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 The leading web portal for pharmacy resources, news, education and careers November 24, 2017
Pharmacy Choice - News - Medicare & Medicaid - November 24, 2017

Pharmacy News

 Medicare & Medicaid
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11/17/17 - 2 million eligible for Medicaid in N.C. NC's Medicaid-eligible population exceeds 2 million
North Carolina has surpassed the 2 million threshold on enrollees for Medicaid services, state health officials said Tuesday. The enrollment was at 2.01 million as of Oct. 1, up 18,553 since June 30 and up 65,000 from a year ago, N.C. Department of Health and Human Services officials told legislators at a joint healthcare oversight meeting. A study
11/17/17 - Arizona Supreme Court Upholds Medicaid Expansion in Blow to GOP Challenge
Insurance for more than 400,000 Arizonans hinged on a provision in the state Constitution related to raising taxes. But GOP lawmakers argued that because the expansion required Arizona hospitals to pay into an account designed to finance the expansion, it was tantamount to a tax. And because a 1992 provision of Arizona's Constitution requires any n
11/17/17 - County to extend deadline for retirees considering Medicare supplement insurance
Also, New Castle County will hold a Medicare supplement insurance information session on Monday, November 20 from 5:30 7:00 p.m. at the County's William J. Conner Building, 187 A Old Churchmans Road, New Castle. During the session, representatives from Aetna will be on-hand to meet with attendees to answer questions about the Aetna Medicare Advanta
11/17/17 - GOP tax plan could raise seniors' health costs, take away healthcare from 13 million Americans, & trigger $25 billion in cuts to Medicare in 2018
CRANSTON, RI Today, U.S. Senators Jack Reed and Sheldon Whitehouse held a press conference in Cranston with senior advocates from LeadingAge RI to warn that the Republican tax plan will victimize seniors, retirees on fixed incomes, and people with high medical bills. During the event, the senators outlined the negative impacts the Trump tax plan
11/17/17 - HHS IG Issues Advisory Opinion on Medicare Supplemental Health Insurance
The U.S. Department of Health& Human Services' Office of Inspector General issued the following advisory opinion:. We are writing in response to your request for an advisory opinion regarding the use of a "preferred hospital" network as part of Medicare Supplemental Health Insurance policies, whereby an insurance company would indirectly contract w
11/17/17 - OHA director details another $112 million in possible Medicaid errors
SALEM Oregon may have erroneously paid, allocated, inaccurately recorded or over-claimed $112.4 million in health care funds, according to a letter Oregon Health Authority Director Pat Allen sent to Oregon Gov. Kate Brown Friday. That figure is on top of the state s estimated overpayment of $74 million to coordinated care organizations, or CC
11/17/17 - Rep. Carson Introduces Bill on Social Security Disability, Medicaid Benefits
Andre Carson, D- Ind., has introduced legislation to "ensure prompt access to Supplemental Security Income, Social Security disability, and Medicaid benefits for persons released from certain public institutions." Andre Carson in Washington at 2135 Rayburn House Office Building, Washington, DC 20515; 202/ 225-4011; or in the district office at 300
11/17/17 - Report: North Carolina owes feds $41 million due to Medicaid errors
A new report from the U.S. Department of Health and Human Services states that North Carolina owes the federal government $41 million. According to the Raleigh News& Observer, an error by state workers in charge of processing Medicaid claims led to an estimated $63 million in improper Medicaid payments. The DHHS report states that North Carolina di
11/17/17 - Southern District of Georgia Announces Participation in National Health Care Fraud Takedown
The U.S. Attorney for the Southern District of Georgia issued the following news release:. The Department of Justice's nationwide enforcement actions were led and coordinated by the Criminal Division, Fraud Section's Health Care Fraud Unit in conjunction with its Medicare Fraud Strike Force partners, a partnership between the Criminal Division, U.S
11/17/17 - State-by-State Premium Increases, Coverage Losses, Medicare Cuts Under Senate Republican Tax Bill
A new analysis from the Center for American Progress shows that a typical middle-class family buying insurance on their own would see premiums increase by $1,990 in 2019 under the Senate Republican tax bill. CAP predicts that families would be hit hardest in states with higher premium levels: For example, premiums would increase $2,900 in Alaska, $
11/16/17 - Area Doctors Group Proves That High-Quality Healthcare Can be Delivered at Lower Costs Saved $8 Million in Medicare Costs in 2016
Doctors Accountable Care Organization is nearing the end of its third year in the Medicare Shared Savings Program and has successfully reduced healthcare costs while improving the quality of care given to Medicare patients in Georgia, Ohio, and Indiana. In November, the 80+ physicians that make up Doctors ACO will each receive an average of $10,0
11/16/17 - BBB Warning: Beware Medicare and ACA Scams During Open Enrollment
Open enrollment is now going on for both Medicare and the Affordable Care Act. ABOUT BBB: For more than 100 years, the Better Business Bureau has been helping people find businesses, brands and charities they can trust. The Council of Better Business Bureaus is the umbrella organization for the local, independent BBBs in the United States, Canada a
Contact: Jenny Donohue/ Rachel Petri 202-224-3978. WASHINGTON, D.C.- U.S. Senator Sherrod Brown voted against so-called tax legislation in the Senate Finance Committee tonight that would actually dismantle the Affordable Care Act and force cuts to Medicare. The Congressional Budget Office confirmed this week that the Senate bill would:.
11/16/17 - Community Oncology Alliance: Medicare Sequester Budget Gimmicks Threaten Community Cancer Care
Sequester cuts to Medicare payments are a destructive and shortsighted budget gimmick that hurt cancer patients and ironically fuel the federal deficit " Ted Okon, executive director of COA WASHINGTON, DISTRICT OF COLUMBIA, UNITED STATES, November 16, 2017/ The Community Oncology Alliance is warning Congress that a new, increa
11/16/17 - Deliberations on funding CHIP could impact local kids
Children's Health Insurance Program, or CHIP, helps to cover medical and dental bills for children whose parents' incomes are too high for Medicaid and too low for private or employer-based health insurance. Despite support from Republicans and Democrats, Congress on Oct. 1 allowed authorization for CHIP to lapse. "It is a really scary thought to
11/16/17 - Federal Register Extracts
SUMMARY: The Medicare Access and CHIP Reauthorization Act of 2015 established the Quality Payment Program for eligible clinicians. Effective date: These provisions of this final rule with comment period and interim final rule with comment period are effective on January 1, 2018. Comment date: To be assured consideration, comments must be received a
11/16/17 - GOP Tax Bill Would Trigger Devastating Cut to Medicare
The National Committee to Preserve Social Security and Medicare issued the following news release:. Because the GOP tax plan blows a hole in the deficit, it would trigger automatic budget cuts under the little-known "PAYGO law"- including a $25 billion reduction in Medicare spending for the current fiscal year. On behalf of the millions of members
11/16/17 - HHS Seeks Support for Centers for Medicare, Medicaid Services in Maryland
The U.S. Department of Health and Human Services has issued a sources sought notice for support to Centers for Medicare and Medicaid Services in administration of the Consumer Assessment of Healthcare Providers and Systems. Response Date: Dec. 1, 2017; Classification Code: R- Professional, administrative, and management support services; NAICS Code
11/16/17 - IID-Medicare Open Enrollment: Choosing the Part D Drug Plan Best for You
The Iowa Insurance Division's Senior Health Insurance Information Program is reminding Iowans of the Medicare Open Enrollment period which is currently underway and ends December 7. 'It's important for Iowans eligible for Medicare to carefully review their options each year,' Iowa Insurance Commissioner Doug Ommen said.' There is still time during
11/16/17 - kancare 2.0 medicaid And chip capitated managed care [ - Tenders (India)]
kancare 2.0 medicaid And chip capitated managed care more info: Location: UNITED STATES BidDate: 12/ 1/ 2017 Tender Country: UNITED STATES Tender Type: Tenders Tendering Authority: STATE OF KANSAS Tendering Authority Address: aubrey l waters department of administration procurement and contracts 900 sw jackson suite 451- south topeka ks 66612-1286
11/16/17 - Landmark Health and Ceresti Health Announce an Innovative Program Focused on Enhancing Care for Patients with Dementia
HUNTINGTON BEACH, Calif. and CARLSBAD, Calif., Nov. 16, 2017/ PRNewswire-USNewswire/ Landmark Health and its subsidiaries, specializing in home-based medical care, and Ceresti Health, a company utilizing digital solutions to enhance personalized patient engagement, today announced the successful completion of patient enrollment in a controlled st
Consumers will learn about them during a session in Montclair this month. With Medicare Open Enrollment ongoing through Dec. 7, the State Health Insurance assistance Program, or SHIP, is providing free and confidential help during several upcoming sessions in the municipalities, Jewish Family Services of MetroWest announced. On Friday, Nov. 17, SHI
11/16/17 - Legislation would authorize federal government to fund care at in-patient facilities through Medicaid
The President's Commission on Combating Drug Addiction and the Opioid Crisis recently released a report that expresses support for a bill introduced by U.S. Representatives Brian Fitzpatrick, R- Pa., and Stephanie Murphy, D- Fla. The bill, called the Road to Recovery Act, would repeal a federal lawcalled the "IMD exclusion" and authorize Medica
11/16/17 - Legislature urged to extend expanded Medicaid program [The New Hampshire Union Leader, Manchester]
After more than a year of deliberation, the commission to evaluate the future of Medicaid expansion in New Hampshire issued its final report on Wednesday, calling for the program to be continued for at least another five years but with major changes. Sharon Carson, R- Londonderry, expressed some reservations. New Hampshire was one of 32 states th
11/16/17 - Louisiana Corporate Whistleblower Center Is Urging a Nursing Home Employee in Louisiana With Proof Their Facility is Short Staffed or Billing Medicare For Needless Care to Call About Rewards
WASHINGTON, DC, USA, November 16, 2017/ The Louisiana Corporate Whistleblower Center is urging an employee of a nursing home anywhere in Louisiana to all them anytime at 866-714-6466 if they possess documented proof their employer is billing Medicare as if the facility is fully staffed when the nursing home is short staffed with
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