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 The leading web portal for pharmacy resources, news, education and careers September 22, 2018
Pharmacy Choice - News - Medicare & Medicaid - September 22, 2018

Pharmacy News

 Medicare & Medicaid
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9/22/18 - DHHS Provides More Ways to Avoid Disruption of NC Medicaid Services During Hurricane Florence Recovery
The North Carolina Department of Health and Human Services issued the following news release:. Today, the North Carolina Department of Health and Human Services announced additional flexibilities to expand its efforts to ensure Medicaid and NC Health Choice services can be quickly delivered to those impacted by Hurricane Florence. In addition,...
9/22/18 - EDITORIAL: WTE offers thumbs up 9-22-18 [Wyoming Tribune-Eagle, Cheyenne]
Sept. 22 UP to staff at the Wyoming Attorney General's Office, the state Medicare program and Wyoming AARP for proactively working to educate seniors about the new Medicare ID cards currently arriving in their mailboxes. The new cards feature a randomly assigned 11- digit identification code in place of the cardholder's Social Security number, wh
9/22/18 - Fact check: Rep. Mike Bishop's TV ad makes claim about Elissa Slotkin [Detroit Free Press]
Sept. 22 WASHINGTON U.S. Rep. Mike Bishop, R- Rochester, aired a TV ad Friday claiming his Democratic opponent, Elissa Slotkin, supports a plan that would bankrupt Medicare, the health care plan for seniors. While many Democrats have voiced support for the so-called Medicare for All, which is shorthand for a program proposed in 2017 by U.S. Sen
9/22/18 - Former pain management clinic owner pleads guilty to $51.5K healthcare fraud scheme [Governance, Risk & Compliance Monitor Worldwide]
Jayam Krishna Iyer, MD, 66, pleaded guilty to one count of healthcare fraud Sept. 18, according to the U.S. Attorney`s Office for the Middle District of Florida. 1. Dr. Iyer owned and operated Clearwater, Fla.- based Creative Medical Center, a pain management clinic. 2. Dr. Iyer is accused of falsely billing Medicare for face-to-face visits with pa
9/22/18 - Groups: Medicare discounts threatened in opioids bill Groups say Medicare discounts threatened in opioids bill
Republicans said Friday nothing has been decided in behind-the-scenes discussions. Details of the potential Medicare component were shifting, but basically it would partially roll back a 70 percent discount that Congress recently required drugmakers to provide to seniors in Medicare's "doughnut hole" coverage gap. "AARP strongly opposes... attempt
9/22/18 - Justice Department Files Statement of Interest in New Asbestos Trust Proposal [Agence Maghreb Arabe Presse]
The Department of Justice today filed a Statement of Interest in In re Kaiser Gypsum Co. in the United States Bankruptcy Court for the Western District of North Carolina. In addition, the United States and all who depend on Medicare are harmed when Medicare is not reimbursed for treatment costs that have been paid by trust funds. With todays Statem
9/22/18 - Medicaid expansion is bad for Nebraska
The Nebraska Supreme Court dismissed the lawsuit against the Medicaid expansion ballot initiative last week. The petition collected enough signatures, so the question will go on this November's ballot. Medicaid expansion is a very bad idea for Nebraska.
9/22/18 - New Medicare cards aim to reduce fraud, identity theft [The Arizona Daily Star, Tucson]
"The cards will no longer have a person's Social Security number to protect an individual's identity and to prevent fraud," said Akahane during a news conference in Mayor Jonathan Rothschild's office at City Hall downtown. Cortesi said people should be on the lookout for scammers who will call your home or be out at community events and say they ar
9/22/18 - Rep. Cummings Presses for HHS and CMS Subpoena for Withheld Docs On Decision to Scrub Medicare Website
Elijah Cummings, D- Maryland, ranking Democratic member of the House Oversight and Government Reform Committee, issued the following news release:. Elijah E. Cummings, the Ranking Member of the House Committee on Oversight and Government Reform, sent a letter to Chairman Trey Gowdy requesting that he issue a subpoena to compel the Department of Hea
9/22/18 - Rep. MacArthur Introduces Bill on Medicare Hospital Wage Index Imputed Rural Floor
Tom MacArthur, R- N.J., has introduced legislation to amend title XVIII of the Social Security Act "to codify and permanently extend the Medicare hospital wage index imputed rural floor." Donald W. Norcross, D- N.J., Bill Pascrell Jr., D- N.J., Frank A. LoBiondo, R- N.J., Donald M. Payne Jr., D- N.J., Leonard Lance, R- N.J., Rodney P. Frelinghuysen
9/22/18 - Sen. Johnson Presses for Better Information About State Medicaid 'Maximization' Schemes
Ron Johnson, R- Wisconsin, chairman of the Senate Homeland Security and Governmental Affairs Committee, issued the following news release:. Ron Johnson, chairman of the Senate Committee on Homeland Security and Governmental Affairs, today sent letters to the Centers for Medicare and Medicaid Services and the U.S. Government Accountability Office se
9/22/18 - Sens. Cardin, Stabenow, Paul Urge the Administration to Take Action to Improve Medicare Coverage of Oral, Dental Health
Benjamin Cardin, D- Maryland, issued the following news release:. U.S. Senators Ben Cardin, Debbie Stabenow and Rand Paul, as well as 25 of their colleagues, called on the Department of Health and Human Services to take action to improve Medicare coverage of medically necessary oral and dental treatment. U.S. Senators Chris Van Hollen, Bill Nelson,
9/22/18 - The Great Colorado Roll Back: Walker Stapleton Tries to Hide His Plan to Roll Back Medicaid Expansion
The Democratic Governors Association issued the following news:. This week, Walker Stapleton stumbled his way through a simple yes or no question when asked whether he would roll back Colorado's Medicaid expansion, refusing to come clean with Colorado families about his plans to cut coverage. This would cause hundreds of thousands of Coloradans to
9/22/18 - Two ways to get your Medicare
At a family reunion, my Aunt Abby and Uncle Glen got into a squabble over the best way to get their Medicare benefits. Uncle Glen is an Original Medicare man, and has been for a decade or so. Medicare open enrollment season runs from Oct. 15 to Dec. 7, and it's a good idea to know how the two types of Medicare work before you select one.
9/22/18 - We're asking the wrong question about Medicare for all
With Democrats becoming increasingly ambitious in their policy goals, Republicans believe they have a killer answer to any new proposal: How are you going to pay for it? Nowhere can we see this more clearly than on the idea of universal health coverage, usually shorthanded as "Medicare for all," which is fast becoming consensus among Democrats.
9/21/18 - 5,000 Medicare patients shut out from Austin Regional Clinic [Austin American-Statesman]
Sept. 21 A contract dispute between Austin Regional Clinic and UnitedHealthcare has left an estimated 5,000 Medicare patients without access to their physicians, according to clinic officials. Patients who are enrolled in UnitedHealthcare's Medicare Advantage plan were notified through mail by the insurance company last week that Austin Regional.
9/21/18 - Alabama hospitals launch campaign for Medicaid expansion [Montgomery Advertiser, Ala.]
Sept. 21 Once focused on health, advocates of Medicaid expansion in Alabama will try wealth. The Alabama Hospital Association has launched a campaign touting the potential economic benefits of expansion, which could extend health insurance to tens and possibly hundreds of thousands of working people in Alabama. Medicaid in Alabama currently cover
9/21/18 - American Health Quality Associations (AHQA) QIN-QIOs are Pivotal in Reducing Costs for Medicare and Improving Health Quality, 2017 CMS Progress Report Reveals [Syrian Arab News Agency]
-In a report released earlier this month, 2017 QIO Program Progress Report, the Centers for Medicare& Medicaid Services revealed Quality Improvement Networks-Quality Improvement Organizations to be the most effective Boots on the Ground in the ongoing efforts to reduce costs for Medicare and improve health quality for millions of Medicare beneficia
9/21/18 - CDPHP Hits High Quality Home Run in NCQA Ratings
We don t know how to do it any other way, said John D. Bennett, MD, president and CEO, CDPHP. These ratings are direct reflection of a daily commitment to our members and serve as an important tool for consumers shopping for health care coverage this fall, added Bennett. NCQA rates plans on a scale of 1 to 5, where 5 is the highest scor
9/21/18 - Ed Henry 'awash in sea of paper' in Medicare fraud prosecution [The Decatur Daily, Ala.]
Ed Henry's lawyer is "awash in a sea of paper" after prosecutors in the Hartselle representative's Medicare fraud case produced more than 80,000 documents, and he's asking the federal judge to intervene. "If I spent one minute looking at each one, it would take me 1,333 hours," said Birmingham lawyer Max Pulliam. "The government should not be per
9/21/18 - EDITORIAL: Medicaid expansion's money in Alabama [The Anniston Star, Ala.]
Sept. 21 Thus far, Alabama lawmakers haven't expanded Medicaid in our state because of political fecklessness and an astonishing streak of financial ignorance. The latest effort to change the minds of the Republican-controlled Legislature comes from the Alabama Hospital Association, which Thursday unveiled a campaign promoting the economic benefi
9/21/18 - EDITORIAL: Evidence mounts that Medicaid work requirements don't achieve savings, boost employment [Star Tribune (Minneapolis)]
Sept. 21 Minnesotans, beware of health policy zombies in 2019. Those are key takeaways of new reports published this month by respected outlets the National Bureau of Economic Research and a Journal of the American Medical Association publication. States such as Minnesota, which have weighed work requirements, and the 11 other states taking ser
9/21/18 - Free, educational Medicare event set for next week
Capstone Rural Health Center, the Middle Alabama Area Agency on Aging and the Walker County District Attorney's Office have teamed up for the first time to host the seminar, which will be held at Jasper Civic Center from 10 a.m. to 2 p.m.. The keynote speaker will be Walker County District Attorney Bill Adair. Rhonda Hunter with the Center for Medi
9/21/18 - Good next steps Editorial: Good next steps on Virginia's Medicaid expansion
Ralph Northam, with support from groups representing Virginia's hospitals, which will benefit from higher reimbursement for providing Medicaid services. Long-term Medicaid costs remain a serious risk for government budgets across the country, including Virginia's. That's why federal regulators should also approve Virginia's reforms that place work,
9/21/18 - Groups say Medicare discounts threatened in opioid bill
WASHINGTON Consumer and health care groups say they're trying to block the pharmaceutical industry from commandeering opioid legislation and using it to roll back drugmaker discounts to Medicare beneficiaries with high prescription costs.
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