Medicaid News and Research

RSS

Medicaid is the United States health program for eligible individuals and families with low incomes and resources. It is a means-tested program that is jointly funded by the states and federal government, and is managed by the states.

Florida health agency will use voice recognition to crack down on health fraud

The Associated Press/Miami Herald: Florida health officials announced they will "begin using voice recognition technology to verify whether patients in Miami-Dade County are actually receiving home health care services the state is being billed for."

7 May 2010

IASIS Healthcare second-quarter net revenue up 7.9% to $624.5 million

IASIS Healthcare® LLC today announced financial and operating results for the fiscal second quarter and six months ended March 31, 2010.

7 May 2010

Doctors seeing patients in groups

The Denver Post: "Jeff Wilson saw a doctor recently about his high cholesterol — and five other patients with the same problem came to his appointment. It was a 'group visit,' a growing trend in health care that allows doctors to reach more patients and patients to get more face time with their physician, even if they have to share it."

7 May 2010

Gentiva Health Services first-quarter total net revenues up 7.5% to $297.1 million

Gentiva Health Services, Inc., a leading provider of home health and hospice services, today reported first quarter 2010 results.

6 May 2010

Biovail reports 27% increase in first-quarter 2010 total revenues

Biovail Corporation today announced its financial results for the three-month period ended March 31, 2010.

6 May 2010

PTNS performed using Urgent PC Neuromodulation System to receive category 1 CPT reimbursement code

Uroplasty, Inc., a medical device company that develops, manufactures and markets innovative proprietary products to treat voiding dysfunctions, announced today that it has been informed that percutaneous tibial nerve stimulation (PTNS), the procedure performed using the Uroplasty Urgent PC Neuromodulation System, will receive a category 1 CPT reimbursement code. This is expected to occur when those codes are published by the Centers for Medicare and Medicaid Services, which is expected in October 2010.

6 May 2010

MRO releases software upgrades for Audit Tracker Online

MRO Corp., a leading provider of disclosure management applications and services for healthcare organizations, today announced the launch of software upgrades for Audit Tracker Online. The upgrades to MRO's request management program offer hospitals and health systems enhanced performance and functionality in effectively managing payer audits and denials from initial medical records request through appeals and payment resolution.

6 May 2010

Round-up: Minnesota budget news; Coverage expansions in S.D. and Oregon; and states' opposition to federal health reform

The Minnesota House passed a bill on health care Tuesday that readies the state for implementing the federal health care overhaul and makes $170 million in cuts to mental health and other social programs, The (St. Paul, Minn.) Pioneer Press reports. Gov. Tim Pawlenty has promised to veto the bill over what he sees as a tax increase.

6 May 2010

Three more people plead guilty in Onward durable medical equipment Medicare fraud scheme

Houston-area residents Basil Kalu and Ju-Ying Qian, and Louisiana resident Darnell Willis pleaded guilty today in connection with their roles in a durable medical equipment Medicare fraud scheme, the Departments of Justice and Health and Human Services (HHS) announced.

6 May 2010

Premier healthcare alliance to host series of Healthcare Reform Executive Briefings

To prepare healthcare providers for the strategic implications of reform and the tools needed for future success, the Premier healthcare alliance will host a series of Healthcare Reform Executive Briefings.

6 May 2010

Urgent changes needed to ‘prep’ doctors to care for aging America

Leading physician policy experts are calling for changes in medical education policy at multiple levels to ensure that doctors are prepared to treat the country's aging adult population.

6 May 2010

States face Medicaid losses, low-income patients struggle to find lasting health care sources

"Until now, stimulus money spared governors and state lawmakers from making some of the most brutal budget cuts. But with this lifeline running out, officials are looking at making significant cutbacks to public services, particularly schools and health programs.

6 May 2010

WWP applauds President Obama for signing new law to care for wounded warriors

Wounded Warrior Project applauds President Obama for signing into law a measure that, for the first time, will ensure that families of veterans severely wounded in Iraq and Afghanistan receive comprehensive, coordinated financial and other support that will enable them to provide these warriors with needed home-care.

6 May 2010

Experts propose policy solutions to help the U.S. prepare for increasing number of geriatric patients

Leading physician policy experts are calling for changes in medical education policy at multiple levels to ensure that doctors are prepared to treat the country's aging adult population.

6 May 2010

Watson Laboratories files raloxifene hydrochloride tablet ANDA

Watson Pharmaceuticals, Inc. today confirmed that its subsidiary, Watson Laboratories, Inc. filed an Abbreviated New Drug Application (ANDA) with the U.S. Food and Drug Administration (FDA) seeking approval to market a raloxifene hydrochloride tablet. Watson's raloxifene hydrochloride tablet is a generic version of Eli Lilly's EVISTA®.

6 May 2010

Triple-S Management first-quarter total consolidated operating revenues increase 9.8% to $519.1 million

Triple-S Management Corporation, the largest managed care company in Puerto Rico, today announced consolidated operating revenues of $519.1 million and operating income of $16.4 million for the three months ended March 31, 2010. Net income of $11.2 million, or $0.38 per diluted share, includes an after tax net gain of $0.4 million, or $0.01 per share, in net realized and unrealized gains on investments and derivatives.

5 May 2010

WellCare reports GAAP net income of $6.4 million for first-quarter 2010

WellCare Health Plans, Inc. today reported results for the first quarter ended March 31, 2010. As determined under generally accepted accounting principles, the Company reported net income of $6.4 million, or $0.15 per diluted share, compared with a net loss of $36.9 million, or $0.89 per diluted share, for the prior year period. Adjusted net income for the first quarter of 2010 was $7.4 million, or $0.17 per diluted share, as compared with $12.3 million, or $0.29 per diluted share, for the same period in 2009.

5 May 2010

Pay-for-performance may create unintended financial incentives for doctors to discriminate against obese patients

Pay-for-performance reimbursement models may create unintended financial incentives for doctors to discriminate against obese patients, measuring a patient's waist circumference may be more effective in predicting surgical outcomes than the more traditional body mass index measure, and childhood obesity doubles the risk of developing colon cancer, according to data being presented at Digestive Disease Week- 2010.

5 May 2010

Pfizer's first-quarter 2010 revenues increase 54% to $16.8 billion

Pfizer Inc. today reported financial results for first-quarter 2010. Since the acquisition of Wyeth was completed on October 15, 2009, legacy Wyeth operations are reflected in first-quarter 2010 results, but not in first-quarter 2009 results. First-quarter 2010 revenues were $16.8 billion, an increase of 54% compared with $10.9 billion in the year-ago quarter.

5 May 2010

Health Net reports net earnings of $16.1M in 2010 first quarter

Health Net, Inc. today announced 2010 first quarter GAAP net income of $16.1 million, or $0.16 per diluted share, compared with $22.0 million, or $0.21 per diluted share, for the first quarter of 2009.

5 May 2010

Medicaid News and Research

Florida health agency will use voice recognition to crack down on health fraud

IASIS Healthcare second-quarter net revenue up 7.9% to $624.5 million

Doctors seeing patients in groups

Gentiva Health Services first-quarter total net revenues up 7.5% to $297.1 million

Biovail reports 27% increase in first-quarter 2010 total revenues

PTNS performed using Urgent PC Neuromodulation System to receive category 1 CPT reimbursement code

MRO releases software upgrades for Audit Tracker Online

Round-up: Minnesota budget news; Coverage expansions in S.D. and Oregon; and states' opposition to federal health reform

Three more people plead guilty in Onward durable medical equipment Medicare fraud scheme

Premier healthcare alliance to host series of Healthcare Reform Executive Briefings

Urgent changes needed to ‘prep’ doctors to care for aging America

States face Medicaid losses, low-income patients struggle to find lasting health care sources

WWP applauds President Obama for signing new law to care for wounded warriors

Experts propose policy solutions to help the U.S. prepare for increasing number of geriatric patients

Watson Laboratories files raloxifene hydrochloride tablet ANDA

Triple-S Management first-quarter total consolidated operating revenues increase 9.8% to $519.1 million

WellCare reports GAAP net income of $6.4 million for first-quarter 2010

Pay-for-performance may create unintended financial incentives for doctors to discriminate against obese patients

Pfizer's first-quarter 2010 revenues increase 54% to $16.8 billion

Health Net reports net earnings of $16.1M in 2010 first quarter

Discover how SciY empowers scientists

Why use light scattering to analyze proteins and viral vectors?

Changing the landscape of R&D to build clinical success from the ground up

Latest News