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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.

Premiums for employer-sponsored health insurance projected to double in 10 years

Nationally, family premiums for employer-sponsored health insurance increased 119 percent between 1999 and 2008, and could increase another 94 percent to an average $23,842 per family by 2020 if cost growth continues on its current course, according to a new Commonwealth Fund report.

20 Aug 2009

House healthcare reform legislation and administrative rule combined cut $44 billion in Medicare funds for long term care

The Community Cares Coalition (CoCares) - a national coalition of community long term care businesses and organizations providing key services to the skilled nursing community - today said that while long term care businesses support reform measures to increase efficiencies in the healthcare system and promote cost savings, the current reform proposal in the U.S. House of Representatives and a recent administrative rule from the Centers for Medicare & Medicaid Services' (CMS') that cut $44 billion Medicare funds to long term care will have the opposite impact on nursing home care and the businesses and organizations that support the nation's long term care sector.

20 Aug 2009

Biden: $1.2 billion from stimulus for computerized medical records

"Vice President Joe Biden today announced $1.2 billion from federal stimulus dollars to allow hospitals to modernize record keeping systems," The Chicago Tribune reports.

20 Aug 2009

Enterprise Technology Solutions and Health Net Federal Services to provide recovery audit services to VA HAC

Enterprise Technology Solutions (ETS) LLC, a Service Disabled Veteran Owned Small Business (SDVOSB) and Health Net Federal Services LLC, the government operations division of Health Net, Inc., (NYSE:HNT) today announced they have been awarded a contract by the Department of Veterans Affairs Health Administration Center (VA HAC) to provide recovery audit services of VA payments made for non-VA hospital care to veterans. As the prime contractor for this agreement, ETS will provide program management, and Health Net Federal Services, the prime subcontractor, will provide technical and operational expertise.

20 Aug 2009

State round-up: New Jersey hospitals, Utah's Medicaid troubles, and more

Wednesday's state news includes a hospital demonstration in New Jersey, Medicaid fraud in Utah, an abortion ruling in Oklahoma, and a White House decision to maintain Wisconsin's unique drug program for seniors.

20 Aug 2009

Wellcare discloses to Florida Elections Commission questionable campaign contributions

WellCare Health Plans, Inc. announced that it voluntarily disclosed to the Florida Elections Commission questionable campaign contributions by certain subsidiaries from 2003 through 2007.

20 Aug 2009

PACE programs focus on health and wellness of senior citizens

In celebration of National Senior Citizens Day, this Friday, August 21(st), the National PACE Association is working with many of the individual Programs of All-inclusive Care for the Elderly (PACE) around the country to educate their surrounding communities about PACE through health fairs and open houses.

20 Aug 2009

Study reveals that patient care is better in nonprofit nursing homes than in for-profit nursing homes

A major new statistical review of 82 individual research studies has revealed that nonprofit nursing homes deliver, on average, higher quality care than for-profit nursing homes. The findings could have a bearing on the present debate about the role of for-profit firms in U.S. health reform.

20 Aug 2009

Poll reveals that thin majority of Americans continue to support health care reforms

A slim majority of Americans continues to favor moving forward on health care reform now despite an intensifying ad war and a political climate of contentious town hall meetings that coincide with rising concerns about the reform effort, according to the August Kaiser Health Tracking Poll.

20 Aug 2009

Perot Systems to provide back-office functional support to Community Health Plan of Washington

Community Health Plan of Washington (CHP Washington) and Perot Systems Corporation (NYSE: PER) (www.perotsystems.com) today announced an agreement where Perot Systems will provide technology and business process services to improve the Seattle-based health plan's back-office functions. The scope of services to be managed by Perot Systems includes claims processing, claims adjustments, enrollment, premium billing, and configuration.

20 Aug 2009

Covering Kids & Families Michigan campaign aims to enroll 50,000 children in healthcare coverage plans

As Michigan's children head back to school, the Michigan Cover the Uninsured Network (MCTUN) and some of the state's leading organizations are making a special outreach effort to ensure that eligible children and families have access to free and/or low cost health coverage through the state's Medicaid and MIChild programs.

20 Aug 2009

Medicare picks twelve New Jersey hospitals to test incentive system

Twelve New Jersey hospitals and their participating physicians have received approval from the federal government to test an innovative new incentive method that aims to reduce healthcare costs while improving quality of care.

19 Aug 2009

Medicare Part D premiums to rise slightly

Medicare Part D drug premiums are expected to increase slightly while the Centers for Medicare and Medicaid Services details which states have the highest rates of prescription drug use.

19 Aug 2009

Texas Public Policy Foundation says health plans would cause more harm than good

The health care reform plans pending in the U.S. Congress would cause more harm than good, according to a study released today by the Texas Public Policy Foundation.

19 Aug 2009

Medical fraud creates unknown amount of waste

Lawmakers seek a reduction in the amount of money lost each year to medical fraud. Meanwhile, two Miami doctors are convicted of Medicare fraud.

19 Aug 2009

Delay in appointing Medicare Chief baffles lawmakers

To the puzzlement of Congress and health care experts around the country, Mr. Obama has not named anyone to lead the Centers for Medicare and Medicaid Services," The New York Times reports.

19 Aug 2009

Study shows lower short-term mortality rates in patients hospitalized for AMI

From 1995 to 2006, hospital 30-day death rates decreased significantly for Medicare patients hospitalized for a heart attack, as did the variation in the rate between hospitals, according to a study in the August 19 issue of JAMA.

19 Aug 2009

Cost of physician reimbursement for diabetic leg amputations misconstrued

The cost of doctors performing lower-limb amputations for people with diabetes has been misconstrued during recent health care reform discussions, according to the American Podiatric Medical Association (APMA).

19 Aug 2009

AMG-SIU to discuss the essentials of audit preparation at the NAMPI conference

Allied Management Group – Special Investigation Unit (AMG-SIU) will be speaking at the National Association for Medicaid Program Integrity (NAMPI) conference later this month to educate members on the essentials of audit preparation. AMG-SIU began as an audit firm providing consulting services to the health care industry more than 35 years ago. The company is now actively working with health groups across the U.S. to prepare for MIP audits in addition to their other services.

19 Aug 2009

Affiliated Computer Services collaborates with clients to develop business solutions for managing downturn

As companies and government agencies navigate unprecedented economic challenges, some organizations are finding innovative ways to save money but also improve services and productivity. Affiliated Computer Services, Inc. (NYSE: ACS) is working closely with its clients to develop successful business solutions designed to help them manage the economic downturn and prepare for the eventual rebound.

19 Aug 2009

Medicaid News and Research

Premiums for employer-sponsored health insurance projected to double in 10 years

House healthcare reform legislation and administrative rule combined cut $44 billion in Medicare funds for long term care

Biden: $1.2 billion from stimulus for computerized medical records

Enterprise Technology Solutions and Health Net Federal Services to provide recovery audit services to VA HAC

State round-up: New Jersey hospitals, Utah's Medicaid troubles, and more

Wellcare discloses to Florida Elections Commission questionable campaign contributions

PACE programs focus on health and wellness of senior citizens

Study reveals that patient care is better in nonprofit nursing homes than in for-profit nursing homes

Poll reveals that thin majority of Americans continue to support health care reforms

Perot Systems to provide back-office functional support to Community Health Plan of Washington

Covering Kids & Families Michigan campaign aims to enroll 50,000 children in healthcare coverage plans

Medicare picks twelve New Jersey hospitals to test incentive system

Medicare Part D premiums to rise slightly

Texas Public Policy Foundation says health plans would cause more harm than good

Medical fraud creates unknown amount of waste

Delay in appointing Medicare Chief baffles lawmakers

Study shows lower short-term mortality rates in patients hospitalized for AMI

Cost of physician reimbursement for diabetic leg amputations misconstrued

AMG-SIU to discuss the essentials of audit preparation at the NAMPI conference

Affiliated Computer Services collaborates with clients to develop business solutions for managing downturn

Expanding research and clinical options for children with cancer

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

From Puberty to Menopause: Clue’s CEO, Audrey Tsang on the Power of Femtech

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