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

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 Medicare & Medicaid
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12/18/14 - BRIEF: Lake Geneva woman charged with Medicaid fraud [The Janesville Gazette, Wis.]
Dec. 17 MADISON A Lake Geneva woman has been charged with three counts of medical assistance fraud, according to a news release Wednesday from state Attorney General J.B. Van Hollen. Registered nurse Linda J. Turner, a certified Wisconsin Medicaid provider, is accused of billing 873 hours and receiving about $28,538 for services not rendered, a
12/18/14 - Ebola hysteria or terminating Medicare: Which PolitiFact Lie of the Year is the biggest whopper? [The Oregonian, Portland, Ore.]
2014: Fox News and GOP talking heads' "Ebola hysteria". Almost all of the false claims were made in October in the run-up to the mid-term election that put both houses of Congress in Republican control. 2013: President Barack Obama and other Democrats' insistence that "If you like your health care plan, you can keep it.
12/18/14 - EDITORIAL: Don't wait for health insurance [The Santa Fe New Mexican]
"You don't have to do it alone," says state health exchange CEO Amy Dowd. Whether people who need to buy insurance want to go online, make a phone call or drop by a consumer walk-in center in Albuquerque, there are experts to help. The enrollment assistants also can help people sign up for Medicaid, which insures lower-income Americans.
12/18/14 - EDITORIAL: Say yes, already [News & Record, Greensboro, N.C.]
Dec. 18 One of the best policy decisions North Carolina can make in 2015 is to expand Medicaid coverage. By refusing to expand Medicaid eligibility, North Carolina passed up $2.7 billion in federal funding this year. One hundred percent federal funding was offered through 2016. That would decrease to 95 percent in 2017 and 90 percent in 2020 and
12/18/14 - Lawmakers ready to look at Haslam Medicaid plan [Chattanooga Times Free Press, Tenn.]
But the governor readily acknowledges some party compatriots will resist his proposal for the two-year pilot project he says breaks new ground in Medicaid programs. It seeks to use federal Medicaid expansion dollars under the Affordable Care Act to extend health coverage to as many as 200,000 people, but Haslam says the plan carries a distinct Tenn
12/18/14 - Medicaid expansion could mean more jobs, health coverage for Lee County [The Sanford Herald, N.C.]
Dec. 18 GREENSBORO A new study contracted by a Greensboro nonprofit found the expansion of Medicaid in North Carolina by 2016 could lead to more than 300 jobs and health coverage for more than 3,000 people in Lee County by 2020.. The Cone Health Foundation worked with the George Washington University Milken Institute School of Public Health, Wa
12/18/14 - Memphis forum highlights health crisis, rallies for Medicaid expansion [The Commercial Appeal, Memphis, Tenn.]
Dec. 17 A well-timed community health forum on Wednesday provided an information-packed opportunity for business and health care executives in Greater Memphis to rally around a Medicaid expansion plan unveiled earlier this week by Tennessee's governor. If approved by the Legislature early next year, the program would use Medicaid expansion dollar
12/18/14 - Sen. Hatch's role in Medicare Part D and small pharmacies [Deseret News (UT)]
The Medicare Part D prescription drug benefit is truly a revolutionary government program. But much of that progress could be undone if the government does not take swift action to restore real competition and consumer choice to the Medicare prescription-drug program. The law allows, but does not compel, Medicare to completely set aside those small
12/18/14 - The Medicare Payment Advisory Commission (MedPac) - Meeting
EVENT: The Medicare Payment Advisory Commission holds a meeting, December 18-19. 9:15 a.m.: Session on "The Medicare Advantage program: status report. LOCATION: Ronald Reagan Building and International Trade Center, 1300 Pennsylvania Avenue NW, Horizon Ballroom, Washington, D.C..
12/17/14 - Arkansas' model Medicaid experiment in jeopardy
LITTLE ROCK, Ark. Arkansas became the first southern state to expand its Medicaid program in a way that many Republicans found acceptable. The state bought private insurance for low-income people instead of adding them to the rolls of the Medicaid system, which GOP lawmakers considered bloated and inefficient. Now Arkansas could be on the brink
12/17/14 - Blessing Hospital Meets Stage 2 Meaningful Use Criteria With Infor
Infor, a leading provider of business application software serving more than 73,000 customers, today announced Blessing Hospital's success with the Infor Cloverleaf Integration Suite, Infor's enterprise-caliber integration platform, and 15- year anniversary using the application. Blessing Hospital, located in Quincy, Ill., serves a 15- county area.
12/17/14 - BRIEF: Medicaid fraud alleged in Lake Geneva case [The Wisconsin State Journal]
Dec. 17 A private registered nurse in Lake Geneva has been accused of collecting Medicaid for services that were not provided, according to a state Department of Justice report from its Medicaid Fraud and Elder Abuse units. Linda J. Turner, a certified state Wisconsin Medicaid provider of private duty nurse services since 1995, was charged with t
12/17/14 - EDITORIAL: A GOP push to expand Medicaid [The Charlotte Observer]
And the Republican-led legislature he works with has opposed the Affordable Care Act's Medicaid expansion in the past. Haslam has been negotiating with the Obama administration for months to craft a Tennessee- specific Medicaid expansion proposal. It includes some co-pays and some premiums not typically required under Medicaid.
12/17/14 - EDITORIAL: Congress should look into rising cost of drugs [Albuquerque Journal, N.M.]
Dec. 17 ALBUQUERQUE, N.M. When one in three New Mexicans is on Medicaid, the government health insurance program for the poor and disabled, it's important to try to contain costs for the two in three New Mexicans who are helping pay for it. And with Medicaid, that goes for the patients as well as the taxpayers who subsidize their care. New Mexi
12/17/14 - EDITORIAL: In Tennessee, let's call ACA 'Finallycare' [Chattanooga Times Free Press, Tenn.]
Bill Haslam and his administration have negotiated a Tennessee version of Medicaid expansion under the Affordable Care Act that will help Tennessee's working poor and uninsured people while also using Tennessee- paid federal taxes to pay for that care meaning that it will not cost the state any additional money, the governor said here Tuesday.
12/17/14 - Haslam announces Insure Tennessee plan for uninsured [The Lebanon Democrat, Tenn.]
"We made the decision in Tennessee nearly two years ago not to expand traditional Medicaid," Haslam said. "This is an alternative approach that forges a different path and is a unique Tennessee solution. "Our approach is responsible and reasonable, and I truly believe that it can be a catalyst to fundamentally changing health care in Tennessee.
12/17/14 - Lawmakers press ahead on Medicaid expansion [Wyoming Tribune-Eagle, Cheyenne]
The Joint Labor, Health and Social Services Interim Committee voted to endorse a bill that allows the state to expand its Medicaid program. Instead, it is modeled after a Medicaid program in Indiana that requires newly eligible Medicaid recipients to pay a small portion of their income into a fund that works similarly to a health savings account.
12/17/14 - Lawmakers ready to look at Haslam Medicaid plan [Chattanooga Times Free Press, Tenn.]
But the governor readily acknowledges some party compatriots will resist his proposal for the two-year pilot project he says breaks new ground in Medicaid programs. It seeks to use federal Medicaid expansion dollars under the Affordable Care Act to extend health coverage to as many as 200,000 people, but Haslam says the plan carries a distinct Tenn
12/17/14 - Mastermind of $56 Million Medicare Fraud Scheme and Doctor Plead Guilty
WASHINGTON The organizer of a $56 million Medicare fraud conspiracy and an accomplice physician pleaded guilty today in federal court in Louisiana to health care fraud charges. Attorney Kenneth A. Polite of the Eastern District of Louisiana, Special Agent in Charge Michael Anderson of the FBI's New Orleans Field Office, Special Agent in Charge Mi
12/17/14 - Memphis forum highlights health crisis, rallies for Medicaid expansion [The Commercial Appeal, Memphis, Tenn.]
Dec. 17 A well-timed community health forum on Wednesday provided an information-packed opportunity for business and health care executives in Greater Memphis to rally around a Medicaid expansion plan unveiled earlier this week by Tennessee's governor. If approved by the Legislature early next year, the program would use Medicaid expansion dollar
12/17/14 - Pullman dentist charged with fraud [Moscow-Pullman Daily News, Moscow, Idaho]
Dec. 17 A Pullman dentist is facing four counts of Medicaid fraud for allegedly billing the government for dental work never performed. Alfred M. Fairbanks, 69, of Pullman appeared at a pretrial motion hearing Tuesday in Latah County District Court, where six of the 10 charges stemming from allegations he had fraudulently claimed dental work for
12/17/14 - The Medicare Payment Advisory Commission (MedPac) - Meeting
EVENT: The Medicare Payment Advisory Commission holds a meeting, December 18-19. 9 a.m.: Session on "Assessing payment adequacy and updating payments: hospital inpatient and outpatient services". LOCATION: Ronald Reagan Building and International Trade Center, 1300 Pennsylvania Avenue NW, Horizon Ballroom, Washington, D.C..
12/17/14 - Two Charged in Conspiracy to Defraud the United States of More Than $10 Million
United States Attorney Andrew M. Luger today announced the indictment of THURLEE BELFREY, 48, and ROYLEE BELFREY, 48, for conspiracy to defraud the United States and healthcare fraud. A significant portion of their revenue came from Medicaid. "When individuals steal from government agencies like Medicaid, they are effectively taking money from us
12/16/14 - Exploding health care costs a drain on economic resources [Deseret News (UT)]
Has the monster of exploding health costs finally been slain? After five years of slow spending growth, it's tempting to think so. Recently, the Centers for Medicare and Medicaid Services reported that from 2009 to 2013, annual increases in health spending averaged only 3.9 percent- well below historical experience.
12/16/14 - Haslam announces Medicaid expansion plan [The Daily Herald, Columbia, Tenn.]
Bill Haslam unveiled a two-year pilot program Monday that will expand Medicaid statewide after reaching a deal with federal officials. "We made the decision in Tennessee nearly two years ago not to expand traditional Medicaid," Haslam said. States were given the option to expand Medicaid programs as part of the federal Affordable Healthcare Act, b
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