Accomplish the big task of getting this group enrolled through the new exchanges or via Medicaid, and the system would gain needed balance, suffering from less cost-shifting and other expensive distortions. Unfortunately, Congress has failed to put up the necessary resources. And states, too, including Ohio have skimped in getting the word out and
By a News Reporter-Staff News Editor at VerticalNews Health& Science CHAMPAIGN, Ill.- The Obama administration's controversial proposal to "means-test" Medicare recipients is ostensibly aimed at generating more cash for the government from those who can afford it- or squeezing more money out of upper-income seniors, depending upon one's point of
Charles E. Schumer, D- N.Y., has introduced legislation amending title XVIII of the Social Security Act to "provide for coverage and payment for complex rehabilitation technology items under the Medicare program." For more information about congressional legislation and services offered by Targeted News Service to track issues, key words or members
May 18 GREENSBORO Cone Health said Thursday that the health care system and its employees provided nearly $199 million in charitable benefits to the communities it served in fiscal year 2012.. The system said almost $185 million included charity care, bad debt and the shortfall between what government pays for health care through Medicare and M
The federal Centers for Medicare and Medicaid recently released 2011 list prices for procedures at more than 3,300 hospitals, including 126 in Illinois. Charges for implanting a permanent pacemaker at Centegra Hospital in McHenry: $36,000. At Vista Medical Center East in Waukegan less than 30 miles away the charge is more than $165,000 for the
The April financials reflect a combination of unexpected revenues and efforts by Jackson administrators to reduce staff overtime and increase the number of uninsured patients applying for Medicaid and other forms of coverage. Proceeds from the half-penny sales tax dedicated to Jackson were stronger than estimated, strengthening April's bottom line.
May 18 A new Medicare program that punishes hospitals with high patient readmission rates is forcing administrators to reach out and improve how patients are cared for even after they're wheeled out the hospital doors. Confirming their fears, most of the eight hospitals in California paying the stiffest penalties this year are in low-income areas
May 17 Significant changes are fast approaching for how Multnomah County delivers health care to its poorest and most vulnerable populations. "He was saying all of this is so hard to understand," said Shirley, director of Multnomah County's Health Department. As part of the Affordable Care Act known to most as Obamacare Medicaid is being exp
May 18 CONCORD Senate Republicans on the Finance Committee continue to be skeptical of expanding Medicaid under the Affordable Care Act. Expanding Medicaid is expected to cost the state more than $27 million, but will bring $2.5 billion into the state through provider payments for health care services, according to figures from HHS. HHS commiss
If you plan to pay out of pocket, you might want to get a ride over to Boonville for treatment at Cooper County Memorial Hospital. A drive up to Audrain Medical Center in Mexico, Mo., might be the most cost-effective option. The information covers charges hospitals sent to CMS in 2011, as well as what Medicare actually reimbursed them, which is usu
That's what Bon Secours Mary Immaculate Hospital in Newport News billed, on average. That's what Medicare paid to Hampton Roads hospitals. Earlier this month, the U.S. Department of Health and Human Services published the average prices charged by 3,300 hospitals in the 2011 budget year for services provided during the 100 most common Medicare inpa
By a News Reporter-Staff News Editor at Marketing Weekly News The United States has intervened in a qui tam whistleblower suit under the False Claims Act accusing Novartis Pharmaceuticals Corp. of fraudulently billing Medicare, Medicaid, TRICARE, and other federal- and state-funded healthcare programs by Novartis' Cardiovascular Diseases Division
May 17 The financial health of Maine's hospitals has landed at the center of State House debate this spring as lawmakers tussle over whether Maine should expand its Medicaid program under the federal health care reform law. The issue came to a fore this past week as debate erupted over a Democratic plan to tie Medicaid expansion to the repayment
May 17 A 46- year-old woman is the second person to be arrested for Medicaid fraud involving two West Palm Beach day care centers, authorities announced today. From January 2008 to February 2013, the women billed Medicaid a total of $526,236.08 for services they did not administer, according to authorities. "Falsely claiming to provide speech th
May 16 A Milwaukee nurse who billed Medicaid for in-home care she never provided has been sentenced to serve 100 days in jail as a condition of 18 months of probation. Yvette Harris, 50, was convicted in March of Medicaid fraud and theft after a five-day trial. But from June 2010 to April 2011, Harris billed the Wisconsin Medicaid program claimin
May 17 KANNAPOLIS, N.C. More than 1,000 children and pregnant women will be turned away from clinical medical services at Cabarrus Health Alliance because of a proposed $1 million reduction in the Medicaid reimbursement from the state. The Health Alliance must reduce the number of maternity patients its sees by 300 patients. The Health Alliance
The American Coalition for Healthcare Claims Integrity today issued the following statement from spokesperson Amanda Keating after submitting comments to CMS on the Medicare Part B Inpatient Billing in Hospitals proposed rule. After carefully reviewing the proposed rule, we are gravely concerned about the implications it could have for beneficia
May 17 AUGUSTA The debate over whether state government should link the payment of its $484 million debt to Maine hospitals to an expansion of Medicaid ratcheted up again Thursday. Medicaid is a federal/state-funded health insurance program for people who cannot otherwise afford coverage. They say the Medicaid expansion here would allow 70,000
May 17 AUGUSTA, Maine A sharply divided legislative committee voted Thursday to support a Democratic proposal that ties an expansion of Medicaid to Gov. The Legislature's Veterans and Legal Affairs Committee voted 7-5 along party lines to send the full Legislature a bill that proposes repayment of Maine's hospital debt, a restructuring of the s
The Congressional Budget Office issued the following document:. The category labeled "All Other Spending" includes all noninterest spending apart from Social Security, Medicare, and national defense; thus, it includes spending for Medicaid, subsidies to be provided through health insurance exchanges, the Supplemental Nutrition Assistance Program,..
Ignoring public sentiment, Democrats on the Veterans and Legal Affairs Committee today approved a measure that makes repayment of Maine's hospitals contingent on the expansion of Medicaid in Maine. The prospect of that bill passing came into doubt yesterday, when Democratic leadership demanded Medicaid expansion, which is completely unrelated to...
Juan Villarreal in Harlingen, Tx, through Austin attorney Jason Ray, has filed a motion for a writ of mandamus in Travis County District Court. According to the filings, in October 2012, a State Office of Administrative Hearings judge found that HFD had not committed any fraud in its Medicaid orthodontic billings and that the payment hold be reduce
May 17 SANTA CRUZ Dominican Hospital is doing slightly better than the national average in treating Medicare patients with a heart attack, heart failure and pneumonia and avoiding a costly return to the emergency room. Watsonville Community Hospital is slightly better than the average in avoiding readmissions of Medicare patients with heart fai
May 17 The State Attorney General's Medicaid Fraud Control Unit has reached an agreement with Snyder Transportation, doing business as First Call, to recover what the government agency said was more than $330,000 in "excess payments" submitted for Medicaid claims. Attorney General Eric T. Schneiderman said in a statement Thursday that First Call