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
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?
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
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
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
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
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..
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...
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
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...
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
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
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
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
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
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. "
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
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
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
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
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
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
"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
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