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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.

HMS receives Maine contract to perform hospital, long term care financial reviews

HMS, a wholly owned subsidiary of HMS Holdings Corp., today announced that it has been awarded a contract by the Maine Department of Health and Human Services to perform hospital and long term care credit balance reviews and cost of care recoveries on behalf of the state's MaineCare program.

14 Jul 2011

Home health care payments under scrutiny — in debt talks and newly released payment rules

One GOP governor has asked his Republican colleagues in Congress to reject debt-ceiling proposals that would cut home health services while recently released rules will further squeeze corporate margins.

14 Jul 2011

Teva acquires Taiyo

Teva Pharmaceutical Industries Ltd. announced today that it has completed the acquisition of effectively 100% of the outstanding shares of Taiyo Pharmaceutical Industry Co. Ltd. for $934 million in cash.

14 Jul 2011

Roundup: N.H.'s Planned Parenthood funding dilemma; Calif. prison doc's high pay, little work

The highest-paid state employee in California last year, a prison surgeon who took home $777,423, has a history of mental illness, was fired once for alleged incompetence and has not been allowed to treat an inmate for six years because medical supervisors don't trust his clinical skills. Since July 2005, Dr. Jeffrey Rohlfing has mostly been locked out of his job — on paid leave or fired or fighting his termination — at High Desert State Prison in Susanville, state records show.

14 Jul 2011

Political fault lines in budget discussion

House Majority Leader Eric Cantor, R-Va., appears to be trying to push President Barack Obama in one direction and Minority Leader Nancy Pelosi, D-Calif., is standing firm on Obama's left. Meanwhile, Senate Majority Leader Harry Reid, D-Nev., is taking a go-big-or-go-home position on the need to reach a "grand deal" on entitlement cuts and revenue raisers.

14 Jul 2011

First Edition: July 13, 2011

Today's headlines detail the next moves in the ongoing budget discussion, including a "last-choice option" proposed by Senate Minority Leader Mitch McConnell, R-Ky., and reports about how the health industry is lining up against possible cuts.

13 Jul 2011

If Berwick exits, is quality care 'in jeopardy?'

As Medicare is put under the microscope in the debt-ceiling talks, the clock is running out for Centers for Medicare and Medicaid Services Administrator Donald Berwick to be confirmed by Congress.

13 Jul 2011

Proposed cuts in Medicare pay increase access-to-care concerns

A new government proposal would cut reimbursement rates for doctors who accept Medicare by 30 percent in 2012.

13 Jul 2011

Report: The fed's system to detect Medicaid fraud is inadequate

The federal government's systems for analyzing Medicare and Medicaid data for possible fraud are inadequate and underused, making it more difficult to detect the billions of dollars in fraudulent claims paid out each year, according to a report released Tuesday.

13 Jul 2011

Budget talks: Partisan divisions become more entrenched

Included in the negotiations are proposals that would trim more than $350 billion from the federal Medicare and Medicaid health programs. Much of that would come from Medicare, where Republicans proposed to squeeze $246 billion in savings by reductions in payments for home health care, as well as increasing co-payments for laboratory services.

13 Jul 2011

State roundup: Minn. shutdown's health, economic impact significant

A variety of state services, such as background checks for employees and license renewals for health-care workers, are not available. … Some of the affects may seem small or transitory, such as modified or canceled vacation trips to state parks. But others are more serious, such as a senior citizen's move to a nursing home because the senior could not continue to live at home when home-care assistants could not get licenses during the shutdown or their backgrounds could not be checked out.

13 Jul 2011

Viewpoints: Partisanship, debt ceiling talks and Medicare; health cost frustration; praising Betty Ford

After initially endorsing the idea of an ambitious deficit deal, House Speaker John A. Boehner (R-Ohio) retreated over the weekend, calling for only about $2 trillion in savings. ... That position rules out a deal that would make real progress on the deficit while also achieving some top GOP goals, including curbing the growth of Medicare and Medicaid and simplifying the tax code with lower rates and a broader base.

13 Jul 2011

First Edition: July 12, 2011

In today's headlines, reports about the new HHS rule on health exchanges rule and how its nod to state flexibility may help states move forward.

12 Jul 2011

AUL distributes copies of recent report, 'The Case for Investigating Planned Parenthood'

Americans United for Life today renewed the call for a Congressional investigation and released an analysis and point-by-point rebuttal of Planned Parenthood's "Fact-Check" of AUL's recent report.

12 Jul 2011

Drug makers seek to block deficit-talk demands for discounts

Also, The Wall Street Journal reports that the pharmaceutical industry's pipeline is showing a reinvigorated level of energy.

11 Jul 2011

Deal in debt talks still elusive as Aug. 2 deadline looms

Issues related to trimming entitlement programs such as Medicare and Medicaid, as well as revamping the tax code, continue to be difficult to tackle.

11 Jul 2011

Governors oppose Medicaid cuts in debt-ceiling efforts

One approach being discussed would lower federal payments to states for Medicaid and the CHIP program — which as analysis says would lead to even more budget burdens for already cash-strapped states.

11 Jul 2011

State roundup: Recurring SustiNet rumors in Conn.

The tentative concession deal negotiated between Gov. Dannel P. Malloy's administration and state employee unions is dead. But suspicions it was linked the SustiNet plan to create state-run insurance live on, complicating chances of striking a new deal to avert up to 6,500 layoffs. ... One simple, incontrovertible fact is that there is no SustiNet coverage plan into which state employees can be enticed or forced. But from there, the picture gets fuzzy.

11 Jul 2011

Antares, Watson enter license deal to commercialize Anturol in the U.S. and Canada

Watson Pharmaceuticals, Inc. and Antares Pharma, Inc. today announced an exclusive licensing agreement for Watson to commercialize Antares' topical oxybutynin gel product in the U.S. and Canada.

11 Jul 2011

First Edition: July 11, 2011

In today's health policy headlines, more reports on the challenges President Barack Obama and congressional leaders are facing in the ongoing debt reduction negotiations.

11 Jul 2011