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.

NCOA supports CLASS Act health reform proposal

At a briefing by the Leadership Council of Aging Organizations today in Washington, DC, James Firman, President of the National Council on Aging (NCOA), applauded the House for making the CLASS Act (Community Living Assistance Services and Supports) part of its Affordable Health Care for America Act and urged the Senate to include the CLASS Act and other important long-term care provisions in its final package as well.

31 Oct 2009

Therap Services to host its 4th annual National Provider Administrator conference in Fishkill

Therap Services is hosting its 4th annual National Provider Administrator conference in Fishkill, NY February 2-4, 2010. Therap provides electronic documentation and communication services to providers of service to people with developmental disabilities.

31 Oct 2009

Initial review of the House bill reveals three key components critical to people living with mental illness

On Thursday this week, House Democratic leaders presented a new health care overhaul bill that melds legislation passed by three committees over the summer and makes a series of changes to accommodate lawmakers' concerns.

31 Oct 2009

Colgate-Palmolive reaches ‘100 Million Smiles’ goal with its oral health education program

Colgate-Palmolive Company, the world leader in oral care, announced this week that it has reached 100 million children in the United States, providing free dental screenings, oral health education and treatment referrals as part of its ongoing national education program Colgate Bright Smiles, Bright Futures®.

31 Oct 2009

Shire announces third quarter 2009 financial results

Shire plc, the global specialty biopharmaceutical company, announces results for the three months to September 30, 2009.

31 Oct 2009

Miami resident pleads guilty on conspiracy to defraud the Medicare program

Miami resident Daisy Martinez pleaded guilty today in U.S. District Court in Detroit to participating in a conspiracy to defraud the Medicare program, Assistant Attorney General Lanny A. Breuer of the Criminal Division; U.S. Attorney Terrence Berg of the Eastern District of Michigan; Andrew G. Arena, Special Agent-in-Charge of the Detroit Field Office of the FBI; and Daniel R. Levinson, Inspector General of the Department of Health & Human Services (HHS) announced.

31 Oct 2009

Texas McAllen Hospitals violates the False Claims Act, to pay $27.5M for settling allegations

A hospital group based in McAllen, Texas, has agreed to pay the United States $27.5 million to settle claims that it violated the False Claims Act, the Anti-Kickback Statute and the Stark Statute between 1999 and 2006, by paying illegal compensation to doctors in order to induce them to refer patients to hospitals within the group, the Justice Department announced today.

31 Oct 2009

Aetna signs new expanded agreement with Sarasota Memorial Hospital

Aetna announced today that it has expanded its relationship with Sarasota Memorial Hospital by reaching agreement on a long-term contract that will provide access for Aetna’s Medicare Advantage members. This agreement marks the first time Sarasota Memorial has agreed to participate in a Medicare Advantage network plan.

31 Oct 2009

As House bill continues to stir reaction, focus turns to costs, potential amendments

Lawmakers and various groups continue to react to the House health bill, which was released Thursday and may significantly increase federal spending on health care.

31 Oct 2009

Health industry stakeholders focus on pain, not gain

Businesses, including medical device makers, insurers and pharmaceutical companies are bracing for tax and fee provisions in the House health care reform bill.

30 Oct 2009

House Democrats hail, grumble about health reform bill

News outlets detailed the House health care reform bill and reaction from members. The Congressional Budget Office estimated its net cost to be $894 billion over 10 years.

30 Oct 2009

60 Plus Association calls upon Sen. Lieberman not to support any bill which cuts Medicare

Today, the 60 Plus Association released a new TV ad targeting Senator Joe Lieberman (D-Conn.). The ad features members of our Greatest Generation begging Sen. Lieberman not to cut Medicare to pay for health care reform. The :30 second TV ad will run in conjunction with a :60 second ad that began airing on Wednesday.

30 Oct 2009

State watch: Virginia's pharmacy for mentally ill, Michigan dental care lawsuit, Rhode Island insurers

In today's state watch, Virginia plans to close a pharmacy for the mentally ill, Medicaid patients in Michigan are suing over dental care and Rhode Island reports that insurers remain relatively healthy.

30 Oct 2009

New York and Louisiana crack down on Medicaid fraud

The New York Times reports on unlikely Medicaid fraud suspects including a Manhattan painter and mime with properties in the Hamptons, a freelance artist whose two Manhattan apartments are valued at more than $1 million each and a dentist in the Bronx, all "were among 11 people indicted recently on charges that they fraudulently obtained Medicaid benefits.

30 Oct 2009

Today's opinions and editorials

The legislation on the table isn't perfect, but it's as good as anyone could reasonably have expected. History is about to be made — and everyone has to decide which side they're on (Paul Krugman, 10/29).

30 Oct 2009

Aetna’s Medicare Advantage members to benefit from agreement with WellStar Health System

Aetna and WellStar Health System of Marietta, Ga. announced today that they have reached agreement on a three-year contract that provides access for Aetna’s Medicare Advantage members to the hospital’s facilities and physicians.

30 Oct 2009

Explaining the new House bill

Several news outlets have explainers on the House bill, which was unveiled yesterday.

30 Oct 2009

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

Medicaid News and Research

NCOA supports CLASS Act health reform proposal

Therap Services to host its 4th annual National Provider Administrator conference in Fishkill

Initial review of the House bill reveals three key components critical to people living with mental illness

Colgate-Palmolive reaches ‘100 Million Smiles’ goal with its oral health education program

Shire announces third quarter 2009 financial results

Miami resident pleads guilty on conspiracy to defraud the Medicare program

Texas McAllen Hospitals violates the False Claims Act, to pay $27.5M for settling allegations

Aetna signs new expanded agreement with Sarasota Memorial Hospital

As House bill continues to stir reaction, focus turns to costs, potential amendments

Health industry stakeholders focus on pain, not gain

House Democrats hail, grumble about health reform bill

60 Plus Association calls upon Sen. Lieberman not to support any bill which cuts Medicare

State watch: Virginia's pharmacy for mentally ill, Michigan dental care lawsuit, Rhode Island insurers

New York and Louisiana crack down on Medicaid fraud

Today's opinions and editorials

Aetna’s Medicare Advantage members to benefit from agreement with WellStar Health System

Explaining the new House bill

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

Achieving and maintaining ISO/IEC 27001 and BS 10012 certifications

Expanding research and clinical options for children with cancer

Examining how pain could play a direct protective role in the gut

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