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Pharmacy Choice - News - Medicare & Medicaid - March 21, 2018

Pharmacy News

 Medicare & Medicaid
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12/31/17 - Budget hearings begin for state
Trip Pittman, R- Daphne, said Thursday. Meanwhile, lawmakers are in a holding pattern waiting for Congress to act on renewing the federal Children's Health Insurance Program. The program funds Alabama's Medicaid coverage for about 75,000 children, and congressional inaction before reserves are exhausted would cost the state about $40 million, accor
12/31/17 - Massive, maligned Medicaid managed care expansion to start
SPRINGFIELD A vast remaking of subsidized Medicaid health care in Illinois, nearly a year in the making and criticized all the way, is set to debut Monday. But critics have raised sharp questions, from the manner in which the Illinois Department of Healthcare and Family Services sought and signed up insurers to whether the reimbursement rates th
12/31/17 - Medicaid expansion popular among Americans connected to program
By a News Reporter-Staff News Editor at VerticalNews Health& Science A concerted effort by Republicans in Congress to repeal and replace the Affordable Care Act hit a surprising road block earlier this year: strong pushback against cuts to Medicaid. According to new findings from researchers at the University of Chicago, Medicaid is now seen as a
12/31/17 - Medicare Part B has specific enrollment times; Covering; The Bases
Reason 1: I was living out of the country and Medicare doesn't pay for services outside the U.S. or U.S. territories. Now I have returned to the U.S. I want to start my Medicare Part B but am learning I will have a penalty and a delay in coverage. Medicare Parts A and B enrollment is made through the Social Security Administration.
12/31/17 - Study: Most enrolled in Michigan's Medicaid expansion already either work or can't work
By a News Reporter-Staff News Editor at VerticalNews Health& Science ANN ARBOR, MI- Nearly half of the people who enrolled in Medicaid after it expanded in Michigan have jobs, a new study finds. About 1 in 4 enrollees are out of work but also are much more likely to be in poor health, according to the findings published in JAMA Internal Medicine
12/30/17 - 233,000 sign up for Affordable Care Act insurance in Ohio
The data provided Thursday by the Centers for Medicare and Medicaid Services represent enrollment only in the 39 states that use the federal health-care marketplace to sign up for coverage. The remaining states and the District of Columbia run their own health exchanges, many of which have extended deadlines. This is fabulou
12/30/17 - Centers for Medicare & Medicaid Services Seeks Quality Control Contractors
Department of Health and Human Services' Centers for Medicare& Medicaid Services has issued a sources sought notice. Primary Point of Contact: Kelley Williams-Vollmer,, 410/ 786-8177; Secondary Point of Contact: Jonathan Nolan, Contract Specialist,, 410/ 786-1896; For more information:.
12/30/17 - Lawmakers drop objection to cuts in Medicaid reimbursement [The Montana Standard, Butte]
Kathy Kelker, D- Billings; Dennis Lenz, R- Billings; and Sens. Eric Moore, R- Miles City; Al Olszewski, R- Kalispell; and Gordon Pierson, D- Deer Lodge. Matt Kuntz, executive director of the National Alliance on Mental Illness in Montana, said he isn't entirely surprised the committee dropped its objection.
12/30/17 - Low 2016 Indvidual Health Margins Trimmed Insurers' Rebate Bills [LifeHealthPro]
The Centers for Medicare and Medicaid Services has given U.S. health insurers bad news and good news about how individual health coverage performed in 2016.. The bad news is that rising claims ate up more premium revenue, squeezing underwriting gains. The good news is that fewer insurers earned enough to owe rebates to the enrollees.
12/30/17 - Madigan: Chicago Woman Charged for Defrauding State Out of Approximately $100,000 in Medicaid Funding
Attorney General Lisa Madigan announced that a Chicago doctor was charged with Medicaid fraud for defrauding the state out of approximately $100,000 in Medicaid funding. Manuela Farhi, 60, of Chicago, was charged Friday with Class 1 vendor fraud, two counts of Class 1 theft and Class 3 forgery in Cook County Circuit Court for her scheme to bill the
12/30/17 - Medicaid, infrastructure among priorities in 2018 Legislative Session [The Meridian Star, Miss.]
Dec. 30 Local lawmakers are ready to dive headfirst into the regular session of the 2018 Mississippi Legislature, which begins on Jan. 2. House Speaker Pro Tem Greg Snowden said Medicaid, the government health insurance program that covers 1 in 4 Mississippians, is up for review in 2018.. State Senate President Pro Tem Terry C. Burton agrees.
12/30/17 - Medicaid, infrastructure, lotto on docket as 2018 session opens Tuesday
Medicaid, the budget and infrastructure will be among the major issues facing the state's legislators when they return to Jackson Tuesday for the 2018 session of the Mississippi Legislature, local officials said. One of those is Kevin Ford, who will fill the District 54 House seat previously occupied by Alex Monsour, who resigned his seat after his
12/30/17 - No deal yet for UnityPoint and Amerigroup [The Gazette, Cedar Rapids, Iowa]
Dec. 29 UnityPoint Health has not yet reached an agreement with Amerigroup of Iowa over a contract for serving Iowa Medicaid patients, officials said Thursday afternoon. UnityPoint Health, one of the state's largest medical networks with facilities that include St. Luke's Hospital in Cedar Rapids, announced Nov. 15 it has notified 54,000 patients
12/30/17 - Oklahoma Health Care Authority puts off Medicaid service provider rate cuts
OKLAHOMA CITY- Health care providers who had braced for a planned rate cut on Monday got a last-minute reprieve Friday afternoon when the state Medicaid agency voted not to implement the cutbacks, at least for now. The board of the Oklahoma Health Care Authority oversees SoonerCare, the state Medicaid program, and cuts would have hit most of the 46
12/30/17 - Providers still face challenges over Medicaid payments [The Gazette, Cedar Rapids, Iowa]
Dec. 29 Nearly 21 months after Iowa switched most of its Medicaid enrollees to private managed care, some health care providers say they still struggle with billing issues and rejected payment requests. "It's not even enjoyable to take care of because at night I'm worried about how I'm going to pay for my employees," said Julie Knake Tow, owner
12/30/17 - U.Va. among hospitals penalized by Medicare
The University of Virginia Health System will see another loss in federal funding after being penalized by Medicare for its rate of patient injuries. According to a report from Kaiser Health News, the university is among 751 hospitals- 115 of which are academic medical centers- that will lose a portion of its Medicare funding per an Affordable Care
12/30/17 - Wagoners face Medicaid fraud complaint for scheme DOJ says garnered $1.1 million in overpayments [Kokomo Tribune, Ind.]
Dec. 30 HAMMOND Federal and state officials announced today the filing of a civil Medicaid fraud complaint against Don and Marilyn Wagoner in a case that claims the former physicians received more than $1.1 million in overpayments. The complaint is the latest development in a saga that saw the deaths of more than two dozen people caused by ille
12/29/17 - 'Obamacare' sign-up tally dips slightly to 8.7M
WASHINGTON More than 8.7 million people signed up for coverage next year under the Obama-era health care law, the government reported Thursday, as the program that President Donald Trump has repeatedly pronounced "a disaster" exceeded expectations. A spokesman for the Centers for Medicare and Medicaid Services said the slight dip was due to late.
12/29/17 - Cary Medical among four Maine hospitals Medicare penalized
CARIBOU, Maine- Cary Medical Center is among four hospitals in the state that Medicare penalized for "poor patient safety rates," according to a report from Maine Public. Additionally, York Hospital, Southern Maine Health Care in Biddeford, and Central Maine Medical Center in Lewiston ranked "among the bottom 25 percent of U.S. hospitals for things
12/29/17 - Chicago doctor charged with defrauding state out of $100K in Medicaid funding
A Chicago doctor was charged Friday with defrauding the state out of roughly $100,000 in Medicaid funding. Manuela Farhi, 60, allegedly billed Medicaid through her obstetrician and gynecology practice at 7010 W. North Ave. that served women enrolled in the state s program, according to a statement from Illinois Attorney General Lisa Madigan's of
12/29/17 - CMS Approves First 10-Year Section 1115 Demonstration Extension
Mississippi's waiver will be the 25th demonstration action approved by CMS since January 21, 2017. "This is the first ten-year demonstration extension in the history of CMS, and allows Mississippi to administer its Medicaid program without the inconvenience of obtaining routine approvals from CMS," said CMS Administrator Seema Verma.
12/29/17 - Employers may face new health care assessments Unemployment insurance rate relief on tap
BOSTON- The new year will bring with it mixed financial news for Massachusetts employers, with $200 million in new health care assessments and unemployment insurance rate relief both scheduled to take effect. Charlie Baker proposed this summer in an effort to get a handle on the rising costs of MassHealth, the $16 billion Medicaid program that make
12/29/17 - Fight for health care, Medicaid
This will make the meager 2 percent COLA on Social Security feel even more miserly since the increase in Medicare will be even worse than was already expected. So, for those of you that rely on Social Security and Medicare, your GOP legislators say good luck. I guess we should be thankful that as a last-minute deal on the spending bill states like
12/29/17 - Final Weekly Enrollment Snapshot for 2018 Open Enrollment Period
Department of Health and Human Services' Centers for Medicare& Medicaid Services issued the following fact sheet:. Approximately 8.7 M people selected or were automatically re-enrolled in plans using the platform during the 2018 open enrollment period. These snapshots provide point-in-time estimates of weekly plan selections, call...
12/29/17 - Health enrollment slips slightly Final figures for federal marketplace sign-ups released
The Centers for Medicare and Medicaid Services reported Thursday that 8.74 million Americans, including 166,711 Indiana residents, had either enrolled or been automatically re-enrolled in the federal insurance marketplace for 2018 coverage. CMS had announced preliminary numbers last week indicating 8.8 million people, including 168,223 Hoosiers, ha
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