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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.

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

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

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

Calif. budget cuts would end aid to new legal immigrants; Minn. Dems criticize Pawlenty for relying on federal funds

Gov. Arnold Schwarzenegger's latest proposals to close California's budget shortfall would end public assistance for most new legal immigrants, eliminating emergency cash, food and medical aid for those who don't yet qualify for federal welfare. The proposal would represent an about-face for the state.

17 Feb 2010

ACP urges Congress and Obama to enact comprehensive health care reform

"The unfortunate truth is that by many measures, the State of America's health care is in decline," Joseph W. Stubbs, MD, FACP, president of the American College of Physicians (ACP), reported today at ACP's annual State of the Nation's Health Care briefing. "We have too many uninsured, too few primary care physicians, and the cost of health care is rising faster than we can afford."

17 Feb 2010

Deficit panel to tackle worries of federal debt, including health spending

The New York Times reports that President Obama's appointment of a special panel to study the nation's debt will come "(a)fter decades of warnings that budgetary profligacy, escalating health care costs and an aging population would lead to a day of fiscal reckoning."

17 Feb 2010