Medicare News and Research

RSS

'Cadillac' tax would have non-union impact, analysis finds

"A proposed tax on high-cost ['Cadillac'] health insurance plans, an element of Democratic health-care legislation that has been strongly opposed by organized labor, would actually fall equally on nonunion plans, according to a new analysis. ... at least 80 percent of the workers whose plans would be subject to the tax in 2019 would be in nonunion jobs," according to Ken Jacobs of the University of California at Berkeley Labor Center and William H. Dow, professor of health economics at Berkeley and a member of President George W. Bush's Council of Economic Advisers.

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

Fourth-quarter and fiscal year 2009 results announced by DJO Incorporated

DJO Incorporated, a global provider of medical device solutions for musculoskeletal health, vascular health and pain management, today announced financial results for its operating subsidiary, DJO Finance LLC (“DJOFL”), for the fourth quarter and fiscal year ended December 31, 2009. ReAble Therapeutics, Inc. (“ReAble”) acquired DJO Incorporated (“DJO Opco”) in a transaction completed on November 20, 2007 (the “DJO Merger”).

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

Vertebroplasty effective in treatment of VCFs

The results of a study of more than 4500 patients from six Italian EVEREST (European Vertebroplasty Research Team) Centers (Dr. G.C. Anselmetti-Candiolo Torino, Dr. G. Bonaldi-Bergamo, Dr. P. Carpeggiani-Pisa, Dr. S. Masala-Roma, Dr. M. Muto-Napoli,) confirms the effectiveness of vertebroplasty in treating vertebral compression fractures (VCFs), finding that the procedure provides significant and sustained pain relief.

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

US health plans adopt unified approach to assist consumers in appropriate medication use

Dozens of US health plans nationwide have adopted a unified approach to assist seniors and other consumers to appropriately use medications. The move follows increased emphasis from the federal government for Medicare plans to offer more robust Medication Therapy Management (“MTM”) programs in 2010.

18 Feb 2010

Senior citizens urge Congress to start over on healthcare reform

With President Obama hosting a bipartisan meeting on health care reform next week, the 60 Plus Association announced today a new advertising campaign featuring seniors who urge Congress to "Start over and get health care right."

18 Feb 2010

LAAHU announces annual Health Insurance Awareness Week

Los Angeles Association of Health Underwriters announces its annual Health Insurance Awareness Week. This week is set aside to perform outreach to the community in the form of health awareness and to the importance of the role of the health insurance agent.

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

CMC-NorthEast chooses Premier’s QualityAdvisor solution for improving patient care

The Premier healthcare alliance today announced that Carolinas Medical Center NorthEast (CMC-NorthEast) of Concord, N.C., selected Premier’s QualityAdvisor™ solution to improve delivery of patient care and safely reduce costly avoidable patient events.

18 Feb 2010

AMGA commends Senator for ensuring EMR incentive payments for medical groups

The American Medical Group Association (AMGA) applauds Senator Debbie Stabenow (D-MI) for her efforts to assure fairness in payment of electronic medical record (EMR) incentive payments under the American Recovery and Reinvestment Act of 2009 (ARRA).

18 Feb 2010

Program for healthcare writing opportunities

With ever-rising healthcare spending, writing opportunities about the health and wellness industry are unlimited. “Regardless of economic conditions, writers will always have lots of topics to cover,” says Sherry Shameer Cohen, President of the Connecticut Press Club.

18 Feb 2010

The Ensign Group announces record $542.0M total revenue for full-year 2009

The Ensign Group, Inc., the parent company of the Ensign™ group of skilled nursing, rehabilitative care services, hospice care and assisted living companies, today reported record results for the fourth quarter and full year 2009.

18 Feb 2010

FedSources releases in-depth report on Federal healthcare technology market

FedSources, a Washington Management Group company, has released an in-depth report analyzing spending trends within the Federal healthcare technology market, including health IT.

18 Feb 2010

Utah tries to improve state health insurance exhange; Mich. plans for doctor shortage

The Salt Lake Tribune: "State health reform got a boost Tuesday with House passage of a fix-it bill to improve the Utah Health Exchange, an online tool for purchasing health insurance. Pitched as a free-market approach to lowering costs for small businesses, the exchange has had limited success. Only 400 people are receiving health insurance in its experimental first stage. And some of its 66 plans are up to 130 percent more expensive than what some companies were already paying. That's because insurers are calculating premiums differently 'inside' and 'outside' the exchange, said House Speaker Dave Clark" (Stewart, 2/16).

17 Feb 2010

PositiveID acquires intellectual property rights and assets of Easy Check Medical Diagnostics

PositiveID Corporation announced today that it has acquired intellectual property rights and assets of Easy Check Medical Diagnostics, LLC, to expand its portfolio of non-invasive glucose-level testing products and diabetes management tools under development. Easy Check has two primary products under development: the Easy Check breath glucose detection system and the iGlucose™ wireless communication device.

17 Feb 2010