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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.

Viewpoints: Minn. missteps with Medicaid are object lesson; 'Defensive' medicine: Red herring or key to health costs?

It was painful to watch Minnesota's stellar health care reputation and its Human Services commissioner, Lucinda Jesson, get pummeled on Wednesday at a congressional hearing on Medicaid oversight.

27 Apr 2012

Highlights: Cuomo's plan for out-of-network charges runs into trouble; Federal agents seize patient records in Houston mental hospital

Today's news on local health policy issues comes from New York, Connecticut, Mississippi, Colorado, Iowa, Texas, North Carolina and Kansas.

27 Apr 2012

First Edition: April 27, 2012

Today's headlines include details of a new study finding that, as a result of the health law, consumers and businesses will receive an estimated $1.3 billion in rebates from insurance companies this year.

27 Apr 2012

Checklist for seniors to reduce risk of falls

For those 65 and older, falling can be fatal; in fact, the Centers for Disease Control and Prevention (CDC) reports that falls are the leading cause of injury-related deaths among this age group, and some 40 percent of seniors fall at least once each year. Additionally, one in four who sustains a hip fracture from a fall will die within a year, and another 50 percent will never return to their pre-fall level of mobility.

27 Apr 2012

Congressional panel grills Minn. official over possible Medicaid overpayments

The state's commissioner for human services was called on to answer questions about why Minnesota got a $30 million payment from a managed care company.

27 Apr 2012

Shutdown looms as committees, lawmakers spar over budget, spending cuts

The House Energy and Commerce Commitee, as well as other House panels, worked yesterday on various spending cuts and policy items with an eye on budget reconciliation. The GOP-led effort, which has very little chance of being taken up by the Senate, will likely lead to "a long summer of political skirmishing."

27 Apr 2012

State roundup: 'Green Houses' in Calif.; 'Accredtive Secret Sauce' gets scrutiny in Minn.

A new idea elbowed its way into the familiar pile of health care legislation in the Senate Committee on Health yesterday. A nursing home model -- the "Green House Project" -- bucks the cold, institutional feel of many long-term care facilities. ... The idea is to have a small facility laid out like a regular home, with living areas such as a dining room and kitchen, as well as a private room and bathroom for each patient.

27 Apr 2012

As hundreds protest at the State Capitol, Kansas Gov. agrees to delay in changes to disability services

Gov. Sam Brownback's plan would have moved thousands of developmentally disabled state residents into a managed-care health plan.

27 Apr 2012

Interests and advocates wait anxiously for Supreme Court's health law decision -- for very different reasons

The Associated Press reports that people with HIV/AIDS have a lot at stake regarding the health law's future -- specifically, its Medicaid expansion and ban on pre-existing condition exclusions. In a second story, though, AP reports on why the small business group, the NFIB, hopes to see the law overturned. Meanwhile, MarketWatch reports that some wealthy Americans would save big money if the high court rejects the overhaul.

27 Apr 2012

Viewpoints: Ma. health law trips up even bosses offering insurance; Traumatic brain disease may be complicating veterans' recoveries

Ronn Garry is an owner of Tropical Foods, the independent Roxbury market that has anchored Dudley Square for 36 years. He has 70 employees, 45 of them full time. The 2006 health law says he has to offer those full-time employees health insurance, cover at least 33 percent of their premiums, and get a quarter of them to take up his offer. Otherwise, he must pay a fine, called a Fair Share Contribution: $295 for every worker.

27 Apr 2012

Health care not structured in the interest of the patient

You're enjoying a quiet weekend at home when suddenly you double over in pain. You need emergency appendectomy surgery. How much should it cost? And how much price shopping are you able to do?

26 Apr 2012

Ariz. Senate approves bill to ban state funds for Planned Parenthood

The vote follows abortion restrictions passed by the Arizona legislature this year. In addition, N.H., Calif. and La. lawmakers are weighing abortion bills.

26 Apr 2012

Medicaid news: Florida prepares for shift to managed care

Preparing for Florida's shift to a statewide Medicaid managed-care system, 20 health companies and organizations are interested in competing for contracts to serve seniors who need long-term care. ... The list of potential bidders only reflects health plans interested in the long-term care portion of a statewide managed-care system. AHCA has not sought similar letters of intent for plans hoping to serve the broader Medicaid population, such as children and women.

26 Apr 2012

Iowa House approves mental health reforms

The bill would replace the county-by-county system in Iowa. Also in state legislative news, N.H. gubernatorial candidate opposes health care compact proposal and California lawmaker seeks cap on consumers' prescription drug expenses.

26 Apr 2012

State roundup: Calif. exchanges forge ahead; Mo. grappling with costs, quality

Despite a potentially disruptive U.S. Supreme Court Decision expected this summer, California officials are moving forward with the creation of a new, online health insurance market. ... "There are many different scenarios," said David Panush, director of government relations for the California Health Benefit Exchange. "Rather than trying to crystal-ball what the court may or may not do, we've got our foot on the pedal and we're going full speed ahead."

26 Apr 2012

GOP budget focuses on cutting health law funds rather than trimming Medicare, Medicaid

House Republican lawmakers propose big spending cuts to health care, labor and foreign aid programs. Meanwhile, progress on Food and Drug Administration user fee legislation could stall over "key differences" on proposed amendments.

26 Apr 2012

Commonwealth Fund Commission unveils community-based health plan

Noting the "unprecedented opportunity" provided under the Affordable Care Act, the Health Information Technology for Economic and Clinical Health (HITECH) Act, and other recently enacted federal laws, the Commonwealth Fund Commission on a High Performance Health System today unveiled a community-based plan to enhance health and reduce spending by improving care for chronically ill patients and targeting quality improvement efforts to conditions that can yield the greatest benefit in a relatively short time.

26 Apr 2012

Elan first quarter total revenue increases 17% to $288.4 million

Elan Corporation, plc, today reported its first quarter 2012 financial results.

26 Apr 2012

First Edition: April 25, 2012

Today's headlines include reports that Medicare is proposing a change in how it decides hospital reimbursements and the latest on the GOP Capitol Hill budget strategy.

25 Apr 2012

Fights over abortion legislation in N.H., Wisconsin

The New Hampshire Senate is expected to weigh a half dozen abortion bills later this week, including one that would cut off taxpayer funding to clinics and others that perform elective abortions, according to media reports. In Wisconsin, meanwhile, some women's groups and doctors oppose a law that prompted Planned Parenthood of Wisconsin to suspend nonsurgical abortions.

25 Apr 2012

Medicaid News and Research

Viewpoints: Minn. missteps with Medicaid are object lesson; 'Defensive' medicine: Red herring or key to health costs?

Highlights: Cuomo's plan for out-of-network charges runs into trouble; Federal agents seize patient records in Houston mental hospital

First Edition: April 27, 2012

Checklist for seniors to reduce risk of falls

Congressional panel grills Minn. official over possible Medicaid overpayments

Shutdown looms as committees, lawmakers spar over budget, spending cuts

State roundup: 'Green Houses' in Calif.; 'Accredtive Secret Sauce' gets scrutiny in Minn.

As hundreds protest at the State Capitol, Kansas Gov. agrees to delay in changes to disability services

Interests and advocates wait anxiously for Supreme Court's health law decision -- for very different reasons

Viewpoints: Ma. health law trips up even bosses offering insurance; Traumatic brain disease may be complicating veterans' recoveries

Health care not structured in the interest of the patient

Ariz. Senate approves bill to ban state funds for Planned Parenthood

Medicaid news: Florida prepares for shift to managed care

Iowa House approves mental health reforms

State roundup: Calif. exchanges forge ahead; Mo. grappling with costs, quality

GOP budget focuses on cutting health law funds rather than trimming Medicare, Medicaid

Commonwealth Fund Commission unveils community-based health plan

Elan first quarter total revenue increases 17% to $288.4 million

First Edition: April 25, 2012

Fights over abortion legislation in N.H., Wisconsin

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