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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.

CMS acknowledges clinical improvement linked with use of Alair Bronchial Thermoplasty System

Boston Scientific Corporation announced that the Centers for Medicare and Medicaid Services (CMS), the agency that administers the Medicare program, has acknowledged the substantial clinical improvement associated with the use of the Alair Bronchial Thermoplasty System to perform bronchial thermoplasty for the management of severe asthma.

5 Jan 2012

HHS issues initial set of 26 Medicaid quality measures

HHS has issued a final notice containing an initial set of 26 quality measures for Medicaid-eligible adults. The measures, which cover areas such as prevention, care coordination and chronic disease management, will be used for quality reporting.

5 Jan 2012

Industry report finds nursing homes losing money as states cut Medicaid

Also, California officials prepare to appeal federal court decision striking down cuts to some providers, and Wisconsin announces that its shortfall is less than expected.

5 Jan 2012

Congress returns to 'same old health fights' in 2012

Congress starts 2012 facing the same old health policy fights, including the GOP push to pay for a more permanent Medicare "doc fix" with cuts to health law programs or Medicare. Meanwhile, Politico Pro reports on how House Ways and Means Committee Chair Dave Camp, R-Mich., has been pivotal in Republican efforts to undermine the health overhaul law.

5 Jan 2012

Hospital stocks fall after analyst prediction of tough times

A new report from Citigroup Global Markets forecasts difficult times ahead for hospitals and other related businesses that rely on government spending.

5 Jan 2012

Michigan opts not to appeal feds' MLR rule

The state was one of 13 seeking an exemption from the health law's medical-loss ratio requirement that insurance companies spend at least 80 percent of premiums on medical care. Others, however, get a 30-day extension. Also in the news, the Department of Health and Human Services named 73 advisers to work with the Center for Medicare and Medicaid Innovation.

5 Jan 2012

Re-admission rates high among U.S. heart attack patients: Study

According to new research from U.S health experts, Americans who have a severe form of a heart attack are far more likely to be readmitted to the hospital than people from 16 other countries with the same kind of heart attack.

4 Jan 2012

First Edition: January 4, 2012

In today's headlines, Romney wins a historically close contest in Iowa caucuses and Wall Street Journal readers favor televising the Supreme Court arguments regarding the health law.

4 Jan 2012

Yale study questions accuracy of relying on patient death rates to compare hospital quality

Hospitals, health insurers and patients often rely on patient death rates in hospitals to compare hospital quality. Now a new study by researchers at Yale School of Medicine questions the accuracy of that widely used approach and supports measuring patient deaths over a period of 30 days from admission even after they have left the hospital.

4 Jan 2012

CMS delays two anti-fraud projects

Modern Healthcare reports that the Centers for Medicare and Medicaid Services has put on hold its initiative targeting fraud related to power wheelchairs and its expansion of the Recovery Audit Contractors. Georgia Health News reports on how health care fraud has taken root in Georgia.

4 Jan 2012

MTR technique indicates that COPAXONE therapy results in tissue repair in RRMS patients

Researchers utilizing an advanced magnetic resonance imaging (MRI) technology to characterize and chart the evolution of MS lesions found that relapsing-remitting multiple sclerosis (RRMS) patients treated with COPAXONE (glatiramer acetate injection) experienced significantly increased magnetization transfer ratio.

4 Jan 2012

Big picture: ACO progress report; Evaluating new laws based on job creation

Modern Healthcare takes a look at the 32 medical groups that were named late last year to be the accountable care organization "pioneers" and how their planning is taking shape. Meanwhile, The New York Times examines how job creation has become the buzz word for lobbyists.

4 Jan 2012

Medicaid news: Texas to limit dual eligible reimbursements, Wis. to lift cap on long-term care

It may soon become harder for the neediest Texans to receive medical treatment. That's because statewide regulations scheduled to go into effect Sunday would limit reimbursements paid to medical providers for patients covered by both Medicare and Medicaid. The change would impact approximately 333,000 patients, mostly elderly, low-income residents, but also younger patients who are disabled. Slashing the Medicaid co-pay was part of the plan approved by state lawmakers earlier this year to help balance the state's budget.

4 Jan 2012

CMS assigns J-code for Pharmaxis ARIDOL Bronchial Challenge Test Kit

Pharmaxis, Inc. today announced that the Centers for Medicare and Medicaid Services (CMS) has assigned a product-specific billing code, or J-code, for ARIDOL (mannitol inhalation powder) Bronchial Challenge Test Kit.

4 Jan 2012

State roundup: Texas health assistance program closing; Florida's dangerous assisted living facilities

A reduction in prescription drug coverage under last year's state budget cuts means 292,000 New Yorkers will now be paying more at the pharmacy.

4 Jan 2012

CMS assigns J-code for Eisai's Halaven Injection to treat breast cancer

Eisai Inc. announced today that the Centers for Medicare and Medicaid Services (CMS) has assigned a unique, permanent Healthcare Common Procedure Coding System (HCPCS) J-code for Halaven (eribulin mesylate) Injection.

4 Jan 2012

Viewpoints: Giving states responsibility for 'essential benefits'; The cost of proton beam treatment; Health spending in 2012

The Obama administration surprised supporters and critics when it decided to let states define the "essential health benefits" that must be provided to their citizens under health care reform. ... Federal health officials will need to monitor developments during the transition period to make sure consumers and employers can easily compare the benefit packages offered by private insurers.

3 Jan 2012

AAPHC chooses eClinicalWorks comprehensive EHR solution

eClinicalWorks, a market leader in ambulatory clinical systems, today announced that Albany Area Primary Health Care (AAPHC), the largest primary physician practice in Southwest Georgia and a Community Health Center (CHC), has chosen eClinicalWorks comprehensive electronic health records (EHR) solution across its 14 locations. According to figures by the NACHC, eClinicalWorks customers represent 33% of CHCs in the country.

3 Jan 2012

First Edition: January 3, 2012

In today's headlines, reports that New York seniors are experiencing reduced prescription coverage and more California patients are being added to the health insurance rolls.

3 Jan 2012

2012 & health care: Medicare faces big changes, new state laws include abortion issues

News outlets began 2012 by looking ahead at what is promising to be a busy health care year, especially because of the 2010 federal health law.

2 Jan 2012

Medicaid News and Research

CMS acknowledges clinical improvement linked with use of Alair Bronchial Thermoplasty System

HHS issues initial set of 26 Medicaid quality measures

Industry report finds nursing homes losing money as states cut Medicaid

Congress returns to 'same old health fights' in 2012

Hospital stocks fall after analyst prediction of tough times

Michigan opts not to appeal feds' MLR rule

Re-admission rates high among U.S. heart attack patients: Study

First Edition: January 4, 2012

Yale study questions accuracy of relying on patient death rates to compare hospital quality

CMS delays two anti-fraud projects

MTR technique indicates that COPAXONE therapy results in tissue repair in RRMS patients

Big picture: ACO progress report; Evaluating new laws based on job creation

Medicaid news: Texas to limit dual eligible reimbursements, Wis. to lift cap on long-term care

CMS assigns J-code for Pharmaxis ARIDOL Bronchial Challenge Test Kit

State roundup: Texas health assistance program closing; Florida's dangerous assisted living facilities

CMS assigns J-code for Eisai's Halaven Injection to treat breast cancer

Viewpoints: Giving states responsibility for 'essential benefits'; The cost of proton beam treatment; Health spending in 2012

AAPHC chooses eClinicalWorks comprehensive EHR solution

First Edition: January 3, 2012

2012 & health care: Medicare faces big changes, new state laws include abortion issues

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