Medicaid

Source: www.msnbc.msn.com --- 10 hours ago
CARSON CITY, Nev. (AP) -- Nevada hospitals will see their Medicaid reimbursements reduced by 5 percent as the state Division of Health Care Financing and Policy adjusts to budget cuts ordered by Gov. Jim Gibbons. ...

Source: www.moreover.com --- 1 day ago
U.S. District Judge Christina Snyder has amended her order reversing a 10% reduction in Medi-Cal reimbursement rates for health care providers to require repayment only for services performed on or after Aug. ...

Source: www.washingtonpost.com --- 1 day ago
Facing a severe budget shortfall, Rhode Island officials are seeking unprecedented authority to rein in Medicaid spending in a move that has alarmed Democrats in Congress and advocates for the poor. ...

Source: tampabay.bizjournals.com --- 2 days ago
WellCare Heatlh Plans Inc. said it would continue to participate in the Florida Medicaid reform program in Broward and Duval counties. (WCG) ...

Source: www.topix.com --- 9 days ago
Mississippi's attorney general says his staff won't defend Gov. Haley Barbour in a lawsuit challenging his latest proposal to tax hospitals to generate money for the Medicaid program. ...

Source: www.medicalnewstoday.com --- 4 days ago
Summaries of recent news about Medicaid programs in Florida, Georgia, Massachusetts, Mississippi, South Carolina and West Virginia appear below. Florida Three insurance companies that cover 60% of people enrolled in Florida "Medicaid Reform" plans have said they will leave the project and have asked to be assigned no new members, a move suspected to be a result of reductions in Medicaid payments to the plans, ...

Source: www.medicalnewstoday.com --- 2 days ago
The Georgia Department of Community Health board on Thursday approved a plan to charge commercial HMOs the same fee as managed care companies that operate the state's Medicaid program in an effort to make up for a 5% reduction in program funding, the ...

Source: www.medicalnewstoday.com --- 2 days ago
Three Florida HMOs have said they will continue participating in a "Medicaid Reform" plan after the Agency for Health Care Administration agreed to reduce payments by an average of 3% on Sept. 1, instead of 5% as previously announced, Florida Health News reports (Florida Health News, 9/2). ...

Source: www.myrtlebeachonline.com --- 4 hours ago
SOUTH CAROLINA GREENVILLE Budget cuts lead to lower Medicaid payments ...

Source: www.rgj.com --- 10 hours ago
Nevada hospitals will see their Medicaid reimbursements reduced by 5 percent as the state Division of Health Care Financing and Policy adjusts to budget cuts ordered by Gov. Jim Gibbons. ...

Source: www.kentucky.gov --- 1 day ago
Attorney General Jack Conway announced that Robert Carter of Corbin plead guilty today in Franklin Circuit Court to one count of Medicaid fraud. ...

Source: www.buffalonews.com --- 8 days ago
LOCKPORT -- A woman whose home health care company defrauded the state of $323,000 in Medicaid reimbursements avoided jail time Thursday in Niagara County Court. ...

Source: www.jacksonville.com --- 8 days ago
At least one provider in the local Medicaid reform program will stay on board in Jacksonville after the state released a new fee structure Friday. ...

Source: www.kentucky.com --- 9 days ago
The state has applied to receive Medicaid funding for Oakwood, the historically troubled state facility for the mentally handicapped in Somerset. Oakwood lost its Medicaid funding in mid-May, and the state began paying the full cost to run the home, approximately $6.5 million a month. Janie Miller, secretary of the Cabinet for Health and Family Services, announced Thursday that the state had submitted an application for recertification by the federal government. "The application begins the formal recertification process, which includes two unannounced surveys," Miller said in a statement. ...

Source: www.bignewsnetwork.com --- 8 days ago
The Hawaii Coalition for Health said it is studying whether it should appeal the dismissal its federal lawsuit challenging the state's award of $1.5 billion of Medicaid contracts to two Mainland-based... ...

Source: www.fiercehealthcare.com --- 1 day ago
A judge has given the state attorney general of Illinois permission to continue with an antitrust lawsuit that accuses two hospitals of turning away Medicaid patients from routine care to force the state to give them bigger payments. The state is arguing that if the two did indeed collude to squeeze out Medicaid patients, it could harm the entire market, as they control 90 percent of the physicians in their region. In 2007, Illinois State Attorney General Lisa Madigan filed a lawsuit against two medical clinics --Carle Clinic Association of Urbana and Christie Clinic of Champaign--contending that the two refused primary care to Medicaid patients in an effort to get them into their higher-priced affiliated emergency departments. The suit also charges that the clinics wanted to keep Medicaid patients out of their facilities. The clinics filed a series of motions seeking to dismiss the antitrust suit piece-by-piece, but a Champaign County judge denied the majority of their motions. Now, Madigan can continue with their action. To learn more about this case: - read this Associated Press item Related Articles: IL antitrust suit says private clinics diverted poor to EDs Physicians drop out of new Medicaid plan ...

Source: www.lasvegassun.com --- 3 days ago
CARSON CITY – The head of the state unit that polices fraud in the $1 billion-a-year Medicaid program, says he doesn’t see any letup in attempts to bilk the system. Timothy Terry, the chief of the Medicaid Fraud Control Unit who is retiring after heading the office for 17 years, says there’s so much money in the Medicaid program that the unit will never be out of a job searching for fraud. Terry, 55, a deputy attorney general, has led efforts that have recovered tens of millions of dollars for the state. He said his biggest case involved Merck, which was accused of underpaying the state in rebates for drug purchases. There was a nationwide recovery of $400 million against the company. Nevada, because of its small size, only received a “couple of million” dollars. There are eight investigators and three lawyers in the fraud unit. Attorney General Catherine Cortez-Masto said Terry will be replaced on Nov. 26 by Mark Kemberling, who is deputy director of the unit. He has been with the unit since 1996. Medicaid is the federal-state program that provides medical care for the poor and disabled. ...

Source: www.emaxhealth.com --- 3 days ago
Three Florida HMOs have said they will continue participating in a "Medicaid Reform" plan after the Agency for Health Care Administration agreed to reduce payments by an average of 3% on Sept. 1, instead of 5% as previously announced, Florida Health News reports ( Florida Health News , 9/2). read more ...

Source: www.emaxhealth.com --- 3 days ago
The Georgia Department of Community Health board on Thursday approved a plan to charge commercial HMOs the same fee as managed care companies that operate the state's Medicaid program in an effort to make up for a 5% reduction in program funding, the Savannah Morning News reports. The fees are used to draw down federal match funds that are then combined to pay Medicaid managed care plans. read more ...

Source: blog.cleveland.com --- 4 days ago
AKRON -- A new report shows Ohio spent $111.5 million in 2007 to cover Medicaid costs for workers who are not enrolled in employer health insurance plans. Policy Matters Ohio, a liberal think tank in Cleveland, estimates the state covered... ...