Aug. 29 The geriatric unit at Eastern State Hospital, which houses almost 80 senior citizens with severe mental illnesses, lost its Medicaid funding a $10 million hit for fiscal year 2016 effective Wednesday. In withdrawing funding, the Centers for Medicare and Medicaid Services, or CMS, which administers Medicaid, noted that "a nursing facil
Tenders are invited for Feasibility Study of Medicaid Billing PURPOSE: This Request For Proposal is to solicit sealed proposals to establish a term contract between the Virginia Department of Health and a Contractor to study the feasibility of Medicaid billing for care coordination and other related services for Children and Youth with Special Heal
Bill Walker's administration can expand the Medicaid health care program starting next week, dismissing a request by the state Legislature to temporarily block enrollment while attorneys fully argue lawmakers' legal challenge. In a 45- minute opinion delivered from the bench, Pfiffner rejected a series of arguments by the Legislature that starting.
-The Centers for Medicare& Medicaid Services today issued 2014 quality and financial performance results showing that more Medicare Accountable Care Organizations continue to generate financial savings while improving the quality of care for Medicare beneficiaries by fostering greater collaboration between doctors, hospitals, and health care...
Aug. 29 Minneapolis- based UCare asked a Ramsey County judge Friday to install the HMO as an option next year in parts of the state where county boards have indicated a preference for the health plan. Mark Dayton announced the results of competitive bidding that would drop UCare for most with coverage through the Medicaid and MinnesotaCare public
Researchers for Atlantic Information Services, Inc.' s Medicare-Medicaid Dual Eligibles Database have added comprehensive information on two new duals programs: Rhode Island Integrated Care Initiative, the newest CMS-backed alignment demonstration approved for a December 2015 launch; and Idaho's partnership to revamp Blue Cross of Idaho's D-SNP.
A federal jury in Los Angeles late yesterday convicted the former owner, operator and managers of a Southern California ambulance company of health care fraud charges in connection with a Medicare fraud scheme of at least $2.4 million. Proshak owned and operated ProMed Medical Transportation, an ambulance transportation company in the greater Los A
By a News Reporter-Staff News Editor at Insurance Weekly News Beacon Health Options, the nation's premier behavioral health management company, announced that it began managing behavioral health care and substance use disorder services for West Virginia Family Health Medicaid members in 53 counties throughout the Mountain State.
Aug. 28 An Anchorage trial court judge Friday rejected a request for an injunction by the Alaska Legislature and said Gov. Bill Walker's administration could begin expansion of the public Medicaid health-care program as planned Sept. 1, unless the Supreme Court steps in before then. The ruling was not a final opinion on whether Walker's move to e
Bill Walker from unilaterally expanding the public Medicaid health-care program. The ruling will approve or deny a request by the Legislature to temporarily bar Medicaid expansion, Pfiffner said; it will not be a ruling on the underlying legal question of whether Walker's executive power allows him to use federal money to expand the Medicaid progra
WASHINGTON, Aug. 28 The Department of Health and Human Services published the following notice in the Federal Register from the Centers for Medicare& Medicaid Services:. A Notice by the Centers for Medicare& Medicaid Services on 08/28/2015. Centers for Medicare& Medicaid Services.
Preet Bharara, the United States Attorney for the Southern District of New York, announced today that OSCAR HUACHILLO, the former owner and operator of multiple HIV/AIDS clinics in New York City, was sentenced today in Manhattan federal court to 87 months in prison for orchestrating a scheme to defraud Medicare out of more than $31 million; he was
Bill Walker from unilaterally expanding the public Medicaid health care program. Bill Walker from unilaterally expanding the public Medicaid health-care program. The ruling, Pfiffner said, will approve or deny the Legislature's request to temporarily bar Medicaid expansion while legal questions are fully argued.
A federal jury in Miami late yesterday convicted the former medical director of, and three therapists employed by, a now-defunct health care provider of conspiracy to commit health care fraud and related charges for their roles in a scheme to fraudulently bill Medicare and Florida Medicaid more than $63 million. Attorney Wifredo A. Ferrer of the So
SUMMARY: This notice solicits nominations for up to seven new members to the Advisory Panel on Hospital Outpatient Payment. The purpose of the Panel is to advise the Secretary of the Department of Health and Human Services and the Administrator of the Centers for Medicare& Medicaid Services on the clinical integrity of the Ambulatory Payment Classi
New Medicare and Medicaid Findings from University of California Discussed. By a News Reporter-Staff News Editor at Insurance Weekly News Data detailed on Medicare and Medicaid have been presented. Our news journalists obtained a quote from the research from the University of California, "We estimated the potential impact of 3 Medicare provider-f
New Medicare and Medicaid Findings Has Been Reported by Investigators at University of Iowa. By a News Reporter-Staff News Editor at Insurance Weekly News New research on Medicare and Medicaid is the subject of a report. According to news reporting originating in Iowa City, Iowa, by VerticalNews journalists, research stated, "To examine the recei
By a News Reporter-Staff News Editor at Insurance Weekly News A new study on Medicare and Medicaid is now available. According to news reporting originating in San Francisco, California, by VerticalNews journalists, research stated, "As the number of beneficiaries in the Medicaid program grows under the Affordable Care Act, with over half of the
New Medicare and Medicaid Study Findings Recently Were Reported by Y.S. Kim and Co-Researchers. By a News Reporter-Staff News Editor at Insurance Weekly News Current study results on Medicare and Medicaid have been published. These facilities are reimbursed by Medicare under a prospective payment system with a short-stay outlier policy, which res
Aug. 28 Only in Miami: A local doctor was sentenced to four years in prison on Thursday for providing millions of dollars in medical services to U.S. expatriates at a clinic in Nicaragua all fraudulently billed to the taxpayer-funded Medicare program. Using phony Miami- area addresses, more than 1,000 expatriate patients were illegally and pe
Robert Bentley's effort to cut off Medicaid payments to the organization's Alabama clinics. It accuses Bentley of violating a federal law that they said requires Medicaid patients to have their choice of provider to receive family planning care. Bentley earlier this month announced he was moving to terminate Medicaid provider agreements with Planne
Robert Bentley Friday, saying his recent decision to to cancel Medicaid contracts with the organization violated federal law. "Governor Bentley is trying to dictate where a woman can go for contraception and other preventive care if she's enrolled in Medicaid," the statement said. " Bentley canceled Medicaid contracts with Planned Parenthood on Au
By a News Reporter-Staff News Editor at Insurance Weekly News Cost of radiation therapy among Medicare patients varied most widely because of factors unrelated to a patient or that person's cancer, report University of California, San Diego School of Medicine researchers in the Journal of Oncology Practice. "We found that variability in Medicare
Reports from Boston Medical Center Describe Recent Advances in Medicare and Medicaid. By a News Reporter-Staff News Editor at Insurance Weekly News Investigators publish new report on Medicare and Medicaid. We investigated the intended impact of the program by examining changes in thirty-day readmissions among Medicare patients admitted for three