By a News Reporter-Staff News Editor at Managed Care Weekly Digest PITTSBURGH, A key component of the Affordable Care Act successfully saved Medicare $345 per person in medical costs in its first year without driving up prescription drug coverage costs, according to an analysis led by the University of Pittsburgh Graduate School of Public Health.
Trusted Health Plan Inc., a Washington D.C. headquartered Managed Care Organization announces the acquisition of Harbor Health Plan, Inc. Plans include building brick and mortar Wellness Centers in Wayne, Oakland, and Macomb counties to improve member health outcomes, and establishing value-based contracts with providers. The Wellness Centers wil
March 26 The public still has time to give input on a state proposal to put work requirements and lifetime limits on Arizonans enrolled in Medicaid. Medicaid is a government insurance program for low income people. Arizona must re-apply to the Centers for Medicare and Medicaid Services to make the changes by March 30.
By a News Reporter-Staff News Editor at Managed Care Weekly Digest Higher health care utilization spending by physicians was not associated with better outcomes for hospitalized Medicare beneficiaries in a new article published online by JAMA Internal Medicine. The authors used a random sample of Medicare fee-for-service beneficiaries who were...
"In many places, costs for Medigap protection did not change and that's good news for the 10,000 Americans who turn 65 every day," shares Jesse Slome, director of the American Association for Medicare Supplement Insurance that compiled insurance costs for the 10 major metropolitan areas. A 65- year old male purchasing Medicare Supplement insurance
By a News Reporter-Staff News Editor at Managed Care Weekly Digest- Salesforce, the world's #1 CRM company and Intelligent Customer Success Platform, announced that Mount Sinai Health System- an integrated health system committed to providing distinguished care, conducting transformative research and advancing biomedical education-is using...
By a News Reporter-Staff News Editor at Managed Care Weekly Digest Newswire/ FAIR Health announced that as a result of its designation last year by the Centers for Medicare& Medicaid Services as a Qualified Entity, it is adding four full years of Medicare claims data to its database of more than 23 billion private healthcare claims. FAIR Health
New Findings from Wright State University Update Understanding of Medicare and Medicaid. By a News Reporter-Staff News Editor at Managed Care Weekly Digest Researchers detail new data in Medicare and Medicaid. For more information on this research see: Identifying Associations Between State Medicaid Expansion Decisions and Spatial Disparities in.
Contrary to widespread concern, researchers find no evidence as of mid-2014 that the millions of individuals newly covered through Medicaid and the Patient Protection and Affordable Care Act strained primary care capacity. This was demonstrated by stability in appointment rates and wait-times for new, privately-insured patients and an increase in..
Researchers from University of California Detail Findings in Medicare and Medicaid. By a News Reporter-Staff News Editor at Managed Care Weekly Digest Investigators publish new report on Medicare and Medicaid. Our news journalists obtained a quote from the research from the University of California, "We examined responses to the Consumer Assessme
In a new study, Jake Haselswerdt, assistant professor of political science and public affairs at the University of Missouri, found a correlation between voter turnout and Medicaid expansion, a key component of the ACA. He says that increases in Medicaid enrollment are related to considerably higher voter turnout in states that expanded Medicaid.
Studies in the Area of Medicare and Medicaid Reported from V. Phongtankuel and Co-Researchers. By a News Reporter-Staff News Editor at Managed Care Weekly Digest New research on Medicare and Medicaid is the subject of a report. Retrospective cohort study using Medicare fee-for-service claims.
I received a call from Medicare stating that Medicare is issuing new cards and I must verify information to receive my new card. I do recall reading that a law was recently passed that will require the removal of Social Security numbers from Medicare cards. Beginning April 2018, CMS will begin mailing new Medicare cards to beneficiaries.
By a News Reporter-Staff News Editor at VerticalNews Health The inauguration of a new United States president is heralded as a peaceful transition of power. "This is a time where uncertainty and opportunity co-exist," says Eileen M. Sullivan-Marx, PhD, RN, FAAN, Dean and Erline Perkins McGriff Professor of the New York University Rory Meyers Col
March 26 House Republicans' health care plan may have been pulled Friday after failing to generate enough support, but scrutiny over health care and Medicaid spending is almost sure to persist. Under the House GOP's defeated health care plan, the Medicaid expansion included in Obamacare would be phased out by 2020. The bill would also set a per-c
Republicans pulled the AHCA from the House floor Friday, effectively killing the bill amid expectations that a floor vote would fail. Some officials and residents cited Fayette, Greene, Washington and Westmoreland counties comparatively high reliance on Medicaid and rampant opioid abuse as a dangerous combination of circumstances if that coverage i
Myers attributes that difference to the Patient Protection and Affordable Care Act, which increased access to addiction and mental health treatment by designating them as essential health benefits required to be covered through the Affordable Care Act marketplace and expanded Medicaid. The ACA, signed into law by former President Barack Obama in 20
Medicaid pays for Addisyn's visits at the St. Louis clinic. Missouri has among the most restrictive Medicaid programs in the nation, in part, a consequence of the state refusing to expand the program under the Affordable Care Act. "Regardless of what happens... with the AHCA, it is pretty clear that there is going to be changes with Medicaid under
Now that the Republican effort to repeal the Affordable Care Act is off the table, New Hampshire and other states will get to keep their expanded Medicaid programs at least for now. The Granite State is among the states who receive a 50 percent Medicaid match from the federal Centers for Medicare and Medicaid the lowest rate available for hos
What are the steps seniors need to take if they suspect Medicare fraud? In a nutshell, Medicare fraud happens when Medicare is purposely billed for services or supplies that were never provided or received. A company offers a Medicare drug plan that has not been approved by Medicare.
March 24 Shares of DexCom gained more than 8 percent Friday after Medicare issued a favorable ruling for reimbursing use of continuous glucose monitors, made by the San Diego- based company. DexCom's G5 Mobile CGM system provides glucose measurements every 5 minutes, and is the only CGM reimbursed by Medicare, said Kevin Sayer, DexCom's president
The bill had drawn fire from several Republicans, who reported that it will charge senior citizens higher fees for insurance, will take away privately insured patients' free preventative care services that are granted under the Affordable Care Act and will strip Medicaid coverage from those who have been diagnosed with substance abuse disorder and
March 24 The nurses and doctors at Brandon Hospital worried Lakota Lockhart wouldn't make it when he was born. But when his father is out of work, he relies on Medicaid. But as state lawmakers look for places they can cut the state budget, fearing a revenue shortfall in coming years, Medicaid spending could be on the chopping block.
March 25 Financial strains the three private insurers managing the state's nearly $5 billion Medicaid program are experiencing are leading the state to step in to help cover the losses. Correspondence from December 2016 between the Iowa Department of Human Services and the three managed-care organizations, obtained by The Gazette through a...
CHERRY HILL, N.J. Governors of both parties had warned Congress for weeks that the Republican health care bill threatened to saddle their states with big costs and potentially leave millions of people without coverage, especially because of the cutbacks planned to Medicaid.