medicare Fraud, Patent Litigation, More
Below are experts from the ProfNet network that are available to discuss timely issues in your coverage area. UN Report on CO2 Levels Rising What the New York State Primaries Mean for Governor Andrew Cuomo South American Children Seeking Refuge in the United States Economic Impact of the Sale of the Buffalo Bills Complaints Against Debt Collector
9/17/14 - Senior Market Sales Partners with Loyal Christian Benefit Association to Launch New Medicare Supplement Insurance Plans in 6 States
Senior Market Sales today unveiled its latest exclusive product offering Medicare Supplement insurance plans by Loyal Christian Benefit Association. Six states have approved the plans: Arizona, Kentucky, Montana, Nebraska, Pennsylvania and Rhode Island. SMS has been a leader in the Medicare Supplement market for more than 30 years and has evolve
9/16/14 - 'We need to think about people not as a collection of ailments': Michaud unveils his health care plan [Bangor Daily News, Maine]
Sept. 15 PORTLAND, Maine As part of a wide-ranging 10- point health care plan he unveiled Monday, Democratic candidate for governor Mike Michaud reiterated his support for expanding Medicaid to 70,000 uninsured Mainers and making investments in preventative health care programs. LePage, Republican lawmakers and their supporters have argued that
9/16/14 - Ambulance Company Manager Pleads Guilty in $5.5 Million Medicare Fraud Conspiracy
WASHINGTON The general manager of a Southern California ambulance company pleaded guilty yesterday in Los Angeles to conspiracy to commit Medicare fraud, conspiracy to obstruct a Medicare audit, and making materially false statements to law enforcement officers. Attorney Stephanie Yonekura of the Central District of California, Special Agent in C
9/16/14 - Ambulance Company Manager Pleads Guilty to $5.5 Million Medicare Fraud Conspiracy
The general manager of a Southern California ambulance company pleaded guilty yesterday in Los Angeles to conspiracy to commit Medicare fraud, conspiracy to obstruct a Medicare audit, and making materially false statements to law enforcement officers. According to court documents, Kingsbury was the general manager of Alpha Ambulance Inc., which...
9/16/14 - Brady Questions HHS Medicare Appeals Settlement
Washington, DC- Ways and Means Subcommittee on Health Chairman Kevin Brady wrote to Health and Human Services Secretary Sylvia Burwell regarding HHS' unilateral action to clear the backlog of Medicare appeals through a "settlement" process. In releasing the letter, Brady stated: "While the backlog of Medicare appeals is at an unacceptable high, set
9/16/14 - Broad Physician Coalition Urges Congress to Extend Medicaid Pay Parity
A letter sent to the senators applauds them for introducing the Ensuring Access to Primary Care for Women& Children Act, S. 2694, which will extend current-law payment rates under Medicaid for certain primary care and immunization services to at least the level of Medicare through 2016.. "It will ensure sufficient payment for primary care services
9/16/14 - Corporate Whistleblower Center Launches New Initiative Involving Sleep Clinic Medicare Fraud and Encourages Potential Whistleblowers to Contact Them Regarding Reward Programs
The Corporate Whistleblower Center is urging employees of sleep clinics if they have proof one of these types of medical facilities is being used to overbill Medicare, because the rewards for this type of information can really be significant. The Corporate Whistleblower Center says, "We are urging employees who work at sleep clinic, who possess
9/16/14 - Crist would consider bypassing lawmakers to expand Medicaid [Tampa Tribune, Fla.]
Sept. 15 TAMPA Charlie Crist says he believes there is "a good argument" that a Florida governor could expand the state's Medicaid program under the Affordable Care Act through an executive order, without approval by the Legislature, and he might seek to do so if he's elected governor. John Kasich of Ohio as an example of a governor who exp
9/16/14 - Detroit-Area Doctor Admits to Providing Medically Unnecessary Chemotherapy to Patients
WASHINGTON A Detroit area hematologist-oncologist pleaded guilty today for his role in a health care fraud scheme, admitting that he administered unnecessary chemotherapy to fraudulently bill the Medicare program and private insurance companies. According to court records, the scheme enabled the doctor to submit approximately $225 million in cl
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