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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.

First Edition: February 19, 2010

Today's headlines highlight a White House plan to "get specific" on health reform, an analysis showing a nationwide jump in Medicaid enrollment and more on the firestorm surrounding health insurance premium increases.

19 Feb 2010

Amerigroup's fourth-quarter revenues rise 18.5%

Amerigroup Corporation today announced that net income for the fourth quarter of 2009 was $40.2 million, or $0.79 per diluted share, versus $35.9 million, or $0.67 per diluted share, for the fourth quarter of 2008. For the year ended December 31, 2009, the Company's net income was $149.3 million, or $2.85 per diluted share.

19 Feb 2010

SSHS selects Eclipsys’ Sunrise Enterprise suite of solutions for integrating EHR across multiple care venues

Eclipsys Corporation®, The Outcomes Company®, today announced that Sound Shore Health System (SSHS) will undergo an accelerated activation of Eclipsys’ Sunrise Enterprise™ integrated suite of solutions at both its Sound Shore Medical Center of Westchester (New Rochelle, NY) and Mount Vernon Hospital (Mount Vernon, NY) facilities.

19 Feb 2010

State policy developments: Wisconsin's new 'public option,' Iowa's medical marijuana vote, and more

New Hampshire Public Radio: A bill in the state legislature would create an annual public report that details the causes of rising health spending by analyzing now-private information that doctors, hospitals and other health organizations would have to provide to the state's Department of Insurance. The move is partly in response to conflicting narratives: The state's health spending continues to rise, yet hospitals and doctors say they are struggling (Grant, 2/17).

19 Feb 2010

AARP opposes Idaho Health Freedom Act

In a move that could have dire effects on health care in Idaho, the Senate State Affairs Committee voted yesterday to bring the Idaho Health Care Freedom Act (House Bill 391) one step closer to becoming law

19 Feb 2010

Medicare coverage for prescription drugs: HHS to apply ARRA increased FMAP to clawback payments

HHS Secretary Kathleen Sebelius today announced $4.3 billion in financial relief to states by reducing the amount they will have to pay the federal government to offset the cost of Medicare coverage for prescription drugs for state residents eligible for both Medicare and Medicaid.

19 Feb 2010

Study: Elderly people with untreated visual disorders more likely to develop Alzheimer's disease

Elderly people with visual disorders that are left untreated are significantly more likely to develop Alzheimer's disease -- the most common form of dementia, according to a University of Michigan Health System study.

19 Feb 2010

Insight Imaging to provide Enterprise Solutions to Progressive Imaging Center

Insight Imaging announced today that it reached a three-year agreement to provide Insight Imaging Enterprise Solutions to the Progressive Imaging Center located on the campus of Clara Maass Medical Center in Belleville, New Jersey, an affiliate of the Saint Barnabas Health Care System, New Jersey’s largest not-for-profit integrated health care delivery system.

19 Feb 2010

States struggle to find solutions as Medicaid programs swell budget gaps

The (Louisville) Courier-Journal: "Passport Health Plan, often praised for its efficiency as Kentucky's only Medicaid managed care venture, costs the state far more per person than the state's regular Medicaid program.

19 Feb 2010

Physicians look toward profitable Medicare services; Former Virginia official tapped for a position at CMS

A study finds physicians veer toward more profitable services amid lower Medicare fees. Meanwhile, Humana tests a patient-centered medical home program in Florida and a former Virginia official is chosen to take on a top position at the Centers for Medicaid and Medicare Services.

19 Feb 2010

Nearly 3.3M more people enrolled in state Medicaid programs in June 2009: New analysis

With the country mired in a deep recession, nearly 3.3 million more people were enrolled in state Medicaid programs in June 2009 compared to the previous June, according to a new analysis by the Kaiser Family Foundation's Commission on Medicaid and the Uninsured. It was the biggest ever one-year increase in terms of absolute numbers, and boosted the June monthly Medicaid enrollment by 7.5 percent to 46.9 million people nationally.

19 Feb 2010

A selection of today's opinions and editorials

The epic of health care evolution is complex and is worth reviewing over the last five decades. Having practiced medicine in the same community in Southeast Missouri for more than 30 years, I have seen changes in health care beyond the scope of imagination (Dr. S.D. Madduri, 2/18).

18 Feb 2010

Centene to acquire Columbia-based Carolina Crescent Health Plan

Centene Corporation today announced that its South Carolina subsidiary, Absolute Total Care, has signed a definitive agreement to acquire Columbia-based Carolina Crescent Health Plan (CCHP), the state's largest non-profit Medicaid managed care organization, from University Health Services, Inc. (UHS). CCHP serves more than 40,000 Medicaid members in 46 counties across the state.

18 Feb 2010

Gentiva Health Services announces fourth-quarter and fiscal year 2009 results

Gentiva Health Services, Inc., a leading provider of home health and hospice services, today reported fourth quarter and full year fiscal 2009 results.

18 Feb 2010

Dartmouth Atlas hospital ratings could be misleading, says former CMS Senior Policy Advisor

A "Perspective" piece in today's New England Journal of Medicine by Peter B. Bach, MD, MAPP, points out that policy makers are relying on hospital ratings from the Dartmouth Atlas that could be misleading.

18 Feb 2010

WellCare Health Plans reports net income of $39.9M for 2009

WellCare Health Plans, Inc. today reported results for the year and fourth quarter ended December 31, 2009. As determined under generally accepted accounting principles (“GAAP”), the Company reported net income of $39.9 million, or $0.95 per diluted share, for the year 2009, compared with a net loss of $36.8 million, or $0.89 per diluted share, for the year 2008.

18 Feb 2010

Nautic Partners completes recapitalization of HPS in partnership with management

Nautic Partners, LLC, a private equity firm with more than $2.5 billion of capital under management, today announced that it has completed a recapitalization of Healthcare Payment Specialists, LLC (“HPS”) in partnership with management. HPS is a provider of payment and reimbursement solutions to hospitals and other healthcare systems.

18 Feb 2010

Detroit home health agency owner pleads guilty over Medicare fraud

Detroit-area resident Muhammad Shahab pleaded guilty today for his role in organizing a Detroit-area home health care fraud scheme, announced Assistant Attorney General Lanny Breuer of the Criminal Division; U.S. Attorney for the Eastern District of Michigan Barbara L. McQuade; Special Agent in Charge Andrew G. Arena of the FBI's Detroit Field Office; and Special Agent in Charge Lamont Pugh III of the U.S. Department of Health and Human Services, Office of Inspector General's (HHS-OIG), Chicago Regional Office.

18 Feb 2010

New IPI publication outlines effective healthcare reform plan

President Obama's call during the State of the Union address for a better approach to health care reform is answered today with the release of a new publication from the Institute for Policy Innovation (IPI) entitled, "Health Care Reform: What Now?"

18 Feb 2010

Medication therapy management programs for Aetna Medicare members

Aetna today announced that members who enroll in its 2010 Medicare plans will have access to enhanced services called medication therapy management (MTM) aimed at helping them safely and effectively take medications prescribed by their physician. MTM, which will be delivered by Mirixa Corporation, brings together pharmacists, patients, physicians and other health care professionals to help patients with their medications.

18 Feb 2010

Medicaid News and Research

First Edition: February 19, 2010

Amerigroup's fourth-quarter revenues rise 18.5%

SSHS selects Eclipsys’ Sunrise Enterprise suite of solutions for integrating EHR across multiple care venues

State policy developments: Wisconsin's new 'public option,' Iowa's medical marijuana vote, and more

AARP opposes Idaho Health Freedom Act

Medicare coverage for prescription drugs: HHS to apply ARRA increased FMAP to clawback payments

Study: Elderly people with untreated visual disorders more likely to develop Alzheimer's disease

Insight Imaging to provide Enterprise Solutions to Progressive Imaging Center

States struggle to find solutions as Medicaid programs swell budget gaps

Physicians look toward profitable Medicare services; Former Virginia official tapped for a position at CMS

Nearly 3.3M more people enrolled in state Medicaid programs in June 2009: New analysis

A selection of today's opinions and editorials

Centene to acquire Columbia-based Carolina Crescent Health Plan

Gentiva Health Services announces fourth-quarter and fiscal year 2009 results

Dartmouth Atlas hospital ratings could be misleading, says former CMS Senior Policy Advisor

WellCare Health Plans reports net income of $39.9M for 2009

Nautic Partners completes recapitalization of HPS in partnership with management

Detroit home health agency owner pleads guilty over Medicare fraud

New IPI publication outlines effective healthcare reform plan

Medication therapy management programs for Aetna Medicare members

Sensing a Healthier Future

Achieving and maintaining ISO/IEC 27001 and BS 10012 certifications

Expanding research and clinical options for children with cancer

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