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1. More than 50M Americans on Medicaid, 16M More Due under Reform Law
(Matching tags: Medicaid,healthcare reform) More than 50 million Americans are on Medicaid, up at least 17 percent since the recession began in Dec. 2007, according to a survey of state data by USA Today. ...
2. Mississippi Medicaid and Health Information Exchange Launch EHR, E-Prescribing System for Medicaid Beneficiaries
(Matching tags: Mississippi,Medicaid,Shared Health,EHR,e-prescribing) The Mississippi Division of Medicaid and Shared Health, one of the country's largest health information exchanges, have launched a system for electronic health records and electronic prescribing for more ...
3. CMS Launches Official Website for EHR Incentive Programs
(Matching tags: Medicaid,Medicare,EHR,healthcare IT,HITECH Act) The Centers for Medicare & Medicaid Services has launched the official website for the Medicare & Medicaid electronic health record incentive programs. These programs, established as a result of the Health ...
4. Senate Considering Medicaid Extension to Avert State Funding Reductions
(Matching tags: Medicaid,Senate,House,extension,federal aid) A bill now on the floor of the Senate would extend $24 billion in enhanced federal aid to state Medicaid programs, according to a report by the Hill. ...
5. Members of Congress Urge Delay of New Medicaid DSH Rule, to Begin This Month
(Matching tags: Medicaid,Congress,appeal) Fifty-four members of Congress this week asked HHS to delay implementation of the Medicaid Disproportionate Share Hospital audit and reporting rule to plan year 2012, according to a report by AHA News ...
6. 28 States Plan to Cut Medicaid Payments in FY 2011
(Matching tags: Medicaid,expenditures,providers) Twenty-eight states propose reducing Medicaid payments and another 20 states propose freezing provider payments in FY 2011, according to a report by the National Governors Association and National Association ...
7. One-Quarter of Hospital Patients Readmitted Within Two Years
(Matching tags: Medicaid,Medicare,AHRQ,readmissions) One-quarter of all hospital patients were readmitted one or more times for the same condition within a two-year period, according to a release by the Agency for Healthcare Research and Quality.
8. Big Medicaid Cuts Possible Next Year, With Federal Support Due to End
(Matching tags: healthcare reform,Medicaid,legislation,state funding) States may be forced to slash Medicaid reimbursements yet more next year, after generous federal enhancements are due to end, according to a report by Kaiser Health News. ...
9. Public Hospitals Face Enormous Challenges under Health Reform
(Matching tags: healthcare reform,Medicaid,uncompensated care,public hospitals) To survive health reform, public hospitals will have to start operating more like private hospitals or else dramatically cut costs, according to a report by the Texas Tribune.
10. Health Insurers Paying Physicians Faster
(Matching tags: Medicaid,Humana,payor,speed,performance,Athenahealth) Health insurers are paying physicians seven days faster and denying 12-18 percent fewer claims than the year before, according to a release by Athenahealth.
11. Congress Considering Extending Enhanced Medicaid Funding for States
(Matching tags: Medicaid,Congress,extension,state funding) Congressional Democrats are considering extending a temporary increase of Medicaid funding for states, the enhanced Federal Medical Assistance Percentages, for another six months, according to a report ...
12. More Physicians Pursue Concierge Model, Stop Accepting Insurance
(Matching tags: healthcare reform,Medicaid,concierge medicine,physician practice models) A small but growing number of physicians are dropping their insurance-based practices in favor of so-called concierge models in which patients pay an up-front annual fee and premium rates in return for ...
13. Newly-Trained Physicians Treating the Poor in Texas Are Often Educated Abroad
(Matching tags: Medicaid,reimbursement,Medicare,physicians) Of some 1,500 physicians who received fast-track licenses in exchange for treating Texas' indigent patients, nearly 40 percent were trained at foreign schools, according to a report in the Fort Worth Star ...
14. Debt Commission Could Target Medicare and Medicaid for Spending Cuts
(Matching tags: Medicaid,Medicare,budget,debt) At the first meeting of the bipartisan National Commission on Fiscal Responsibility and Reform, members of the Obama administration indicated that Medicare and Medicaid are fair game for spending cuts ...
15. Minnesota Medical Professional Groups Urge Legislators to Use Medicaid, Not Revamped State Plan
(Matching tags: Medicaid,Minnesota,GAMC,medical associations) Officials from Minnesota's hospital, nurse and physicians' associations are urging state lawmakers and Governor Tim Pawlenty to cover the state's low-income residents with the state-federal Medicaid plan ...
16. Hospitals Readmit 10% of Medicaid Patients Within 30 Days
(Matching tags: hospitals,Medicaid,AHRQ,readmissions) One of every 10 adult Medicaid patients hospitalized in 2007 for any condition other than childbirth had to be readmitted within 30 days of discharge, according to a release from the Agency for Healthcare ...
17. New Rule Allows States to Build Alternative Medicaid Benefit Packages
(Matching tags: Medicaid,alternative benefits package) CMS has issued a final rule allowing states to create alternative benefits packages for certain Medicaid populations, according to the Federal Register. ...
18. Tennessee Senate Approves Hospital Fee for Medicaid Program
(Matching tags: Medicaid,Tennessee,TennCare,hospital fee) The Tennessee Senate has approved a $239 million assessment on hospitals to pay for TennCare, the state's longstanding Medicaid expansion program, according to a report by Bloomberg Business Week. ...
19. Tennessee House Committee Approves Proposed Hospital Fee
(Matching tags: Medicaid,Tennessee,TennCare,hospital fee) A proposed 3.52 percent fee on Tennessee hospitals cleared the House Finance Committee on a bipartisan voice vote, according to a report in the Chattanooga Times Free Press.
20. Florida Budget Includes $50 Million for Jackson Health System
(Matching tags: Medicaid,Florida,Jackson Health System) Florida's proposed state budget includes $50 million for the financially ailing Jackson Health System, according to a report by the Miami Herald.
21. Up to 20M New Medicaid Recipients Under Reform Will Face Access Problems
(Matching tags: Medicaid,health reform,access) Medicaid will cover as many as 20 million of the 32 million Americans gaining coverage under health reform, but these patients will face barriers to access, according to a report by the New York Times. ...
22. Study: Frequent ED Patients Often Insured
(Matching tags: Medicaid,Medicare,emergency department,uninsured patients,frequent ED users) A study published in the March issue of the Annals of Emergency Medicine found that patients that use hospital emergency departments at least four times annually are most commonly white and have health ...
23. Arizona Hospital Association Drops Plan for New Tax to Pay for Medicaid
(Matching tags: Medicaid,Arizona,income tax increase) The Arizona Hospital and Healthcare Association has decided not to ask for an income tax increase on high-earning households to pay for the state's Medicaid program, according to the Phoenix Business Journal. ...
24. Maryland Shifts Medicaid Funding to Hospitals, Payors
(Matching tags: hospitals,Maryland,Medicaid,payors,expenses) Maryland's unusual hospital rate-setting system is dividing $123 million in expenses for the state's Medicaid program between hospitals and payors, according to the Baltimore Sun. ...
25. Five Charged in Tampa Area Pharmacy Fraud Scheme
(Matching tags: Medicaid,Medicare,Florida,indictment,healthcare fraud,sentencing,Rx Shop,Tricare) Jatin Patel, owner of Rx Shop, Rajnish Mehta, Satender Singh, Naresh Jain and Sachin Amin have been arrested and charged with fabricating prescriptions and submitting the claims to Medicaid, Medicare and ...
26. Georgia Senate Approves Controversial Hospital Tax
(Matching tags: hospital tax,Medicaid,Georgia,HB 307) After a day of political wrangling and arm-twisting, Georgia's Senate approved a 1.45 percent tax on hospitals' patient revenue that would raise roughly $170 million, according to a report in The Atlanta ...
27. Colorado Gets Approval for Medicaid Expansion Program; Other State Programs Expected Under Health Reform Law
(Matching tags: CMS,Medicaid,Colorado,expansion program) CMS has approved Colorado's Medicaid eligibility expansion program that requires charging Colorado hospitals $600 million in fees to access matching federal Medicaid funds, according to a report by the ...
28. New Orleans Woman Sentenced to 21 Months for Healthcare Fraud
(Matching tags: Medicaid,Louisiana,healthcare fraud,sentencing,Una Brown) Una Favorite Brown of New Orleans was sentenced to 21 months imprisonment for healthcare fraud offenses and was ordered to pay restitution in the amount of $33,305, according to a Department of Justice ...
29. North Carolina Plans to Find More Medicaid Fraud With Electronic Reviews
(Matching tags: Medicaid,North Carolina,fraud) North Carolina expects to recover tens of millions dollars a year in fraudulent Medicaid claims by hiring a contractor to sift through electronic submissions rather than relying on reviews of paper claims, ...
30. Georgia Hospital Association Drops Opposition to Hospital Tax After Medicaid Cut Proposed Instead
(Matching tags: Medicaid,Georgia,hospital fee,Sonny Perdue) Faced with the prospect of reduced Medicaid reimbursements instead of a proposed state hospital fee, the Georgia Hospital Association ended its opposition to the hospital fee, according to a report by ...
31. Idaho Hospitals Support Bill That Would Assess Hospitals an Annual Fee to Maintain Eligibility for Federal Medicaid Matching Funds
(Matching tags: Medicaid,Idaho,hospital fee,federal matching funds) Hospitals in Idaho are supporting a bill that would have them pay $25 million annually for the next two years to the state to offset cuts in the Medicaid budget, according to a report by the Idaho Statesman. ...
32. GOP Leaders in Tennessee Legislature OK With Hospital 'Fee' But Not 'Tax'
(Matching tags: Medicaid,Tennessee,Tennessee Hospital Association) Republican leaders of the Tennessee legislature would approve the Tennessee Hospital Association's plan to tax hospitals to boost federal Medicaid payments, but only if it is not called a tax, according ...
33. Medicaid Enrollment Jumps to New Highs, Study Shows
(Matching tags: Medicaid,Kaiser Family Foundation,enrollment) More than 3 million people enrolled in Medicaid in the year ended in June 2009, pushing enrollment to a record 46.8 million, according to data published by the Kaiser Family Foundation and cited in a Washington ...
34. Minnesota Hospital Association Opposes Gov. Pawlenty's Deep Cuts
(Matching tags: Medicaid,Minnesota,Tim Pawlenty,Minnesota Hospital Association) Minnesota Gov. Tim Pawlenty is proposing to cut $347 million from the state health services budget, including Medicaid, and remove 21,500 people from the state's MinnesotaCare program, according to a release ...
35. Former Illinois Psychiatric Hospital Executive Sentenced for Role in Kickback Conspiracy
(Matching tags: Medicaid,Illinois,sentence,kickbacks,Rock Creek Center) The former operations chief of a psychiatric hospital in Lemont, Ill. received a 15-month prison sentence for his role in a Medicaid kickback scheme, according to a report in the Chicago Tribune. ...
36. Illinois Announces Medicaid Managed-Care Pilot
(Matching tags: Medicaid,Illinois,managed care,Medicaid pilot) The Illinois Department of Healthcare and Family Services has issued a request for proposals seeking two managed care organizations to provide Medicaid covered services to some 40,000 individuals in suburban ...
37. Concerns Facing Hospitals Right Now: Q&A With Dave Felsenthal of Principle Valuation
(Matching tags: hospitals,Medicaid,Medicare,acquisitions,Principle Valuation,Dave Felsenthal) Q: How are hospitals still feeling the effects of the economic downturn? Dave Felsenthal: States are still struggling, and many states don't have the money to fund state-run Medicare and Medicaid programs. ...
38. Georgia Governor Asks for Tax on Hospitals, Payors to Cover Medicaid Losses
(Matching tags: hospitals,Medicaid,Georgia,tax,health plans) Facing a $608 million shortfall in Medicaid funds for the next fiscal year, Georgia Gov. Sonny Purdue is urging state legislators to adopt a new tax on hospitals and health plans, according to a report ...
39. Pennsylvania Group Could Receive $3M From Sale of Closing Hospital
(Matching tags: Medicaid,lawsuit,Pennsylvania,UPMC Braddock Hospital,Heritage Community Initiatives) Heritage Community Initiatives, successor of the Heritage Health Foundation, could receive $3 million from its 1996 sale of Braddock (Pa.) Hospital to the University of Pittsburgh Medical Center if a U.S. ...
40. Senator Nelson Asks to Cancel Nebraska Medicaid Deal
(Matching tags: healthcare reform,Medicaid,Nebraska) Sen. Ben Nelson (D-Neb.) has asked to remove from the Senate health reform bill an unpopular deal he secured on Medicaid funding for his state, according to a report by Kaiser Health News. ...
41. Nevada Governor Considers Dropping Out of Federal Medicaid Program
(Matching tags: Medicaid,Nevada,Jim Gibbons) Nevada Governor Jim Gibbons has asked Health and Human Services Director Mike Willden to examine a possible opt-out of the federal Medicaid program, according to a report by the Las Vegas Sun. ...
42. Tax on Wisconsin Hospitals Boosts Medicaid Payments
(Matching tags: hospital tax,Medicaid,Wisconsin) A new tax on Wisconsin hospitals has allowed the state to collect $1.65 in federal Medicaid reimbursements for every $1 taxed, according to a report by WBAY TV. ...
43. Arizona Hospitals Warn that Cuts to Medicaid Program Will Hurt Access to Care
(Matching tags: Medicaid,Arizona,AHCCCS) Hospitals in Arizona are warning that a $7.6 million cut to the state's Medicaid program will reduce access to care for program enrollees, according to a report by the Arizona Republic. ...
44. Virginia's Planned Medicaid Cuts Will Gouge Hospitals
(Matching tags: hospitals,Medicaid,Virginia) The State of Virginia's plans to cut $4.5 billion from its budget in the next two years will mean $800 million in losses for state Medicaid, factoring in matching federal funds, according to a release ...
45. GAO Names Appointees Medicaid and CHIP Payment and Access Commission
(Matching tags: Medicaid,GAO,MACPAC,appointees) The U.S. Government Accountability Office has announced the appointment of 17 members to the new Medicaid and CHIP Payment and Access Commission, according to a GAO news release. ...
46. N.Y. Comptroller: State Medicaid Lost $92M in Last Five Years
(Matching tags: Medicaid,New York,improper billing) New York state comptroller Thomas DiNapoli released audits that found the state Medicaid program lost at least $92 million due to improper payments, billing errors and poor record keeping, according to ...
47. Most States Sustain Coverage for Children, but Federal Subsidies End in 2011
(Matching tags: Medicaid,CHIP) Thirty-five states preserved or expanded health coverage for children and parents through Medicaid and Children's Health Insurance Programs this year, according to a release from the Kaiser Family Foundation. ...
48. Trial to Begin in Florida Medicaid Class-Action Suit
(Matching tags: Medicaid,Florida,pediatrics,class-action suit) A class-action lawsuit alleging that the Florida violated Medicaid requirements, resulting in thousands of children receiving inadequate medical and dental care, according to a report by the Associated ...
49. White House Report Finds Medicare, Medicaid Overspent $54B in FY2009
(Matching tags: CMS,Medicaid,Medicare,OMB,improper payments) A report issued by the White House Office of Management and Budget found that Medicare, Medicaid and Medicare Advantage programs spent $54 billion in improper payments for healthcare in fiscal year 2009, ...
50. Six Massachusetts Hospitals Suing State Over Low Medicaid Payments
(Matching tags: hospitals,Medicaid,lawsuit,Massachusetts) Six Massachusetts hospitals with high proportions of government funding are suing the state, saying they were not paid the full Medicaid funding they were owed, according to a report by WBZ Radio. ...

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