Posts Tagged ‘programs’
Medicaid And Other State Programs Face Questions About Fraud, Other Difficulties
The New Mexico Independent: The state’s Medicaid Fraud Division said two state agencies, the Health Department and Human Services Department that administer the Medicaid program, “‘filtered’ and ’sanitized’ information and documents requested by investigators, hindering numerous investigations.” The federal Centers for Medicare and Medicaid Services wil investigate the allegations (Furlow, 2/10)…
New Research Gives Insight To The Frequency Of ‘Doctor Shopping’ Occurring Within Prescription Monitoring Programs
Research presented at the American Academy of Pain Medicine’s 26th Annual Meeting provides early published data analyzing information gathered from California’s prescription monitoring program, known as the Controlled Substances Utilization Review and Evaluation System (CURES)…
State Budgets In Straits As Health Programs Sap Resources
States are grappling with budget crises and lost revenues that have affected health programs. The Associated Press/(San Jose, Calif.) Mercury News: “Gov. Arnold Schwarzenegger demanded more federal money in a letter to California’s congressional delegation Wednesday, as he highlighted a half-dozen programs that cost the state billions…
Coverage Details Hits Taken By Medicaid Programs In State Budget Cuts
State Medicaid and other health programs have fallen under the axe or been moved onto the chopping block this week. Associated Press: “Gov. Jay Nixon cut an additional $204 million from Missouri’s budget Wednesday and eliminated nearly 700 jobs in attempt to offset a continued decline in state tax revenues.” The cuts include lowering Medicaid payments (Lieb, 10/18).
Funding Cuts Continue To Plague State Health Programs
State health agencies and Medicaid programs continue to take hits from spending cuts. A new program in Florida may be backfiring against some health workers with criminal records, while a novel health benefits program in Houston hopes to lower the number of uninsured.
Aetna Ends Two Medicare Advantage Programs While A Medicare Experiment Grabs Attention
A health insurer ends two Medicare Advantage programs in Connecticut, while providers nationwide examine a Medicare demonstration program in Texas. The Hartford Courant reports: “Aetna Inc. said that it has terminated two Medicare Advantage plans, affecting about 200 individual plan members in Connecticut.
Medicare Rights Center And Food Bank For New York City Awarded $1 Million To Increase Enrollment Of Low-Income New Yorkers In Assistance Programs
The Medicare Rights Center (Medicare Rights) and Food Bank For New York City (Food Bank) have joined forces to enroll poor older New York City residents in programs to help them afford health care and healthy food. Funded by a $1 million grant from the Fan Fox and Leslie R. Samuels Foundation, the two advocacy organizations will help city seniors enroll in four under-utilized assistance programs, with a total project value to enrollees of $46 million.
Successful Disease Management Programs Can Play Role In Health Care Reform
A study of the award-winning Behavioral Pharmacy Management Program (BPM) shows the private-public Medicaid partnership program has helped improve patient care while saving eight states almost $95 million in behavioral health pharmaceutical costs. Lilly funds the program, which is designed and run by research firm Comprehensive NeuroScience, Inc. (CNS) at the sole direction and guidance of state Medicaid departments.
Rep. Wolf Says Entitlement Programs Could Affect U.S. Bond Rating
Rep. Frank Wolf (R-Va.) on Friday in a letter to President Obama said that the U.S. could lose its triple-A bond rating if Congress does not act quickly to overhaul U.S. entitlement programs, including Medicare and Medicaid, and reduce federal debt, the AP/Detroit News reports.
Sixteen States, DOJ Join Whistle-Blower Lawsuits Alleging Wyeth Defrauded Medicaid Programs
The U.S. Department of Justice and 16 states have joined two whistle-blower lawsuits filed in federal District Court in Massachusetts alleging that Wyeth defrauded the government by not offering the same discounts on two medications to Medicaid that it offered to hospitals, the



