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Senators launch billion-dollar health scam investigation

Also in the news from Capitol Hill, the Senate appears poised to fix the Medicaid glitch that allowed middle-income couples to qualify for Medicaid, and a bill to repeal the health law runs afoul of some conservatives.

10 Nov 2011

First Edition: November 9, 2011

In today's headlines, reports on the latest developments related to the 'super committee's' deliberations, an appeals court issues a health law decision and results from yesterday's elections.

9 Nov 2011

State roundup: Kansas Medicaid announcement; pilot projects for nursing homes, C-sections; Calif. marijuana clinics

Gov. Sam Brownback, Lt. Gov. Jeff Colyer and three Cabinet officials have scheduled a news conference for 10 a.m. Tuesday to describe details of their plan for making over the Kansas Medicaid program. ... The plan is expected to include a significant expansion of managed care.

9 Nov 2011

BioScrip third quarter revenue increases 2.9% to $454.0 million

BioScrip, Inc. today announced 2011 third quarter financial results. Revenue for the three months ended September 30, 2011 was $454.0 million and net income was $0.5 million, or $0.01 per diluted share, including $5.0 million in restructuring charges, severance and other employee costs.

8 Nov 2011

States trying to wrangle Medicaid costs, with some unintended consequences

Wisconsin is not alone in dealing with the thorny task of trying to lower the cost of its health care programs for low-income residents. Massachusetts no longer pays for restorative dental care and dentures. Washington no longer covers eyeglasses and hearing aids. Minnesota no long covers chiropractic care. … Every state plans to implement at least one policy to control Medicaid spending this fiscal year.

7 Nov 2011

Calif. Hospital Association sues over Medi-Cal provider cuts

The trade group for California's hospitals has sued state and federal officials to block a 10 percent cut in government reimbursements for health care providers who treat low-income patients. The California Hospital Association said in its suit, filed in federal district court in Los Angeles, that cuts to the Medi-Cal insurance program will threaten the ability of many hospitals to continue operating skilled nursing facilities.

4 Nov 2011

NYC settles Medicaid suit; Wis. officials face deadline for new plan for health care for poor

New York City will pay the federal government $70 million to settle a lawsuit that accused the city of overbilling Medicaid by improperly approving home care for frail and elderly clients, both parties said on Monday.

2 Nov 2011

First Edition: November 1, 2011

Today's headlines include a report that the health law's early retirees' health insurance fund may be running out.

1 Nov 2011

California Medicaid cuts spark anger; N.Y. Medicaid fraud detection

In California, doctors are blasting a decision to cut payments for caring for poor patients.

1 Nov 2011

Insurers look for opportunities for expansion

Big players such as Aetna and Cigna are snapping up smaller companies in an effort to keep earnings figures up.

31 Oct 2011

First Edition: October 31, 2011

In today's headlines, news reports about a key medical group's take on accountable care organizations and how a "merger wave" is hitting the health care sector.

31 Oct 2011

Federal officials approve Calif. cuts in Medicaid

Gov. Jerry Brown sought the waiver from the Obama administration to reduce reimbursements to doctors, pharmacies, nursing homes and other providers by 10 percent.

29 Oct 2011

Amerigroup reports net income of $48.1 million for third quarter 2011

Amerigroup Corporation today announced that net income for the third quarter of 2011 was $48.1 million, or $0.96 per diluted share, versus net income of $84.3 million, or $1.68 per diluted share, for the third quarter of 2010 and compared to $44.3 million, or $0.83 per diluted share, for the second quarter of 2011.

28 Oct 2011

IHA recognizes UCSD as 'Top Overall Physician Performing Organization'

UC San Diego Health System has been recognized by the Integrated Healthcare Association (IHA) as a "Top Overall Physician Performing Organization" in California.

28 Oct 2011

State roundup: Ohio voters will determine public employee benefits

On Nov. 8, Ohio voters will decide the fate of the law, which allows public employees to bargain for wages and working conditions but prohibits strikes. Workers will also have to pay for healthcare insurance and pensions. The law is on hold pending the referendum.

27 Oct 2011

Survey investigates provider-beneficiary ratio in Medicaid managed care plans

Medicaid managed-care plans reported an average ratio of one primary-care provider for every 584 beneficiaries, according to a recent survey. The newly released results of a February survey from the member plans of the Association for Community Affiliated Plans reported that among the 25 responding health plans the ratio ranged from one primary-care provider for every 53 plan enrollees to 1 provider for each 2,000 patients.

27 Oct 2011

Some states limit Medicaid hospital coverage; Food stamp, benefit systems revamped

States, facing budget shortfalls, look for ways to save money on their Medicaid programs, including limiting hospital stays for enrollees. Wisconsin is holding hearings on plans to alter the programs there, and California is looking at restructuring the way health care is delivered to people who qualify for both Medicare and Medicaid. Meanwhile, Stateline reports that a number of states are using new technology to run their benefits programs.

24 Oct 2011

CompCare to distribute innovative lumbar traction DDS belt in the U.S., Canada and Puerto Rico

Comprehensive Care Corporation, which provides behavioral health, substance abuse and psychotropic pharmacy management services for managed care companies throughout the U.S., today announced that it has acquired exclusive distribution rights to an innovative patented product aimed directly at reducing depression in individuals resulting from chronic back pain.

24 Oct 2011

RSV medication from specialty pharmacies increases likelihood of children receiving recommended doses

Children given an injectable medication to help prevent severe respiratory illness had a 17.6 percent higher likelihood of receiving the American Academy of Pediatrics (AAP) recommended doses when they were administered through a specialty pharmacy rather than a traditional pharmacy, according to a new study released today by pharmacy benefit manager Prime Therapeutics (Prime).

21 Oct 2011

Pradaxa for stroke treatment results in higher costs

Treating patients with the new blood thinning medication dabigatran (Pradaxa), instead of warfarin results in significantly higher per patient costs and higher net costs per stroke avoided, according to a new study by pharmacy benefit manager Prime Therapeutics (Prime).The study will be presented today at the Academy of Managed Care Pharmacy's Educational Conference in Atlanta, Ga.

21 Oct 2011