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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.

Marketplace falls behind schedule in Conn.; How dental plans for kids will be sold in Calif.

With the Oct. 1 deadline for launching markeplaces approaching, states struggle with health law implementation issues.

9 Jul 2013

State highlights: Ore. nonprofit hospitals see increased revenue, but lower charity care; Calif. shift means lost autism treatment

A new state report shows the average Oregon hospital more than doubled its margin, or profit, between 2009 and 2011, even as its provision of charity care went down. The findings trace the hospital sector rebound from recessionary lows in 2008, and how expanded Medicaid enrollment in Oregon has helped boost hospitals' bottom line even as many continue to expand to some assessors' dismay (Budnick, 7/5).

9 Jul 2013

US state Medicaid agency invests in Kofax solution to improve medical claims processing efficiency

Kofax plc, a leading provider of smart process applications for the business critical First Mile of customer interactions, today announced that a US state Medicaid agency invested more than $350,000 in a Kofax solution to improve its medical claims processing efficiency in order to accommodate an increase in claim volume as a result of the Affordable Healthcare Act.

9 Jul 2013

Study reveals that low-income patients use hospital care more often than primary care

Patients with low socioeconomic status use emergency and hospital care more often than primary care because they believe hospital care is more affordable and convenient, and of better quality than care provided by primary care physicians, according to the results of a new study from researchers at the Perelman School of Medicine at the University of Pennsylvania.

9 Jul 2013

Advocates raise concerns about how states handle Medicaid managed care

Patient advocates are urging greater oversight of the private programs. In other news, a Philadelphia couple details their struggle to get health insurance for their son.

9 Jul 2013

Enterprise conducts study to understand link between green housing and people's health

Enterprise Community Partners, Inc., a national leader in affordable housing, is conducting a longitudinal study designed to explore improvements in objective and self-reported health parameters, overall quality of life and healthcare use among residents of affordable apartment buildings that receive green renovations.

9 Jul 2013

Proposal to cut Medicare ESRD Program may have unintended consequences for people on dialysis

A proposal to cut the Medicare End-Stage Renal Disease (ESRD) Program by nearly 10% may have unintended consequences for people on dialysis. "More than 20 million Americans have kidney disease, and the Medicare ESRD program provides lifesaving care to nearly 400,000 beneficiaries with kidney failure," said Bruce A. Molitoris, MD, FASN, President of the American Society of Nephrology (ASN).

9 Jul 2013

A few clinics are focused on helping pregnant women with prescription drug addictions

The Wall Street Journal examines the growing number of women addicted to pain killers and efforts to help them through pregnancies.

9 Jul 2013

First Edition: July 8, 2013

Today's early morning highlights from the major news organizations, including news about a new ad campaign against the health law, more reaction to the administration's delay of the employer mandate provision and states efforts to restrict abortions.

8 Jul 2013

Alzheimer's Association upset with CMS draft decision on brain amyloid imaging

The Alzheimer's Association is disappointed by the Centers for Medicare & Medicaid Services draft coverage decision on brain amyloid imaging, particularly given the clear, scientific consensus recommendations provided to CMS by the Association and the Society for Nuclear Medicine and Molecular Imaging regarding appropriate, limited coverage, only in specific populations.

6 Jul 2013

El Lilly calls for Medicare coverage of beta-amyloid imaging agents for Alzheimer's disease

Eli Lilly and Company today announced that the Centers for Medicare & Medicaid Services (CMS) has issued a draft decision proposing Coverage with Evidence Development for the use of beta-amyloid positron emission tomography (PET) imaging agents. Beta-amyloid imaging agents are used to evaluate patients with cognitive impairment for Alzheimer's Disease and other causes of cognitive decline.

5 Jul 2013

Weekend reading: Taking stock of your body; A designer seeks to improve health care; A researcher's quest to lower suicide rates

Today, I've been on the phone four times, for an average of 24 minutes a call. My last phone call was 22 minutes 23 seconds long, according to the digital time device on my landline. It took me exactly 45 minutes and 10 seconds on the train to reach Brooklyn the other night: I counted the seconds off on my smart phone. My average mile when I ran 5K yesterday was 8 minutes and 45 seconds that showed up on the pedometer. (Nothing to boast about, I know.) ... I am able to hold my plank at the gym for 54 seconds rather than the minute I always thought I could, which I know thanks to my phone's stopwatch. My optimal sleep time is seven hours and 20 minutes and I wake up twice a night: I discovered that from a wristband that measures sleep duration and intensity.

4 Jul 2013

Short on funds, HHS failed to investigate 1,200 fraud cases last year

HHS was unable to investigate 1,200 cases of suspected Medicare or Medicaid fraud last year because the watchdog agency inside the department is stretched so thin.

4 Jul 2013

Employers worry they'll pay bill for those exempt from contraceptive mandate

Businesses are concerned that non-religious employers will end up covering the bill for religious groups that refuse to pay for contraception for their employees. Meanwhile, church leaders continue their push to broaden the exemption from the contraception coverage rule.

4 Jul 2013

Employers get extra year to carry out health law coverage mandate

The Obama administration's surprise announcement will delay penalties for one year -- until after the mid-term elections -- and raises doubts about the implementation process at a crucial moment. Officials said the extension was a response to business requests for more time to navigate complex regulations.

4 Jul 2013

Viewpoints: Dems' abortion policies on the wrong side of public opinion; Doctors need to be more accurate in death reports

Last week saw two major developments in the legal and political battle over the Obama administration's sound decision to require most employers to provide free insurance coverage of contraceptives for women under the new health care law - one of them positive and the other a blow to the mandate and to religious liberty (7/1).

3 Jul 2013

MAXIMUS customer contact centers achieve Center of Excellence distinction

MAXIMUS, a leading provider of government services worldwide, announced today that its New York Physician Profile and New Jersey Health Care Profile operations have been recognized as "Certified Centers of Excellence" by BenchmarkPortal.

3 Jul 2013

First Edition: July 3, 2013

Today's headlines detail the Obama administration announcement that it would delay the health law rule requiring businesses provide insurance to workers.

3 Jul 2013

State highlights: Dartmouth joins N.H. Medicaid managed care

New Hampshire's largest health care provider signed contracts Monday with three health care plans to join the state's managed care network for Medicaid -- a key to getting the network operating. Dartmouth-Hitchcock announced it will work with Well Sense Health Plan, Granite State Health Plan and Meridian Health Plan of New Hampshire to provide coordinated care for eligible Medicaid beneficiaries (Love, 7/1).

3 Jul 2013

Many uninsured don't know they must buy coverage next year

News outlets report on a poll finding that more than 40 percent of the uninsured are unaware they could be required to buy health coverage in 2014, while another study calculates how many young people are benefiting from the provision allowing adult children to stay on their parents' policies up to age 26.

3 Jul 2013

Medicaid News and Research

Marketplace falls behind schedule in Conn.; How dental plans for kids will be sold in Calif.

State highlights: Ore. nonprofit hospitals see increased revenue, but lower charity care; Calif. shift means lost autism treatment

US state Medicaid agency invests in Kofax solution to improve medical claims processing efficiency

Study reveals that low-income patients use hospital care more often than primary care

Advocates raise concerns about how states handle Medicaid managed care

Enterprise conducts study to understand link between green housing and people's health

Proposal to cut Medicare ESRD Program may have unintended consequences for people on dialysis

A few clinics are focused on helping pregnant women with prescription drug addictions

First Edition: July 8, 2013

Alzheimer's Association upset with CMS draft decision on brain amyloid imaging

El Lilly calls for Medicare coverage of beta-amyloid imaging agents for Alzheimer's disease

Weekend reading: Taking stock of your body; A designer seeks to improve health care; A researcher's quest to lower suicide rates

Short on funds, HHS failed to investigate 1,200 fraud cases last year

Employers worry they'll pay bill for those exempt from contraceptive mandate

Employers get extra year to carry out health law coverage mandate

Viewpoints: Dems' abortion policies on the wrong side of public opinion; Doctors need to be more accurate in death reports

MAXIMUS customer contact centers achieve Center of Excellence distinction

First Edition: July 3, 2013

State highlights: Dartmouth joins N.H. Medicaid managed care

Many uninsured don't know they must buy coverage next year

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