Medicaid News and Research

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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.

UnitedHealth's profits rise while future gains may be impacted by reform

The Associated Press: "Insurer UnitedHealth Group Inc. trumped first-quarter earnings expectations and raised its 2010 profit forecast Tuesday, but a meager stock reaction showed investors haven't forgotten about the recently concluded health care reform push. The Minnetonka, Minn., insurer said it trimmed the percentage of premium revenue it spent on medical bills for its commercial insurance to 79 percent, down from 81 percent in last year's first quarter."

21 Apr 2010

Hospital chiefs worry about health law's effects, CMS proposes Medicare payment cuts

Kansas hospital chiefs worried about their bottom lines are waiting to see the consequences that the n ew health law will have on their organizations, the Kansas Health Institute News Service reports.

21 Apr 2010

Capario secures CAQH CORE Phase II Certification for Phoenix Processing System

Capario, a leading provider of revenue cycle management solutions that connect healthcare payers and providers nationwide, today announced it has achieved the CAQH® Committee on Operating Rules for Information Exchange (CORE®) Phase II Certification for its Phoenix Processing System.

21 Apr 2010

TYSABRI drives Biogen Idec's first-quarter revenues of $1.1 billion

Biogen Idec Inc., a global biotechnology leader in the discovery, development, manufacturing, and commercialization of innovative therapies, today announced its first quarter 2010 results.

20 Apr 2010

First Edition: April 20, 2010

Today's headlines highlight coverage of the political implications of health reform as well as action taken by the nation's two largest insurers to meet a requirement of the new health law early.

20 Apr 2010

Teva Pharmaceutical Industries presents ADAGIO study results at AAN Annual Meeting

Teva Pharmaceutical Industries Ltd. today announced results from the placebo group analyses of the ADAGIO study that were presented at the 62nd Annual Meeting of the American Academy of Neurology. The ADAGIO study stands out from other Parkinson's disease trials as it is the largest clinical study conducted in patients who were still in the very early stages of their disease course (average time from PD diagnosis of 4.5 months).

20 Apr 2010

UnitedHealth Group's consolidated first-quarter 2010 revenues increase 5% to $23.2 billion

UnitedHealth Group today reported first quarter results, including better-than-projected membership and services growth and effective cost management across its businesses. Financial metrics were in line with or better than Company expectations.

20 Apr 2010

AHRQ report shows highest hospital readmission rates among Medicaid patients

One of every 10 adult Medicaid patients who were hospitalized in 2007 for a medical condition other than childbirth had to be readmitted at least once within 30 days of their initial hospital stay that year, according to the latest News and Numbers from the Agency for Healthcare Research and Quality.

20 Apr 2010

Ga. couple allegedly took Medicare, Medicaid payments while patients were shorted food, medicine

The Atlanta Journal Constitution: "George D. Houser, 62, and his wife, 46-year-old Rhonda Washington Houser, were arraigned Friday on charges of conspiring to defraud the Medicare and Georgia Medicaid programs. George Houser also faces charges for allegedly failing to pay payroll taxes to the IRS and file personal income tax returns."

20 Apr 2010

Free Rite Aid wellness+ customer rewards program

Rite Aid customers and patients nationwide now can sign up for Rite Aid's new wellness+ customer rewards program that provides members with free health and wellness benefits, as well as shopping discounts and special prices. The program will be supported by a national television, radio, circular and digital advertising campaign.

20 Apr 2010

State Roundup: Calif. hospitals billing questioned; N.Y. hospitals among the weakest financially in the nation

The Sacramento Bee: An analysis of financial data from 300 California hospitals "shows they collected $25 billion from insurance companies between September 2008 and October 2009 - an increase of more than a third since 2005. Hospitals are charging insurance companies, and by extension their customers, billions of dollars for expenses not directly related to care.

20 Apr 2010

White House officially names Berwick as pick to head CMS

"President Barack Obama has nominated Harvard medical professor Donald Berwick to oversee Medicare and Medicaid. Obama had signaled his plans in March and made them official Monday." The nomination must be confirmed by the Senate (4/19).

20 Apr 2010

Michigan medical equipment suppliers unhappy about Medicare competitive bidding

Crain's Detroit Business: A regulatory change by the Centers for Medicare and Medicaid Services "could put a crimp on hospital-based medical home product subsidiaries and hundreds of other Michigan-based vendors," an industry that has been growing.

19 Apr 2010

Healthyroads announces new partnership status with NAQC

Healthyroads, the wellness subsidiary of American Specialty Health Incorporated, announced its new partnership status with the North American Quitline Consortium and its approval to serve as an authorized quitline vendor in the state of Michigan.

19 Apr 2010

End-of-life care documentation helps in emergency treatment decisions

When Heather Rubesch was a teenager, her aunt died in need of a kidney transplant. In later family discussions, Heather's mother, Linda, expressed some of her views about end-of-life care—for instance, her belief in organ donation.

19 Apr 2010

Organogenesis to showcase study results of Apligraf product at SAWC / WHS 2010

Organogenesis, Inc. will have a substantial presence at the 23rd Annual Symposium on Advanced Wound Care and Wound Healing Society being held April 17-20 in Orlando, FL. Results from several clinical and scientific studies will be presented which will further the understanding of Organogenesis' bilayered living cellular construct technology.

19 Apr 2010

Access to NAbs testing important for MS therapy management

Teva Neuroscience today announced results at the 62nd American Academy of Neurology Annual Meeting which demonstrated that eliminating barriers to neutralizing antibodies (NAbs) testing significantly impacted multiple sclerosis (MS) treatment choices in patients receiving interferon beta (IFNβ) therapies.

17 Apr 2010

Research roundup: Revamping NCI Clinical Trials, reducing malpractice suits, health disparities persist

A National Cancer Clinical Trials System For The 21st Century: Reinvigorating The NCI Cooperative Group Program - The "system for conducting cancer clinical trials in the United States is approaching a state of crisis," according to this report on inefficiencies and funding issues faced by the NCI's Clinical Trials Cooperative Group Program - which comprises 10 groups, more than 3,100 institutions, 14,000 investigators and more than 25,000 patients in clinical trials each year.

17 Apr 2010

HHS and CMS announce grants to improve enrollment of eligible AI/AN uninsured children in Medicaid and CHIP

The U.S. Department of Health and Human Services (HHS), the Centers for Medicare and Medicaid Services (CMS) today announced grants to 41 health programs operated by the Indian Health Service; tribes and tribal organizations; and urban Indian organizations. The grants will help improve outreach and enrollment of American Indian and Alaska Native (AI/AN) uninsured children eligible for, but not enrolled in, their state's Medicaid and the Children's Health Insurance Programs (CHIP).

17 Apr 2010

Miami resident pleads guilty to role in fraudulent medical testing scheme

Miami resident Hans Lobato pleaded guilty today to engaging in a fraudulent medical testing scheme, announced the Departments of Justice and Health and Human Services (HHS).

17 Apr 2010