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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.

Government to decide on payment for doctors who use medical-imaging

The government is weighing whether to cut Medicare payments to physicians who use medical-imaging machines to screen patients for diseases like cancer and heart problems. The decision could come as early as Friday. Lawmakers and the Centers for Medicare and Medicaid Services see the cuts as a way to prevent overuse of the technology, which drives up health care costs.

30 Oct 2009

A selection of recent studies and surveys

Health Affairs: Uninsured Adults With Chronic Conditions Or Disabilities: Gaps In Public Insurance Programs - This study examines patterns of uninsurance for low-income working-age adults with chronic health conditions or disabilities, as documented in the Medical Expenditure Panel Survey (MEPS).

30 Oct 2009

Michigan residents sue State over denied access to dental healthcare

In a move aimed at forcing the State of Michigan and the Legislature to protect the rights of Michigan's most vulnerable population, including the developmentally disabled and those with minimal financial resources, a lawsuit was filed in federal court against the Granholm Administration. A class of more than 400,000 at-risk Michigan residents is suing the State for failing to uphold its legal obligations with regard to funding certain dental care services under the federal Medicaid program.

30 Oct 2009

Third-quarter fiscal 2009 results announced by HMS Holdings

HMS Holdings Corp. today announced its financial results for the third quarter of 2009.

30 Oct 2009

Identifying at risk dialysis units in the U.S. under the bundle payment system

The proposed Medicare "bundled" payment system for dialysis is likely to reduce government reimbursements for dialysis units in certain regions of the United States and for some types of facilities, according to research being presented at the American Society of Nephrology's 42nd Annual Meeting and Scientific Exposition in San Diego, CA.

30 Oct 2009

CMS recognizes Priority Health’s Medicare plan with a 5-star rating

Priority Health’s Medicare plan was recognized with a 5-star rating by the Centers of Medicare and Medicaid Services (CMS). It is the only plan in Michigan to earn the top rating two years in a row.

30 Oct 2009

Coventry Health Care announces consolidated results for the third quarter of 2009

Coventry Health Care, Inc. today reported consolidated operating results for the quarter ended September 30, 2009. Operating revenues totaled $3.4 billion for the quarter with GAAP net earnings of $70.6 million, or $0.48 earnings per diluted share (EPS).

30 Oct 2009

Third-quarter fiscal 2009 results announced by Magellan Health Services

Magellan Health Services, Inc. today reported net income of $31.0 million, or $.88 per diluted common share, and segment profit of $64.5 million for the third quarter of 2009. The Company also increased guidance for the full year to the upper half of its previously disclosed range.

30 Oct 2009

AMERIGROUP announces financial results for the third quarter of 2009

AMERIGROUP Corporation today announced that net income for the third quarter of 2009 was $22.5 million, or $0.43 per diluted share, versus $37.9 million, or $0.71 per diluted share, for the third quarter of 2008. Third quarter earnings are in line with the preliminary earnings range that the Company issued on October 26, 2009, and reflect elevated medical costs associated with the onset of what appears to be a severe flu season due to the H1N1 virus.

30 Oct 2009

Current measurement of diabetes care quality is complex and cumbersome, says NCDP

The National Changing Diabetes® Program (NCDP) announced today results of a study that found extraordinary variety in the measurement of clinical processes critical to optimal diabetes management such as blood pressure and glucose levels.

30 Oct 2009

Pennsylvania outstrips every state in the loss of employer-sponsored health care

Employers provided health insurance to 694,471 fewer Pennsylvanians in 2007 and 2008 than at the start of the decade, according to a new report analyzing U.S. Census data.

30 Oct 2009

Universal Health Services announces third quarter 2009 financial results; reports increased net revenues

Universal Health Services, Inc. announced today that its reported net income attributable to UHS was $51.1 million, or an increase of 41% to $1.03 per diluted share, during the third quarter of 2009 as compared to $37.0 million, or $.73 per diluted share, during the comparable quarter of the prior year.

30 Oct 2009

Republicans assail 'freight train of more mandates' in House health bill

ABC News reports: "Republicans, as expected, assailed the Pelosi bill, saying its 1,990 pages don't reflect any change. House Minority Leader John Boehner, R-Ohio, billed it as a 'government takeover of the health care system.'

30 Oct 2009

Pelosi unveils $894 billion House health overhaul bill; expands coverage to 36 million Americans

House Speaker Nancy Pelosi Thursday morning unveiled a House health care reform plan that is expected to cost about $894 billion and "provide insurance to up to 36 million people by broadly expanding Medicaid, the state-federal insurance program for the poor, and by offering subsidies to moderate-income Americans to buy insurance either from private carriers or a new government-run plan," the The New York Times reports.

29 Oct 2009

New reports detail hits taken by Medicaid programs in state budget cuts

State Medicaid and other health programs have fallen under the axe or been moved onto the chopping block this week.

29 Oct 2009

Current, former Mass. Governors agree: Feds should do more than their states' model to address costs

Massachusetts Gov. Deval Patrick, a Democrat, and former Gov. Mitt Romney, a Republican, both say that federal health reform plans should do more to address rising costs than their state's initiative.

29 Oct 2009

A look at the public insurance options -- What exists and who would have access under proposed reforms

One news outlet studies the practical meaning of public insurance option by examining some of the approaches that are already in existence. Meanwhile, another examines the number of people who would have access to the public plan. And a former insurance executive takes issue with the industry's current stance.

29 Oct 2009

Lawmakers try to weed out fraud and waste

Lawmakers target Medicare and Medicaid fraud to generate greater savings in health care reform while doctors worry about efforts to cut waste.

29 Oct 2009

Pelosi chooses compromise approach to public option in reform bill

A health care reform bill set to be unveiled this morning will include a government-run public option for health insurance that will negotiate rates with insurers, much like private insurers operate.

29 Oct 2009

AARP: Budget cuts for safety net programs spell health care disaster for Idaho residents

While Idaho's part-time employees face massive health care premium increases, state retirees are bracing to lose their state health care in the coming months, all as programs and services providing a critical safety net continue to be cut. AARP says it's a combination that spells health care disaster for many Idaho residents and the Association is calling on lawmakers to address it.

29 Oct 2009

Medicaid News and Research

Government to decide on payment for doctors who use medical-imaging

A selection of recent studies and surveys

Michigan residents sue State over denied access to dental healthcare

Third-quarter fiscal 2009 results announced by HMS Holdings

Identifying at risk dialysis units in the U.S. under the bundle payment system

CMS recognizes Priority Health’s Medicare plan with a 5-star rating

Coventry Health Care announces consolidated results for the third quarter of 2009

Third-quarter fiscal 2009 results announced by Magellan Health Services

AMERIGROUP announces financial results for the third quarter of 2009

Current measurement of diabetes care quality is complex and cumbersome, says NCDP

Pennsylvania outstrips every state in the loss of employer-sponsored health care

Universal Health Services announces third quarter 2009 financial results; reports increased net revenues

Republicans assail 'freight train of more mandates' in House health bill

Pelosi unveils $894 billion House health overhaul bill; expands coverage to 36 million Americans

New reports detail hits taken by Medicaid programs in state budget cuts

Current, former Mass. Governors agree: Feds should do more than their states' model to address costs

A look at the public insurance options -- What exists and who would have access under proposed reforms

Lawmakers try to weed out fraud and waste

Pelosi chooses compromise approach to public option in reform bill

AARP: Budget cuts for safety net programs spell health care disaster for Idaho residents

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