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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.

Horizon Medicare beneficiaries to receive pharmacy services through Prime Therapeutics

Beginning January 1, 2014, Horizon Healthcare Services, Inc. Medicare beneficiaries will receive pharmacy services through Prime Therapeutics LLC. Prime began providing pharmacy benefit management services to the plan's commercial members July 1, 2013.

8 Oct 2013

First Edition: October 8, 2013

Today's headlines include the latest on how the health law's online insurance marketplaces are operating and what caused the initial systemic problems.

8 Oct 2013

State highlights: Abortion coverage fight at a Catholic University In Calif.; N.C.'S Medicaid managed care plan attacts companies; some Calif. exchange rates uncertain

Trustees of the Jesuit [Loyola Marymount University] will decide on Monday whether to remove coverage for elective abortions from the faculty and staff health care plans. The coming vote has exposed a deep rift over just how Catholic a Catholic university should be in the 21st century -- and how to maintain that distinctive Catholic identity amid growing diversity on campus (Lovett, 10/6).

8 Oct 2013

Health law provisions also help those who already have insurance; enrollment fights in Texas, Calif. could heavily impact law

Although many people think of the federal health law's focus on the uninsured, it also is driving changes for those who have coverage. Meanwhile, two news outlets look at the importance of signing up young, health individuals in Texas and California.

8 Oct 2013

State Medicaid programs pose problems for federal insurance markeplace

Communications issues between the state agencies that administer the program and the federal exchange are interfering with the concept of one-stop shopping.

8 Oct 2013

First Edition: October 7, 2013

Today's headlines include reports detailing the ins and outs of the federal government's online health insurance markeplace as well as the latest from Capitol Hill on the shutdown.

7 Oct 2013

State highlights: Wendy Davis announces Texas gubernatorial run; Calif. gov. signs pharmacist scope-of-practice bill

Wendy Davis, the Democratic state senator whose abortion filibuster catapulted her to national fame, announced Thursday that she will run for Texas governor, a race that looks to be a banner 2014 contest (Glueck, 10/4).

7 Oct 2013

Boehner, Republicans standing ground: No end to shutdown until changes to Obamacare

News outlets covered the testy debates on the Sunday talk shows. House Speaker John Boehner said Sunday he sees no way out of the government shutdown unless President Barack Obama is willing to engage in negotiations with Republicans.

7 Oct 2013

Research roundup: Health law's effects on consumer spending; Mass. experience finds increased use of laparoscopic surgery

The authors find that average out-of-pocket spending is expected to decrease for all groups considered in the analysis, although decreases in out-of-pocket spending will be largest for those who would otherwise be uninsured.

5 Oct 2013

Viewpoints: Marketplaces offer Americans the kind of shopping they like; enrollment isn't as robust as administration claims

Americans have grown accustomed to online comparison shopping, as the overwhelming number who clicked on health-exchange websites demonstrates.

5 Oct 2013

Prostate cancer screening may show little benefit for old aged men

Prostate cancer screening has little benefit for men aged 75 and older, yet over three years, the Medicare fee-for-service program spent $447 million annually on PSA-based screenings-one-third of which was for men in the over 75 age group, according to study by researchers at the Yale Cancer Outcomes, Public Policy, and Effectiveness Research (COPPER) Center.

5 Oct 2013

Prime Therapeutics Honored With Silver Award For Best Practices In Care Coordination And Clinical Integration By URAC

Prime Therapeutics' (Prime) efforts to improve patient health and reduce health care costs were recognized on Oct. 1 at the URAC Quality Summit in Washington, D.C.

5 Oct 2013

Cancer survivors in rural areas more likely to forgo medical care because of financial concerns

Older cancer survivors living in rural areas were more likely to forgo medical and dental care because of financial concerns compared with older cancer survivors living in urban areas, according to a study published in Cancer Epidemiology, Biomarkers & Prevention, a journal of the American Association for Cancer Research.

5 Oct 2013

Shutdown to stop payments to D.C. Medicaid providers

The District of Columbia's payments to medical providers treating more than 200,000 poor people enrolled in Medicaid will stop until the federal shutdown ends, city officials said. In Virginia, GOP gubernatorial candidate Ken Cuccinelli called on Congress to reopen the federal government -- and then cut off funding for the health law.

5 Oct 2013

Medicaid expansion an unsettled issue for some states

In Virginia, one member of the panel charged with exploring the idea of expanding the health insurance program for people with low incomes said any broadening of the program was unlikely to happen in the near future. In Mississippi, many low-income people will soon realize they won't be eligible for Medicaid because the state opted against the expansion.

5 Oct 2013

First Edition: October 4, 2013

Today's headlines include continued status reports on state and federal health exchanges as well as the ongoing Capitol Hill budget drama.

4 Oct 2013

State highlights: Calif. hospitals will partner, not merge; states prep for EMS changes; Texas ads to target Wendy Davis

Amid growing health care consolidation as Obamacare rolls out, UC Irvine and MemorialCare Health System have agreed to a partnership deal. The UC Board of Regents said Wednesday it has approved an affiliation between UC Irvine Health and MemorialCare, two major hospital systems in Southern California. It's not a merger and both will remain independent (Terhune, 10/2).

4 Oct 2013

Viewpoints: Obamacare's redistribution will 'wreck' U.S. work ethic; health law problems can't obscure pent up demand

A new wave of redistribution will arrive in America on Jan. 1, primarily thanks to the Affordable Care Act. The president's health-insurance plan forces those who hire, work and produce to pay full price for health care, while creating generous discounts for practically everyone else (Casey B. Mulligan, 10/2).

4 Oct 2013

President says he'll negotiate budget only after gov't reopens without changes to health law

President Barack Obama said Wednesday that he will only compromise on the federal budget -- including addressing long-term Medicare and Medicaid costs -- after Republicans agree to reopen the federal government without changing the health law. Republicans may shift their focus to these budget battles and seek savings in entitlement programs and tax reform.

4 Oct 2013

States' refusal to expand Medicaid will prevent millions from getting coverage

The New York Times reports that the decision by about half the states to not expand Medicaid coverage will prevent two-thirds of poor black consumers and single mothers and more than half of low-wage workers from getting insurance.

4 Oct 2013

Medicaid News and Research

Horizon Medicare beneficiaries to receive pharmacy services through Prime Therapeutics

First Edition: October 8, 2013

State highlights: Abortion coverage fight at a Catholic University In Calif.; N.C.'S Medicaid managed care plan attacts companies; some Calif. exchange rates uncertain

Health law provisions also help those who already have insurance; enrollment fights in Texas, Calif. could heavily impact law

State Medicaid programs pose problems for federal insurance markeplace

First Edition: October 7, 2013

State highlights: Wendy Davis announces Texas gubernatorial run; Calif. gov. signs pharmacist scope-of-practice bill

Boehner, Republicans standing ground: No end to shutdown until changes to Obamacare

Research roundup: Health law's effects on consumer spending; Mass. experience finds increased use of laparoscopic surgery

Viewpoints: Marketplaces offer Americans the kind of shopping they like; enrollment isn't as robust as administration claims

Prostate cancer screening may show little benefit for old aged men

Prime Therapeutics Honored With Silver Award For Best Practices In Care Coordination And Clinical Integration By URAC

Cancer survivors in rural areas more likely to forgo medical care because of financial concerns

Shutdown to stop payments to D.C. Medicaid providers

Medicaid expansion an unsettled issue for some states

First Edition: October 4, 2013

State highlights: Calif. hospitals will partner, not merge; states prep for EMS changes; Texas ads to target Wendy Davis

Viewpoints: Obamacare's redistribution will 'wreck' U.S. work ethic; health law problems can't obscure pent up demand

President says he'll negotiate budget only after gov't reopens without changes to health law

States' refusal to expand Medicaid will prevent millions from getting coverage

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