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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.

Experienced criminals find new opportunities in medical fraud

Gangsters are getting into the medical fraud business, CNN reports. "Experienced in running drug, prostitution and gambling rings, crime groups of various ethnicities and nationalities are learning it's safer and potentially more profitable to file fraudulent claims with the federal Medicare program and state-run Medicaid plans."

24 Oct 2009

Recent health policy studies and analyses

The Urban Institute: Age Rating Under Comprehensive Health Care Reform: Implications for Coverage, Costs, and Household Financial Burdens - The authors of this study brief compare the "financial implications of the premium rating policy," as outlined in the House Tri-Committee proposal (H.R. 3200), across households of different ages, incomes, and sizes.

23 Oct 2009

H.R. 3790 wins praises in Pennsylvania

The Pennsylvania Association of Medical Suppliers and the American Association for Homecare praised a bipartisan bill in Congress, H.R. 3790, to eliminate the misguided and deeply flawed "competitive" bidding program for durable medical equipment and services in Medicare. The bidding process in this controversial program began on October 21 in the Pittsburgh metropolitan statistical areas and seven other MSAs across the U.S.

23 Oct 2009

Bill eliminating the flawed medical equipment bidding process in the Riverside-San Bernardino area lauded

The California Association of Medical Product Suppliers and the American Association for Homecare praised a bipartisan bill in Congress, H.R. 3790, to eliminate the misguided and deeply flawed "competitive" bidding program for durable medical equipment and services in Medicare.

23 Oct 2009

Quality of U.S. health care was virtually stagnant in 2008, says NCQA report

A report released today by the National Committee for Quality Assurance (NCQA) finds that the quality of U.S. health care was virtually stagnant in 2008, a disturbing slowdown after a decade of improvements. The across-the-board trend was seen in care provided to people with private insurance coverage as well as in Medicare and Medicaid.

23 Oct 2009

Texas and U.S. homecare groups praise bipartisan bill; say bidding program may reduce quality patient care

The Texas Alliance for Home Care Services and the American Association for Homecare praised a bipartisan bill in Congress, H.R. 3790, to eliminate the deeply flawed "competitive" bidding program for durable medical equipment and services in Medicare.

23 Oct 2009

New Category I CPT code for AspirinWorks Test Kit

Corgenix Medical Corporation, a worldwide developer and marketer of diagnostic test kits, announced today that a new Category I Current Procedural Terminology (CPT) code has been published by the American Medical Association (AMA) for the AspirinWorks Test Kit.

23 Oct 2009

Some hospital revenues could decline if H1N1 becomes pandemic

"While it's common for hospitals to see a revenue boost at the onset of seasonal influenza season, the additional threat of cases from the H1N1 swine flu virus could complicate this fall's and winter's financial picture for such health facilities," The Chicago Tribune reports.

23 Oct 2009

Twenty charged with Medicare fraud; and such crimes are emerging as a new area for gang activity

Federal authorities have charged 20 people with Medicare fraud in seven different cases. Those charged alledgedly bilked the government out of about $26 million in unneeded or undelivered medical equipment in California and Las Vegas.

23 Oct 2009

BNA launches Health IT Law & Industry Report

To help clarify and analyze the framework of regulation, compliance, and federal and state privacy laws that will govern the more than $30 billion in stimulus funding for health information technology (HIT), specialized news and information publisher BNA has launched the Health IT Law & Industry Report.

23 Oct 2009

Report: Quality of care for insured Americans slipped in 2008

CNNMoney reports that for the first time in more than 10 years, the "overall quality of health care" for Americans insured through commercial and public plans appears to have slipped.

23 Oct 2009

Lumetra awarded a Veterans Health Administration Protected Clinical Peer Review Services contract

Lumetra is pleased to announce that the Department of Veterans Affairs has awarded the California-based healthcare consulting organization a contract for Veterans Health Administration (VHA) Protected Clinical Peer Review Services. Effective on September 30, 2009, the contract is for a one-year period, with the VHA having the choice to exercise four option years.

23 Oct 2009

Health reform changes could increase costs to states

Today's state news round-up includes the cost of health reform to New York, immigrants in California, a possible new mental health overhaul in Arizona and a delay in expanding the children's health program in Iowa.

22 Oct 2009

Bristol-Myers Squibb reports strong sales and earnings growth for third quarter 2009

Bristol-Myers Squibb Company today reported strong sales and earnings growth for the third quarter 2009.

22 Oct 2009

Invacare announces its financial results for the quarter and nine months ended September 30, 2009

Invacare Corporation (NYSE: IVC) today announced its financial results for the quarter and nine months ended September 30, 2009.

22 Oct 2009

H.R. 3790 to reduce Medicare spending; preserve access to quality care

The Ohio Association of Medical Equipment Services and the American Association for Homecare praised a bipartisan bill in Congress, H.R. 3790, to eliminate the misguided, flawed "competitive" bidding program for durable medical equipment and services in Medicare.

22 Oct 2009

First Edition: October 22, 2009

Some clear themes emerge from today's headlines. Among them: A new government report indicates that health costs grow even faster under Democratic legislation pending in the House; and, yesterday's Senate vote to block the Medicare pay fix bill represents an important loss for Majority Leader Harry Reid.

22 Oct 2009

Medicare Fraud Strike Force in Houston files charges against six individuals for false and fraudulent claims

Medicare fraud charges have been filed against six individuals in the continuing operation of the Medicare Fraud Strike Force in Houston, Assistant Attorney General Lanny A. Breuer of the Criminal Division, U.S. Attorney for the Southern District of Texas Tim Johnson and Daniel R. Levinson, Inspector General of the Department of Health & Human Services (HHS), announced today.

22 Oct 2009

Advisory Committee on Immunization Practices supports the permissive use of GARDASIL

Merck & Co., Inc. announced today that the U.S. Centers for Disease Control and Prevention’s (CDC’s) Advisory Committee on Immunization Practices (ACIP) supports the permissive use of GARDASIL® [Human Papillomavirus Quadrivalent (Types 6, 11, 16 and 18) Vaccine, Recombinant] for boys and young men ages 9 to 26, which means that GARDASIL may be given to males ages 9 to 26 to reduce the likelihood of acquiring genital warts at the discretion of the patient's health care provider.

22 Oct 2009

18 Los Angeles residents charged in five indictments for allegedly participating in Medicare fraud schemes

Eighteen defendants, most of them residing in the Los Angeles area, have been charged in five indictments for allegedly participating in Medicare fraud schemes that resulted in approximately $25 million in fraudulent bills to the Medicare program, announced Assistant Attorney General of the Criminal Division Lanny A. Breuer, Acting U.S. Attorney for the Central District of California George S. Cardona and Daniel R. Levinson, Inspector General of the Department of Health & Human Services (HHS).

22 Oct 2009

Medicaid News and Research

Experienced criminals find new opportunities in medical fraud

Recent health policy studies and analyses

H.R. 3790 wins praises in Pennsylvania

Bill eliminating the flawed medical equipment bidding process in the Riverside-San Bernardino area lauded

Quality of U.S. health care was virtually stagnant in 2008, says NCQA report

Texas and U.S. homecare groups praise bipartisan bill; say bidding program may reduce quality patient care

New Category I CPT code for AspirinWorks Test Kit

Some hospital revenues could decline if H1N1 becomes pandemic

Twenty charged with Medicare fraud; and such crimes are emerging as a new area for gang activity

BNA launches Health IT Law & Industry Report

Report: Quality of care for insured Americans slipped in 2008

Lumetra awarded a Veterans Health Administration Protected Clinical Peer Review Services contract

Health reform changes could increase costs to states

Bristol-Myers Squibb reports strong sales and earnings growth for third quarter 2009

Invacare announces its financial results for the quarter and nine months ended September 30, 2009

H.R. 3790 to reduce Medicare spending; preserve access to quality care

First Edition: October 22, 2009

Medicare Fraud Strike Force in Houston files charges against six individuals for false and fraudulent claims

Advisory Committee on Immunization Practices supports the permissive use of GARDASIL

18 Los Angeles residents charged in five indictments for allegedly participating in Medicare fraud schemes

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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