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 The leading web portal for pharmacy resources, news, education and careers August 23, 2014
Pharmacy Choice - News - Medicare & Medicaid - August 23, 2014

Pharmacy News

 Medicare & Medicaid
Current Articles | 7 - 30 Days Old | 30 - 90 Days Old | Over 90 Days
Articles(s): 1 - 25 of 72     Next >>     Go To Page:

8/22/14 - Investigators at Novartis Animal Health Discuss Findings in Medicare and Medicaid (How Does Drug Coverage Vary by Insurance Type? Analysis of Drug...
Investigators at Novartis Animal Health Discuss Findings in Medicare and Medicaid. By a News Reporter-Staff News Editor at Insurance Weekly News Fresh data on Medicare and Medicaid are presented in a new report. Compared with commercial plans, there were more on-patent drugs reimbursed with a low copay in employer plans, union plans, and with pha
8/22/14 - Medicare supplemental plans [TendersInfo (India)]
Invitation to Bid: Medicare supplemental plans c, f, g The City of Gainesville is requesting bids from qualified providers for Medicare Supplemental Plans C, F and G. The City of Gainesville is located in Alachua County, Florida, and is seeking bids for Medicare Supplemental Plans. Proposers must provide costs on the enclosed price proposal form fo
8/22/14 - New Medicare and Medicaid Findings Has Been Reported by Investigators at Harvard University (Assessing the Chiral Switch: Approval and Use of...
New Medicare and Medicaid Findings Has Been Reported by Investigators at Harvard University. By a News Reporter-Staff News Editor at Insurance Weekly News Investigators publish new report on Medicare and Medicaid. According to news reporting out of Boston, Massachusetts, by VerticalNews editors, research stated, "A' chiral switch' occurs in the..
8/22/14 - Reports from Eli Lilly Highlight Recent Findings in Alzheimer Disease (Using US Medicare records to evaluate the indirect health effects on spouses:...
The news reporters obtained a quote from the research from Eli Lilly, "We initially identified all beneficiaries in the 2001-2005 Medicare 5% sample who had multiple claims listing the ICD-9 diagnostic code for AD, 331.0. The 5% sample includes spouses who share a Medicare account with their marital partners because they lack a sufficient work hist
8/22/14 - Researchers at University of Arizona Release New Data on Medicare and Medicaid (The Transition to ICD-10-CM: Challenges for Pediatric Practice)
By a News Reporter-Staff News Editor at Insurance Weekly News Researchers detail new data in Medicare and Medicaid. The convoluted and high-cost diagnostic codes were analyzed for accuracy and categorized into' information loss,'' overlapping categories,'' inconsistent,' and' consistent.' Finally, reimbursement by Medicaid was calculated for each
8/22/14 - Researchers from University of California Detail Findings in Schizophrenia (Do Strict Formularies Replicate Failure for Patients With Schizophrenia?)
By a News Reporter-Staff News Editor at Insurance Weekly News New research on Schizophrenia is the subject of a report. According to news originating from Los Angeles, California, by VerticalNews correspondents, research stated, "We measure the impact of Medicaid formulary restrictions on the rate at which patients who previously failed a drug th
8/22/14 - Scott Brown warns seniors of Obamacare Medicare cuts [The New Hampshire Union Leader, Manchester :: ]
Aug. 22 MANCHESTER Republican Senate candidate Scott Brown on Thursday touted his votes for Romneycare, the Massachusetts health care plan adopted under former Gov. In remarks to about 10 seniors, Brown said he shouldn't be speaking about what he did as a state senator in Massachusetts, but the Massachusetts health plan he voted for in 2006 add
8/22/14 - State Expects To Get Delayed $250 Million In Medicaid Reimbursement Soon [The Hartford Courant :: ]
Aug. 22 HARTFORD After the federal government deferred a Medicaid reimbursement request of $250 million, state officials say they have addressed concerns and are optimistic that in the coming weeks Connecticut will receive the "lion's share" of what it is owed. Connecticut is one of seven states and the District of Colombia that opted into an e
8/22/14 - SummaCare given extension to submit plan for Medicare fixes [The Akron Beacon Journal :: ]
Aug. 22 SummaCare Inc. has been given more time by the federal government to explain its plans to correct problems with its Medicare managed-care plans. CMS last week suspended all new enrollment and marketing for SummaCare's Medicare managed-care plans because of "multiple, serious violations." SummaCare is Summit County's largest Medicare manag
8/22/14 - Superior HealthPlan to be First Texas Medicaid Plan to Reward Clinicians for Excellence in Diabetes Care
By a News Reporter-Staff News Editor at Insurance Weekly News To improve care for Texans with diabetes, Superior HealthPlan is partnering with the non-profit Health Care Incentives Improvement Institute's Bridges to Excellence program. Superior HealthPlan provides health care for more than 900,000 Texans enrolled in Medicaid, CHIP, Medicare and t
8/21/14 - 19 things to know about Medicare Advantage [LifeHealthPro]
Medicare Advantage permits contracts between the Centers for Medicare& Medicaid Services and a variety of different private managed care and fee-for-service entities. Most Medicare beneficiaries may choose to receive benefits either through the original Medicare fee-for-service program. A Medicare HMO is a type of managed care plan that provides to
8/21/14 - AG Gansler: Harford County Pharmacy Co-Workers Plead Guilty to Defrauding Medicaid and Medicare Prescription refill scheme swindled health care programs of at least $2.5 mil
Baltimore, MD Attorney General Douglas F. Gansler, joined by multiple federal law enforcement officials, today announced that Vipinkumar Patel, 30, of Edgewood, and Jigar Patel, 28, of Columbia, have pleaded guilty in U.S. District Court for the District of Maryland to making false statements in connection with a scheme to defraud Medicaid and Me
8/21/14 - Centers for Medicare & Medicaid Services Announces Advisory Panel on Outreach and Education Meeting
WASHINGTON, Aug. 21 The U.S. Department of Health and Human Services published the following notice in the Federal Register from the Centers for Medicare& Medicaid Services:. Health Insurance Marketplace, Medicare, Medicaid, and Children's Health Insurance Programs; Meeting of the Advisory Panel on Outreach and Education, September 12, 2014.
8/21/14 - EDITORIAL: Failure to expand Medicaid taking a big toll [The Fayetteville Observer, N.C. :: ]
The nonpartisan institutions studied the cost of this state's refusal to expand Medicaid through the Affordable Care Act and found we will lose $51 billion in federal money and thousands of jobs in the next decade. The study confirms the experiences of hospitals and health-care providers since McCrory and the General Assembly walked away from a Med
8/21/14 - Florida children gain Medicaid without state signing onto expansion [The Palm Beach Post, Fla. :: ]
Aug. 21 WASHINGTON More than 100,000 Florida children gained access to Medicaid this year under new, broader standards, even though state leaders declined to expand the health insurance program for the poor. Florida could legally refuse to expand the health insurance program to its adult residents after the U.S. Supreme Court put the question o
8/21/14 - Majority of Americans Support Action to Prevent Cuts to Medicare Home Health [Health & Beauty Close - Up]
Partnership for Quality Home Healthcare said the poll also found that a majority of Americans are more likely to support a lawmaker who takes action to prevent recent Medicare home health cuts. -81.5 percent of respondents think lawmakers in Congress should take action to prevent harm to American seniors and home health professionals that will resu
8/21/14 - Medicaid Program CoventryCares Changes Its Name [Health & Beauty Close - Up]
CoventryCares of Nebraska said that it is changing its name to Aetna Better Health of Nebraska, effective August 25. CoventryCares of Nebraska has been serving Nebraskans since 2010. In that time, it has consistently achieved better than industry ratings for its health plan, the care it coordinates for Nebraskans and the communication of physicians
8/21/14 - Michigan Home Health Agency Owner Pleads Guilty to Participating in $22 Million Medicare Fraud Scheme
According to information contained in plea documents, Muhammad Aamir, 43, of Bloomfield Hills, Michigan, admitted that, beginning in 2008 and continuing through January 2013, he conspired with others to bill Medicare for home health care services that were not actually rendered, not medically necessary, and procured through paying illegal kickbacks
8/21/14 - Modification/Amendment - Part A/B Medicare Administrative Contractor, Jurisdiction M
Location: Department of Health and Human Services, Centers for Medicare& Medicaid Services, Office of Acquisition and Grants Management. Classification Code: G- Social services. Subject: Part A/B Medicare Administrative Contractor, Jurisdiction M.
8/21/14 - SI-BONE, Inc. Announces Positive Coverage Decision by Priority Health
SI-BONE, Inc., a medical device company that pioneered the use of the iFuse Implant System, a minimally invasive surgical device indicated for fusion of the sacroiliac joint, announced that Priority Health published an update to its Lumbar Fusion Medical Policy No. 91590- R4 providing positive coverage for SI-BONE's MIS SI joint fusion procedu
8/21/14 - Westlake Cardiologist Indicted for Overbilling Medicare and Others of $7.2 Million for Unnecessary Procedures
Northern District of Ohio 622-3600. A 16- count indictment was unsealed in federal court charging a Westlake cardiologist with performing unnecessary catheterizations, tests, stent insertions and causing unnecessary coronary artery bypass surgeries as part of a scheme to overbill Medicare and other insurers by $7.2 million, law enforcement official
8/20/14 - A.G. Schneiderman Announces $2.2 Million Settlement With New Rochelle Nursing Home For Fraudulent Billings
Under the agreements, Ralex Services, Inc., doing business as Glen Island Center for Nursing and Rehabilitation, and its owner, Leah Friedman, will return $2.2 million to Medicaid, a program jointly funded by the state and federal governments. "Safeguarding public health care dollars is of critical concern, and my office will investigateand pros
8/20/14 - A.G. Schneiderman Announces Arrest of Home Health Care Worker Facing Felony Charges of Medicaid Theft
Attorney General Eric T. Schneiderman today announced that his office has filed felony charges against Alicia Santiago, a home health care aide from Rochester, who allegedly submitted phony time sheets to Innovative Care, LLC, which, relying on Santiago's false time sheets, billed Medicaid for work Santiago had not performed. "There has to be one
8/20/14 - AG Gansler: Harford County Pharmacy Co-Workers Plead Guilty to Defrauding Medicaid and Medicare
The Maryland Attorney General issued the following news release:. Attorney General Douglas F. Gansler, joined by multiple federal law enforcement officials, today announced that Vipinkumar Patel, 30, of Edgewood, and Jigar Patel, 28, of Columbia, have pleaded guilty in U.S. District Court for the District of Maryland to making false statements in c
8/20/14 - Corporate Whistleblower Center Urges MD's with Proof a Hospital or Healthcare Facility Is Upcoding Their Medicare Bills to Call Them about Rewards and a Recent Settlement
The Corporate Whistleblower Center believes upcoding of Medicare bills is a gigantic national problem that spans all sectors of healthcare in the United States. They are convinced that hospitals, nursing homes, medical practice groups, imaging centers, hospice providers, skilled nursing facilities, and rehab centers are involved in upcoding of Medi
Articles(s): 1 - 25 of 72     Next >>     Go To Page:


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