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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.
Sanofi, Regeneron reports positive Phase 2 study of dupilumab in patients with CSwNP

Sanofi, Regeneron reports positive Phase 2 study of dupilumab in patients with CSwNP

Regeneron Pharmaceuticals, Inc. (NASDAQ: REGN) and Sanofi (EURONEXT: SAN and NYSE: SNY) today announced that a Phase 2a proof-of-concept study of dupilumab, an investigational therapy that blocks IL-4 and IL-13 signaling, met all primary and secondary endpoints in patients with moderate-to-severe chronic sinusitis with nasal polyps (CSwNP) who did not respond to intranasal corticosteroids. [More]
Federal database on physician quality ratings comes up short, experts say

Federal database on physician quality ratings comes up short, experts say

The database, which was created by the health law, offers only the most basic information, according to USA Today. [More]
Majority of cancer survivors not financially prepared for cancer diagnosis, treatment

Majority of cancer survivors not financially prepared for cancer diagnosis, treatment

The majority (62%) of America's middle-income cancer survivors say they were not financially prepared for cancer diagnosis and treatment, according to a new study released by the Washington National Institute for Wellness Solutions. [More]
Groups urge Medicare to cover LDCT screening for adults at high risk for lung cancer

Groups urge Medicare to cover LDCT screening for adults at high risk for lung cancer

More than 60 patient advocacy and medical organizations have joined a coalition headed by the Lung Cancer Alliance, the American College of Radiology and The Society of Thoracic Surgeons, in urging Medicare to cover low dose computed tomography (LDCT) screening for beneficiaries at high risk for lung cancer. [More]
NRA announces exclusive member discounts from UnitedHealthcare on manual medical rates

NRA announces exclusive member discounts from UnitedHealthcare on manual medical rates

The National Restaurant Association (NRA) announced exclusive member discounts from UnitedHealthcare on manual medical rates for fully insured business groups with 51 or more eligible employees. [More]
Cancer community joins coalition seeking Medicare coverage for CT lung cancer screening

Cancer community joins coalition seeking Medicare coverage for CT lung cancer screening

More than 60 patient advocacy and medical organizations have joined a coalition headed by the Lung Cancer Alliance, the American College of Radiology and The Society of Thoracic Surgeons, in urging Medicare to cover low dose computed tomography (LDCT) screening for beneficiaries at high risk for lung cancer. [More]
State highlights: Calif. health insurers and contraception coverage; Alaska sues Xerox over Medicaid payment systems

State highlights: Calif. health insurers and contraception coverage; Alaska sues Xerox over Medicaid payment systems

Health insurance policies in California will have to cover all federally approved contraceptives for women by 2016 without charging co-payments under legislation signed this week by Gov. Jerry Brown, countering trends in other states and the U.S. Supreme Court. The bill, SB1053 by Sen. Holly Mitchell, D-Los Angeles, expands state laws that required coverage for most birth-control drugs and devices approved by the U.S. Food and Drug Administration. The new law mandates coverage for all FDA-approved contraception, prohibits co-payments and includes managed-care Medi-Cal plans, which are not expressly covered by current laws (Egelko, 9/27). [More]

Report: Finding care is difficult for some new Medicaid enrollees

State standards for access to care for Medicaid recipients vary widely and are rarely enforced, says a soon-to-be released report by the Health and Human Services Department's inspector general. Meanwhile, Tennessee's governor pursues Medicaid expansion talks, and confusion continues in Pennsylvania about what benefits will be available to enrollees in that state's expansion plan. [More]
CVS to pay $6M to settle Medicaid reimbursement case

CVS to pay $6M to settle Medicaid reimbursement case

Caremark LLC, a unit of CVS, will make the payments to settle allegations that it knowingly failed to reimburse Medicaid for prescription drug costs paid on behalf of patients who were also covered by private plans it administered. The company denied wrongdoing. [More]
Viewpoints: Hospitals helped by Medicaid expansion; why GOP candidates back OTC contraceptives

Viewpoints: Hospitals helped by Medicaid expansion; why GOP candidates back OTC contraceptives

Now the Department of Health and Human Services has issued a report showing that ... thanks to the Affordable Care Act, hospitals across the country will save $5.7 billion in uncompensated care costs in 2014. [More]
Brident Dental & Orthodontics expands operations with a new office in Houston area

Brident Dental & Orthodontics expands operations with a new office in Houston area

Brident Dental & Orthodontics expanded its operations in the Houston area with the opening of its new office at 8201 W. Sam Houston Parkway. [More]
State highlights: Calif. gov. vetoes bill limiting Medi-Cal estate recovery, signs birth control, inmate bills

State highlights: Calif. gov. vetoes bill limiting Medi-Cal estate recovery, signs birth control, inmate bills

In a blow to tens of thousands of low-income Californians newly enrolled in Medi-Cal under a provision in the Affordable Care Act, Gov. Jerry Brown on Thursday vetoed a bill that would have limited the state's seizure of assets from their estates after they die -- a legal wrinkle that most only discovered after they had signed up for the health care plan for the poor (Seipel, 9/25). [More]
Medicaid expansion concept gains momentum in some initially reluctant states

Medicaid expansion concept gains momentum in some initially reluctant states

Reuters reports that this development has to do with financial pragmatism -- especially in GOP-led states that were at the forefront of opposition to the health law. The Associated Press provides a status check on Indiana's expansion request. [More]
Four more hospital systems quit ACO program

Four more hospital systems quit ACO program

Three years after the Centers For Medicare & Medicaid Services selected 32 groups to participate in the Pioneer Accountable Care Organization Model program, they are down to 19 players. [More]
State highlights: N.C. lawmakers still talking about Medicaid revamp; changes to La. health plan for state workers stir controversy

State highlights: N.C. lawmakers still talking about Medicaid revamp; changes to La. health plan for state workers stir controversy

Legislators who couldn't agree this year on how to overhaul North Carolina's Medicaid program plan to spend more time talking about the issue before the General Assembly reconvenes early next year. A legislative oversight panel subcommittee charged with examining Medicaid reform and reorganization scheduled its first meeting Wednesday. Another oversight panel also examining Medicaid governance held its first meeting this month. The House and Senate approved differing versions of legislation to change how Medicaid pays for medical expenses by shifting risk from the state to either medical provider networks or private managed-care companies (9/24). [More]

White House 'reassessing' 2015 enrollment goals; major coverage gains made among Latinos

Health and Human Services Secretary Sylvia Mathews Burwell said Wednesday that the health law's insurance programs have reduced the nation's overall uninsured population by 26 percent. [More]
Drug firms shift sales calls from doctors to administrators controlling hospital formularies

Drug firms shift sales calls from doctors to administrators controlling hospital formularies

Since many hospitals now work to help keep costs down by watching what drugs are used, pharmaceutical representatives must include administrators in their sales pitches. Also in the news, new concerns about the government's plan to open a database next week on drug makers' payments to doctors. [More]
Viewpoints: New insurers suggest health law success; slow response on Ebola

Viewpoints: New insurers suggest health law success; slow response on Ebola

Before Obamacare launched, conservative outlets warned that the law would collapse as insurers shunned the overpriced, overregulated insurance exchanges. [More]
Study: Healthcare.gov costs top $2B

Study: Healthcare.gov costs top $2B

The finding by a Bloomberg Government analysis exceeds the cost estimates provided by the Obama administration. Meanwhile, an administration official says efforts are "continuing, step by step" to improve the health insurance website, but also steers clear of specific pledges. [More]
Administration: Health law brings down hospitals' uncompensated care costs

Administration: Health law brings down hospitals' uncompensated care costs

As part of a report released Wednesday, Obama administration officials cited evidence that hospitals are projected to save $5.7 billion in uncompensated care costs as previously uninsured patients gain coverage through the health law. The savings are most significant in states that expanded their Medicaid programs. [More]