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 The leading web portal for pharmacy resources, news, education and careers August 19, 2018
Pharmacy Choice - News - Medicare & Medicaid - August 19, 2018

Pharmacy News

 Medicare & Medicaid
Current Articles | 7 - 30 Days Old | 30 - 90 Days Old | Over 90 Days
Articles(s): 1 - 25 of 123     Next >>     Go To Page:

8/18/18 - Back-to-school time: Get health insurance through state program
Many families have no co-pay or small one of $15 to $20 a month, based family size and income, and a full-pay option is available for families who do not qualify for subsidized coverage. The four insurance plans are Medicaid, MediKids, Healthy Kids and Children's Medical Services. The Florida Healthy Kids Corp. markets the programs.
8/18/18 - Medical equipment provider pays $5.25M penalty for Medicare fraud [Governance, Risk & Compliance Monitor Worldwide]
The agreement was announced Thursday by U.S. Attorney Steven D. Weinhoeft of the Southern District of Illinois. Florida- based Lincare Inc. is one of the nation`s largest providers of oxygen and other respiratory therapy services at home, and has about 1,000 locations across the United States. The Office of Inspector General will continue to aggres
8/18/18 - Prince George's County Social Worker Pleads Guilty
Maryland Attorney General Brian E. Frosh issued the following news release:. Maryland Attorney General Brian E. Frosh announced today that Shavon Jones, 42, of Clinton, pleaded guilty to one count of felony Medicaid Fraud for submitting claims that caused the Maryland Medical Assistance Program to reimburse Jones approximately $18,000 for services
8/18/18 - Prince William County hires for Medicaid expansion surge
Prince William County will be hiring new employees to field a potential surge in new Medicaid applications starting in January due to the General Assembly's expansion of the program. Federal efforts to expand Medicaid rolls in Virginia under Obamacare met resistance among Republican state legislative leaders until 2017 elections gave Democrats more
8/18/18 - Red Bud Pharmacy Owner and Pharmacist Pleads Guilty to Healthcare Fraud [AlArabiya.net (United Arab Emirates)]
Steven P. Gibson, 29, pharmacist and owner of Gibsons Discount Drugs in Red Bud, Illinois, pled guilty in federal court today to charges that he engaged in a scheme to defraud health care benefit programs by submitting false claims for fraudulent prescription medications to Medicare, Medicaid, and private insurance companies that were not authorize
8/18/18 - The Bailey Family Sentenced to a Total of 249 Months in Federal Prison for Defrauding Medicare, Medicaid and Tricare
The U.S. Attorney for the Western District of Tennessee, D. Michael Dunavant, issued the following news release:. U.S. Attorney D. Michael Dunavant for the Western District of Tennessee announced the sentences today. Their son, Bryan Bailey, 39, of Milan, Tenn., was convicted of conspiracy and wire fraud.
8/18/18 - Welfare-to-work programs work
First, the good news: Kentucky's unemployment rate is among the lowest ever. Then, bad news: Kentucky's unemployment rate is among the lowest ever. The Trump administration agrees and in January made Kentucky's Medicaid waiver request the first approved in the nation.
8/17/18 - Bach proposes CAR T payment options for CMS
In a perspectives piece in the New England Journal of Medicine, Peter Bach recommended several different payment options that CMS could employ under its National Coverage Determination for CAR Ts, including the use of a single Medicare code for the therapies and coverage with evidence development. Bach considers various payment scenarios for the tw
8/17/18 - DOJ, HHS continue war on Medicare fraud with formation of new regional fraud strike force [Governance, Risk & Compliance Monitor Worldwide]
The new force, which will be known as the Newark/ Philadelphia Regional Medicare Fraud Strike Force, is a joint law enforcement effort combining the resources and expertise of the Health Care Fraud Unit in the Criminal Division`s Fraud Section, the U.S. Attorney`s Offices for the District of New Jersey and the Eastern District of Pennsylvania, as w
8/17/18 - Federal Law Enforcement Cracking Down On Medicare Fraud In Region [Governance, Risk & Compliance Monitor Worldwide]
The U.S. Attorney offices for the District of New Jersey and the Eastern District of Pennsylvania will lead the enforcement effort along with the FBI, U.S. Department of Health and Human Services Office of the Inspector General, and Drug Enforcement Administration. The group is being called the Newark/ Philadelphia Regional Medicare Fraud Strike Fo
8/17/18 - Federal Register Extracts
Agency: " Centers for Medicare& Medicaid Services, HHS." SUMMARY: Under the Medicare Shared Savings Program, providers of services and suppliers that participate in an Accountable Care Organization continue to receive traditional Medicare fee-for-service payments under Parts A and B, but the ACO may be eligible to receive a shared savings payment i
8/17/18 - FY2018 CNH MEDICARE Solicitation Amendment 2 - Change Black Hills to MEDICARE Solicitation
Location: Department of Veterans Affairs, Minneapolis VAMC, Department of Veterans Affairs Medical Center. Classification Code: Q- Medical services. Subject: FY2018 CNH MEDICARE Solicitation Amendment 2- Change Black Hills to MEDICARE Solicitation.
8/17/18 - Health and Human Services Department (HHS); Centers for Medicare & Medicaid Services (CMS) (F.R. Page 19785) - Meeting
EVENT: Health and Human Services Department; Centers for Medicare& Medicaid Services holds a meeting of the Advisory Panel on Hospital Outpatient Payment, August 20-21. AGENDA: Agenda includes: Addressing whether procedures within an Advanced Primary Care group are similar both clinically and in terms of resource use; Evaluating APC group structure
8/17/18 - Henry County Resident Indicted, Charged With Health Care Fraud
Attorney General Andy Beshear and his Office of Medicaid Fraud and Abuse today announced the indictment of a Henry County woman on health care fraud involving her son's care. Kelley Foree, 40, of Turners Station, has been charged with one count of devising or engaging in a scheme to defraud the Kentucky Medical Assistance Program of $300 or more, a
8/17/18 - Latest restrictions on Obamacare could mean higher premiums in Arizona
"Putting the specifics of the risk adjustment program aside, the bigger challenge continues to be the stream of ongoing changes to the ACA," said Blue Cross Blue Shield of Arizona President and CEO Pam Kehaly in an emailed statement. The Centers for Medicare and Medicaid Services, or CMS, announced on July 7 that it had little choice but to suspend
8/17/18 - Medical equipment provider pays $5.25M penalty for Medicare fraud [St. Louis Post-Dispatch]
The agreement was announced Thursday by U.S. Attorney Steven D. Weinhoeft of the Southern District of Illinois. Florida- based Lincare Inc. is one of the nation's largest providers of oxygen and other respiratory therapy services at home, and has about 1,000 locations across the United States. "The Office of Inspector General will continue to aggr
8/17/18 - Medicare and Medicaid Program; Application From DNV GLHealthcare (DNV GL) for Continued Approval of Its Hospital Accreditation Program
Agency: " Centers for Medicare& Medicaid Services, HHS." SUMMARY: This final notice announces our decision to approve the DNV GL Healthcare for continued recognition as a national accrediting organization for hospitals that wish to participate in the Medicare or Medicaid programs. This decision is effective August 17, 2018 through September 26, 2
8/17/18 - Medicare Program; Hospital Inpatient Prospective Payment Systems for Acute Care Hospitals and the Long-Term Care Hospital Prospective Payment System and Policy Changes and Fiscal Year 2019 Rates; Quality Reporting Requirements for Specific Providers;
CFR Part: "42 CFR Parts 412, 413, 424, and 495". RIN Number: "RIN 0938- AT27". Agency: " Centers for Medicare& Medicaid Services, HHS."
8/17/18 - MI Hospital System Pays $84.5M to Resolve Healthcare Fraud Claims [Governance, Risk & Compliance Monitor Worldwide]
Other recent healthcare fraud cases included a doctor receiving prison time for a $30 million Medicare fraud scheme and a health system settling false claims allegations with $65 million. The federal government accused William Beaumont Hospital of engaging in improper relationships with eight referring physicians, which lead to the submission of fa
8/17/18 - Pharmacy middlemen charge Ohio Medicaid 31 percent mark up for generics [Dayton Daily News, Ohio]
Aug. 16 Pharmacy middlemen charged Ohio Medicaid plans 31 percent more for generic prescriptions than the amount they paid pharmacists for the drugs. The difference was revealed Tuesday in a report by the Ohio Auditor, which examined how the middlemen, called pharmacy benefit managers, privately manage $2.5 billion on behalf of Ohio Medicaid.
8/17/18 - Presbyterian gets 85K United patients in Medicaid shift [The Santa Fe New Mexican]
Aug. 17 Presbyterian Health Plan is taking on some 85,000 Medicaid patients in New Mexico from another insurance carrier, UnitedHealthcare, the Presbyterian president said Thursday. Starting Sept. 1, United clients of Centennial Care 2.0, the state Medicaid program, will be served instead by Presbyterian, said Presbyterian Health Plan President B
8/17/18 - Red Bud Pharmacist Pleads Guilty to Fraud [Governance, Risk & Compliance Monitor Worldwide]
A pharmacist and drug store owner in Red Bud admits to defrauding the government and private insurers. The U.S. attorney says 29- year-old Steven Gibson- owner of Gibson`s Discount Drugs- pleaded guilty to a scheme to defraud health care benefit programs by submitting false claims for prescription medications to Medicare, Medicaid, and private insu
8/17/18 - Red Bud pharmacist pleads guilty to fraud charges [Governance, Risk & Compliance Monitor Worldwide]
Steven P. Gibson, 29, pharmacist and owner of Gibsons Discount Drugs in Red Bud, pleaded guilty in federal court Aug. 14 to charges he engaged in a scheme to defraud health care benefit programs by submitting false claims for fraudulent prescription medications to Medicare, Medicaid and private insurance companies. Gibson faces up to 10 years in pr
8/17/18 - Report questions if taxpayers getting value with CVS deal
A state audit of Ohio's Medicaid prescription drug business says there's not nearly enough transparency for state officials to know whether taxpayers are getting their money's worth from the $2.5 billion annual expenditure. The report, produced by the office of Auditor Dave Yost at the request of state lawmakers, was made public Thursday morning at
8/17/18 - Texas Tightens Disclosure Rules Following Medicaid Investigation
A Medicaid committee in Texas is requiring those who comment at its meetings to disclose more details about their ties to pharmaceutical companies following a Center for Public Integrity and NPR investigation into the drug industry's influence on such boards. Already, officials in Arizona, Colorado and New York have taken action. The Texas committe
Articles(s): 1 - 25 of 123     Next >>     Go To Page:


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