But experts who pay close attention to federal drug policy and Medicare rules say the administration is preparing to incrementally roll out a multipronged plan that tasks the Centers for Medicare& Medicaid Services and the Food and Drug Administration with promoting competition, attacking the complicated drug rebate system and introducing tactics t
The Oklahoma Health Care Authority will hold several public meetings hoping to hear from people who might be affected by a proposed change in Medicaid work requirements. The public meetings will take place over the next two weeks in Lawton, Norman, Oklahoma City, Enid, McAlester, Poteau and Tulsa. Mary Fallin, the Health Care Authority was directed
The U.S. Attorney for the District of New Jersey, Craig Carpenito, issued the following news release:. Assistant Attorney General Brian A. Benczkowski of the Justice Department's Criminal Division today announced the formation of the Newark/ Philadelphia Regional Medicare Fraud Strike Force, a joint law enforcement effort that brings together the r
Aug. 14 Ohio plans to overhaul the way it pays for prescriptions in the wake of mounting controversy over how private companies manage $2.5 billion in annual Medicaid drug spending. CVS Caremark, which contracts with four of the five Medicaid plans in Ohio, said in a statement that the company "is aware of this new requirement from the Ohio Depar
Five-year deal extends DXC s 40- year relationship with the state of Wisconsin. TYSONS, Va. The Wisconsin Department of Health Services awarded DXC Technology a contract to manage the technology and business processes associated with its Medicaid program. The contract extends DXC s longstanding relationship with the Wisconsin DHS; through
The Oklahoma Health Care Authority will hold several public meetings hoping to hear from people who might be affected by a proposed change in Medicaid work requirements. While the requirements are only expected to affect a few thousand people who meet certain criteria, the Oklahoma Health Care Authority will hear from people across the state.
-HealthEC, a KLAS-recognized end-to-end provider of Population Health Management solutions, today announced the launch of the firms opioid-abuse module, HealthEC Opioid Analytics, at the 2018 Medicaid Enterprise Systems Conference in Portland, Oregon. As the opioid epidemic continues, states are actively exploring new strategies to protect resident
LITTLE ROCK, Ark. Three people on Arkansas' expanded Medicaid program are suing to prevent the state from enforcing its new requirement that would drop coverage for them and thousands of others if they don't work.
MAXIMUS, a leading provider of government services worldwide, announced today that it has signed a new contract with the North Carolina Department of Health and Human Services to provide Medicaid managed care enrollment broker services. This program has an estimated base contract of $17 million, though the actual cost is dependent upon the number
The Center for Medicare Advocacy issued the following joint statement with Long Term Care Community Coalition on the medical loss ratios for nursing homes:. However, the nonpartisan Medicare Payment Advisory Commission reports that nursing homes have experienced double-digit Medicare profits for the last 17 years. Additionally, in July 2018, the Ce
Aug. 13 Federal prosecutors have lost a major battle in the nation's biggest Medicare criminal case as a judge threw out key evidence in the $1 billion fraud indictment against wealthy Miami Beach businessman Philip Esformes while finding "misconduct" by the Justice Department's investigative team. But in her scathing, 117- page ruling issued lat
RAM Technologies, Inc., the perennial leader in the development of enterprise software for healthcare payers, is pleased to announce the availability of a new report as part of the "Sharing Knowledge to Improve Healthcare Administration" program. It is about the plan's ability to support new and evolving offerings including customized benefits and
A just-released Goldwater Institute study concludes an unfortunate side effect of providing free health coverage for able-bodied, childless adults is: Doing so likely increases the cost of health care for everyone else. This finding comes on the heels of a separate study, released by the Foundation for Government Accountability, that found Medicaid
-The National Hospice and Palliative Care Organization is pleased to announce its partnership with Better Medicare Alliance, to engage in a mutual collaboration addressing the challenges and opportunities associated with possible policy changes that would carve-in hospice under the Medicare Advantage program. This dialogue is an important step in..
The U.S. Attorney for the Eastern District of Pennsylvania, William M. McSwain, issued the following news release:. United States Attorney William M. McSwain and Assistant Attorney General Brian A. Benczkowski of the U.S. Justice Department's Criminal Division announced today the formation of the Newark/ Philadelphia Regional Medicare Fraud Strike
Texas Hospital Association issued the following statement by President and CEO Ted Shaw on the decision of the Appeals Board at the Department of Health and Human Services to uphold the Centers for Medicare and Medicaid Services' disallowance of approximately $26 million in federal uncompensated care payments to private hospitals in Dallas-Fort Wor
Anthem Blue Cross and Blue Shield in Indiana is committed to increasing consumer access to high-quality, affordable healthcare. As part of this commitment, Anthem and Sullivan County Community Hospital announced today that Anthem will be adding SCCH to its preferred list of care providers for its Medicare Advantage plans. This ensures that more con
Assistant Attorney General Brian A. Benczkowski of the Justice Department's Criminal Division today announced the formation of the Newark/ Philadelphia Regional Medicare Fraud Strike Force, a joint law enforcement effort that brings together the resources and expertise of the Health Care Fraud Unit in the Criminal Division's Fraud Section, the U.S.
NEWARK, N.J.- Assistant Attorney General Brian A. Benczkowski of the Justice Department's Criminal Division today announced the formation of the Newark/ Philadelphia Regional Medicare Fraud Strike Force, a joint law enforcement effort that brings together the resources and expertise of the Health Care Fraud Unit in the Justice Department's Criminal
Today, Bright Health announced its intention to offer Medicare Advantage plans in New York City, making this partnership the newest market addition to Bright Health's exclusive Care Partner collaborations. In New York City, Bright Health is partnering with Mount Sinai Health Partners whose clinically integrated network coordinates effective and..
According to a news release from U.S. Attorney Steven D. Weinhoeft, Betsy J. Gutowski, 45, is in custody with her bond revoked until her sentencing, which is set for November. Gutowski admitted she falsely billed the program between Dec. 1, 2011, and Oct. 15, 2012. In total, Gutowski falsely billed 349.5 hours of services, and made out with $4,036.
Aug. 13 CANTON The Lenzy Family Institute is poised to open its new rehabilitation and detox center after nearly a year of renovation and the investment of $2.5 million. The Hezekiah& Annie Ruth Treatment Center at 2330 Penn Place NE will provide mental health and addiction treatment to individuals covered by private insurance or Medicaid, or tho
EVENT: Health and Human Services Department; Centers for Medicare& Medicaid Services holds a meeting of the Advisory Panel on Hospital Outpatient Payment, August 20-21. AGENDA: Agenda includes: Addressing whether procedures within an Advanced Primary Care group are similar both clinically and in terms of resource use; Evaluating APC group structure
EVENT: Health and Human Services Department; Centers for Medicare& Medicaid Services holds a meeting on the state of evidence on Chimeric Antigen Receptor T-cell therapies that are approved by the FDA. LOCATION: CMS, 7500 Security Boulevard, Main Auditorium, Baltimore, Md.. CONTACT: Maria Ellis, 410-786-0309, Maria.Ellis@cms.hhs.gov.
HealthEC, a KLAS-recognized end-to-end provider of Population Health Management solutions, today announced the launch of the firm s opioid-abuse module, HealthEC Opioid Analytics, at the 2018 Medicaid Enterprise Systems Conference in Portland, Oregon.. As the opioid epidemic continues, states are actively exploring new strategies to protect