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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.

States awarded over $296M for ensuring more children have health coverage

More than $296 million was awarded to states for ensuring more children have health coverage, HHS Secretary Kathleen Sebelius announced today.

29 Dec 2011

Healthcare scheduling exchange solution improves preventive services for managed care organizations

It's well known that many of America's most serious health problems—and their associated cost—can be reduced or eliminated through early detection. Yet after years of effort, more than 95% of every health dollar in the United States still goes to treatment rather than prevention, according to a publication of the Centers for Disease Control. Where is the disconnect?

29 Dec 2011

New report on shortfalls in Medicaid funding for Ohio SNFs

As skilled nursing facility (SNF) providers across Ohio face 2012, a new report reveals the depth of their financial challenges. Medicaid, the health program for low-income seniors and individuals with disabilities, underfunded Ohio SNFs by $262 million, or $14.31 per patient per day, in 2009.

26 Dec 2011

Roundup: HIV staff to be cut in Ga.; Abortion news in N.J., Mo.; Wis. Medicaid coverage in limbo

A loss of $3.7 million in federal funds is forcing Georgia to reduce its workforce for HIV prevention. After an inquiry by Georgia Health News, the Department of Public Health this week acknowledged that 20 people in state health districts have been notified they will probably lose their jobs in January, and that an unspecified number of staffers at the department level have received the same notification.

23 Dec 2011

GOP pauses 'doc fix' fight, averts 27 percent Medicare pay cut

The House GOP leadership's agreement to a Senate proposal averts a 27 percent paycut to doctors scheduled to take effect in January. The deal delays the cut until March 1, and lawmakers hope to hammer out an agreement on a longer-term fix to the payment formula before then.

23 Dec 2011

Democrats, Republicans stand their ground on 'doc fix' positions

Congressional Democratic leaders pan the idea of a stand-alone bill for Medicare physician payments, while Republicans continue to insist on a full-year fix.

23 Dec 2011

IOM authors disagree with HHS decision on essential benefits

Political Pro talks to researchers who helped develop the IOM recommendations for the federal government on what should be offered in health plans. At the same time, a number of media outlets look at news about the implementation of the 2010 health care law.

23 Dec 2011

Viewpoints: Republicans' 'gift' to Obama; Essential benefits rule a 'lump of coal'

One photo snapped Wednesday on Capitol Hill captured the essence of Congress in 2011. It showed a group of senior House Republicans sitting on one side of a long table, waiting for their Senate counterparts to show up for a negotiating session the House had demanded. ... What viewers should really have seen in the photo was the Republican leadership team whose miscalculations may soon cause payroll taxes to go up - and unemployment benefits to be truncated, and payment rates to Medicare doctors slashed. That's on the verge of happening.

23 Dec 2011

Health care issues leaving mark on presidential race

President Obama is busy touting his health law, while Mitt Romney argues that an individual mandate in Massachusetts is a "conservative" idea. In the meantime, the Associated Press examines Newt Gingrich's past support of the Children's Health Insurance Program.

23 Dec 2011

First Edition: December 22, 2011

Today's early morning highlights from the major news organizations, including articles on the Capitol Hill stalemate that threatens to cut Medicare payments to doctors and government efforts to keep details of a research experiment on bird flu secret.

22 Dec 2011

Federal officials extend Medicaid waiver for Mass.

The federal government on Tuesday extended a Medicaid waiver in Massachusetts, which was first implemented as part of then-Gov. Mitt Romney's healthcare overhaul. The waiver will now run through 2014. It is focused primarily on efforts to improve the cost and quality of the Medicaid program and better coordinate care. The waiver provides incentives for hospitals to improve their efforts to integrate their services.

22 Dec 2011

Drugmaker Merck to pay $24M to settle Medicaid case

Drugmaker Merck & Co. will pay Massachusetts $24 million to settle a civil lawsuit accusing a former subsidiary of causing the state to overpay pharmacists for a widely used asthma medication. Attorney General Martha Coakley said Tuesday that the deal with Merck and 12 other drugmakers who settled previously enables the state to recover more than $47 million for its Medicaid program.

22 Dec 2011

Romney, Obama on the attack

GOP presidential hopeful Mitt Romney used a TV appearance to take on rival candidate Newt Gingrich regarding a range of policy and political issues. Meanwhile, aides to President Barack Obama blasted Romney for shying away from the similarities between Massachusetts' health reforms and the 2010 health law. Negative ads also flood the Iowa airwaves.

22 Dec 2011

Kansas officials revise plans for reorganizing social services; Wis. study finds problems in Medicaid oversight

Kansas lawmakers grilled state officials about Gov. Sam Brownback's plans to streamline the state bureaucracy. In Wis., the legislative analysis found that private contractors are taking on an increasing share of the work of administering Medicaid programs.

22 Dec 2011

ASGE honors 27 endoscopy units with 'Certificate of Recognition'

The American Society for Gastrointestinal Endoscopy (ASGE) has recognized 27 endoscopy units as part of its program specifically dedicated to promoting quality in endoscopy, in all settings where it is practiced in the United States.

22 Dec 2011

ACTF, Merck announce new HIV initiatives

Today, Merck, known as MSD outside the United States and Canada, and the ADAP Crisis Task Force (ACTF) announced a number of new initiatives to help struggling state AIDS Drug Assistance Programs (ADAPs) continue to provide access to medicines to people living with HIV.

22 Dec 2011

First Edition: December 21, 2011

In the past year, Medicare politics and policies have grabbed headlines, with politicians from both sides of the aisle talking about "saving Medicare," "protecting beneficiaries," "improving quality of care," and "curbing fraud and abuse."

21 Dec 2011

High court sets March dates for health law arguments

March 27 will be the day for two hours of arguments over the provision, which starting in 2014 will require most Americans to carry health insurance or pay a penalty. The high court is expected to announce its decision by the end of June.

21 Dec 2011

State roundup: Ariz. high court to hear Medicaid funding challenge

The Arizona Supreme Court on Monday agreed to consider a challenge to state Medicaid cuts. The court put the matter on its Feb. 15 agenda and will decide then whether to take the case and hear oral arguments. Three public-interest law groups challenged an enrollment freeze for childless adults in the state's Medicaid program, the Arizona Health Care Cost Containment System. A lower-court judge and an Arizona appeals-court panel upheld the cuts.

21 Dec 2011

Viewpoints: If not the health law, then what?; Shifting Medicare costs isn't enough

When President Barack Obama's health care reform was making its way through Congress, Republicans and other opponents registered plenty of criticisms: It was too generous, too inflexible and too centralized. But such concerns were brushed aside in the push to get a bill passed. Today, it's harder to ignore those flaws. Implementation of the program has brought tougher challenges than the administration led Americans to expect. So it has been obliged to make some major concessions to reality.

21 Dec 2011