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 The leading web portal for pharmacy resources, news, education and careers November 14, 2018
Pharmacy Choice - News - Medicare & Medicaid - November 14, 2018

Pharmacy News

 Medicare & Medicaid
Current Articles | 7 - 30 Days Old | 30 - 90 Days Old | Over 90 Days
Articles(s): 1 - 25 of 143     Next >>     Go To Page:

11/14/18 - AAOS Issues Statement on Medicare Physician Fee Final Rule
The American Academy of Orthopaedic Surgeons issued the following statement by President David A. Halsey on the Centers for Medicare and Medicaid Services identificaion of terminology codes in the year 2019 Medicare Physician Fee Schedule Final Rule:. "The AAOS strongly disagrees with the assumption that the seven high-volume CPT codes, including
11/14/18 - Arkansas Attorney General: Rutledge Announces Medicaid Fraud Arrests Involving Falsified Documents and Stolen Hydrocodone
Arkansas Attorney General Leslie Rutledge issued the following news release:. Arkansas Attorney General Leslie Rutledge today announced the arrest of a Cross County woman for Medicaid fraud and a Pulaski County woman for fraudulently obtaining a controlled substance. Following an investigation by the Attorney General's Office, Rucker was arrested.
11/14/18 - Blue Cross Blue Shield of Massachusetts Named Best in Nation for Medicare Advantage and Medicare Part D Prescription Drug Plans by U.S. News & World Report
Blue Cross Blue Shield of Massachusetts has been named best in the nation for its Medicare Advantage plan and Medicare Part D plan by U.S. News& World Report, making the company one of only two health plans in the country to earn top marks in both categories. Blue Cross Blue Shield of Massachusetts is the largest health plan in Massachusetts and
11/14/18 - Center on Budget and Policy Prioritiesl: TANF Studies Show Work Requirement Proposals for Other Programs Would Harm Millions, Do Little to Increase Work
The Center on Budget and Policy Priorities issued the following news release:. Holding up the Temporary Assistance for Needy Families program as a model, some state and federal policymakers are considering or have already imposed policies that would take away SNAP benefits, Medicaid coverage, or housing assistance from people who don't work or
11/14/18 - Centers for Medicare and Medicaid Services Announces New Medicaid Demonstration Opportunity to Expand Mental Health Treatment Services
Department of Health and Human Services' Centers for Medicare and Medicaid Services issued the following news release:. Today, the Centers for Medicare& Medicaid Services sent a letter to State Medicaid Directors that outlines both existing and new opportunities for states to design innovative service delivery systems for adults with serious mental
11/14/18 - Doctors Healthcare Plans Selects HEALTHsuite Mercato from RAM Technologies to Administer Medicare Advantage Business [Tehran Times (Iran)]
-RAM Technologies, Inc., the perennial leader in the development of enterprise software solutions for health plans administering Medicare Advantage and Managed Medicaid, is pleased to announce that Doctors Healthcare Plans, Inc. has selected their core administrative platform, HEALTHsuite Mercato, to administer their new Medicare Advantage business
11/14/18 - Humana and Premier Independent Physicians Team up to Offer an Enhanced Patient Experience for Humana Medicare Advantage Members in DFW
DALLAS& LOUISVILLE, Ky. Humana Inc., a leading health and well-being company, today announced it has collaborated with Premier Independent Physicians on a value-based agreement designed to offer a coordinated, patient-centered experience to help Humana Medicare Advantage members in Dallas-Fort Worth metro achieve better health. Humana s Medi
11/14/18 - Humana Medicare Advantage Plan Addresses High Fall Rates Among Older Adults in St. Louis
Humana Inc. is offering a Medicare Advantage plan in St. Louis with a fall prevention benefit. The benefit is administered by Washington University in conjunction with The Home Hazard Removal Program, a home hazard removal and fall risk intervention delivered in the home by occupational therapists to assess home hazards and reduce physical and fina
11/14/18 - Medicaid Program; Medicaid and Children's Health Insurance Plan (CHIP) Managed Care
CFR Part: "42 CFR Parts 438 and 457". Agency: " Centers for Medicare& Medicaid Services, HHS." To be assured consideration, comments must be received at one of the addresses provided below, no later than 5 p.m. on January 14, 2019.
11/14/18 - Medicare Program; Administrative Law Judge Hearing Program for Medicare Claim and Entitlement Appeals; Quarterly Listing of Program IssuancesJuly Through September 2018
Agency: " Office of Medicare Hearings and Appeals, HHS." SUMMARY: This quarterly notice lists the OMHA Case Processing Manual instructions that were published from July through September 2018. I. Background The Office of Medicare Hearings and Appeals, a staff division within the Office of the Secretary within the U.S. Department of Health and Human
11/14/18 - Medicareonvideo.com now makes it incredibly easy for seniors to understand Medicare choices
Understanding Medicare plans, costs, penalties and benefits is now much easier for seniors thanks to the huge library of videos on Medicare on Video's new resource website. TREASURE ISLAND, FL, UNITED STATES- Open enrollment season is here again and more seniors coming of age are in need of in-depth information for informed Medicare choices.
11/14/18 - Not all Medicaid enrollees properly vetted
Maryland may have allowed residents who did not qualify for Medicaid into the government health program for the poor by failing to consider all of their income, according to a routine audit of the quasi-governmental agency that oversees the Maryland health exchange. In Maryland, residents also sign up for Medicaid through the exchange.
11/14/18 - OMC to sue federal government over Medicare cuts
The hospital's board of commissioners last week unanimously decided to join the American Hospital Association's lawsuit against the federal Department of Health and Human Services over the Centers for Medicare and Medicaid Services' cuts last week. As a result, reimbursement to OMC will be cut by about $1.7 million in 2019 and another $1.7 million
11/14/18 - Pa. set to start mandatory managed care for people who are eligible for both Medicare and Medicaid [Philly.com]
Starting in January, 127,000 Medicaid recipients in Southeastern Pennsylvania who also get Medicare will have to get their Medicaid coverage from one of three managed-care plans. The program, which began last year with 80,000 subscribers in Southwestern Pennsylvania, is designed to improve care coordination and efficiency in a population that often
11/14/18 - to the editor
Then they had the gall to say that they would enact deep cuts to Social Security, Medicare and Medicaid to help pay for the deficit. How can the republican party condone cuts on Social Security, Medicare and Medicaid when there are so many living in poverty? How can the republican party condone cuts on Social Security, Medicare and Medicaid when mi
11/14/18 - Town and Country Insurance Agency Hires Medicare Specialist
Angie Delle to assist seniors with transitioning into Medicare.
11/13/18 - 2019 Medicare Physician Fee Schedule Rule Includes Potentially Misvalued Codes for THA/TKA
The Centers for Medicare and Medicaid Services recently released the 2019 Medicare Physician Fee Schedule Final Rule and identified seven high volume current procedural terminology codes as potentially misvalued, amongst which were 27130 and 27447. CMS requested the RUC of the American Medical Association re-evaluate the work for these procedures.
11/13/18 - Aetna Medicare HMO Plans in Connecticut Awarded High-Quality Rating
Aetna Medicare HMO contract awarded 4.5 stars by the Centers for Medicare and Medicaid Services. Aetna' s Medicare Advantage Prescription Drug HMO plan serving the state of Connecticut has been awarded 4.5 stars by CMS for the 2019 Star Ratings. Aetna also announced today an agreement adding Day Kimball Healthcare in Putnam, CT to Aetna' s Medicare
11/13/18 - Aetna Medicare HMO Plans in Florida Awarded High-Quality Rating
Aetna Medicare HMO contract awarded 4.5 stars by the Centers for Medicare and Medicaid Services. Aetna' s Florida Medicare Advantage Prescription Drug HMO plan has been awarded 4.5 stars by CMS for the 2019 Star Ratings. 'Our strong Star Ratings demonstrate our commitment to provide value and access to quality care for Medicare beneficiaries across
11/13/18 - Aetna Medicare HMO Plans in Iowa Awarded High-Quality Rating
Aetna Medicare HMO contract awarded 4.5 stars by the Centers for Medicare and Medicaid Services. Aetna' s Medicare Advantage Prescription Drug HMO plan serving the state of Iowa has been awarded 4.5 stars out of 5 by CMS for the 2019 Star Ratings. 'Our strong Star Ratings demonstrate our commitment to providing quality care and value for Medicare b
11/13/18 - Aetna Medicare HMO Plans in Maine Awarded High-Quality Rating
Aetna' s Medicare Advantage Prescription Drug HMO plan serving the state of Maine has been awarded 4.5 stars by CMS for the 2019 Star Ratings. 'Our strong Star Ratings demonstrate our commitment to providing quality care and value for Medicare beneficiaries across Maine,' said Mark Santos, market president of Aetna' s Maine business.' We are focuse
11/13/18 - Aetna Medicare HMO Plans in Pennsylvania Awarded High-Quality Rating
Aetna Medicare HMO contract awarded 4.5 stars by the Centers for Medicare and Medicaid Services. Aetna' s Medicare Advantage Prescription Drug HMO plan serving the state of Pennsylvania has been awarded 4.5 stars out of 5 by CMS for the 2019 Star Ratings. 'Our strong Star Ratings demonstrate our commitment to providing quality care and value for Me
11/13/18 - American Thoracic Society: Survey Reveals Majority of Patients Diagnosed With Chronic Pulmonary Disorders Are Unaware of Standard-of-Care Treatment for Their Deadly Disease
The American Thoracic Society issued the following news release:. Sixty-two percent of people diagnosed with chronic pulmonary disorders have never heard of pulmonary rehabilitation- an effective non-pharmacological treatment option covered by Medicare and private insurance- according to a survey released today by the American Thoracic Society.
11/13/18 - Basic Health Program; Final Administrative Order
Agency: " Centers for Medicare& Medicaid Services, HHS." SUMMARY: This notice serves to announce that a Final Administrative Order related to the Basic Health Program was issued to the States of New York and Minnesota on August 24, 2018. The modification involves the application of a Premium Adjustment Factor that considers the premium increases in
11/13/18 - Behavioral Health Center of Excellence Awarded Contract With Utah Medicaid for Applied Behavioral Analysis Coverage Policy Evaluation
The Behavior Health Center of Excellence was recently awarded a contract with Utah Medicaid to conduct an independent evaluation of Utah's autism-related services coverage policy and implementation, and assist with identifying quality care providers in the state. The Behavior Health Center of Excellence is the only accrediting body specific to...
Articles(s): 1 - 25 of 143     Next >>     Go To Page:


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