Medicaid in Medical News

House Committee Approves Amendment Eliminating Cost-Sharing for Medicaid Preventive Services

Partnership for Prevention Led Coalition Backing Amendment WASHINGTON, July 31 /PRNewswire-USNewswire/ -- The House Energy and Commerce Committee on Friday unanimously approved an amendment to health reform legislation that would prohibit cost-sharing to Medicaid patients f...

ER Visits Mostly by Medicare, Medicaid Recipients

But government study also shows uninsured accounted for almost 1 out of 5 ER patients FRIDAY, July 31 (HealthDay News) -- An estimated 50 million, or 42 percent, of the 120 million visits made in 2006 to U.S. hospital emergency departments were billed to the Medicaid and Medicare pro...

Eliminate Cost-Sharing for Medicaid Preventive Services, Partnership Urges House Committee

WASHINGTON July 30 /PRNewswire-USNewswire/ -- Partnership for Prevention today urged the House Energy and Commerce Committee to prohibit cost-sharing to Medicaid patients for recommended clinical preventive services. Partnership President Robert J. Gould praised an amendmen...

New Lewin Report Shows Need for National Medicaid Out-of-Network Claims Policy

WASHINGTON, July 16 /PRNewswire-USNewswire/ -- The Lewin Group today released a new report assessing the financial impact and administrative burden that out-of-network claims pose in Medicaid managed care. The authors of the report recommend a federally mandated payment standard for ...

Northeast Health Care Quality Foundation QIO Uses Milliman Care Guidelines(R) for Medicare, Medicaid Reviews

SEATTLE, July 14 /PRNewswire/ -- Northeast Health Care Quality Foundation, one of the nation's leading Quality Improvement Organizations (QIOs), has signed a five-year licensing agreement with Milliman Care Guidelines, LLC, A Milliman Company, to use the Care Guidelines for Medicare utilization ...

WellPoint State Sponsored Business Launches New Program with Arcadia HealthCare to Help Improve Medication Safety, Efficacy and Compliance for Medicaid Members

- One of the nation's largest Medicaid managed care organizations to implement DailyMed(TM) to high-risk Medicaid members in five states. - The aim of the DailyMed(TM) program is to help to reduce healthcare costs by reducing chronic medication costs and decrease hospitalizations. INDIAN...

Health Care Finance to Implement District's First Medicaid 'Patient Data Hub' Using MedPlus Technology

Health Information Exchange for Medicaid Beneficiaries, Powered by MedPlus Centergy(TM) Solutions, will Connect Physicians, Hospitals and Clinics to Accelerate Access to Patient Information and Better Health Outcomes WASHINGTON, and MADISON, N.J., June 4 /PRNewswire-FirstCall/ -- The Departme...

MHPA, Leading Association Representing Medicaid Health Plans, Issues Statement on Proposed California SCHIP Elimination

WASHINGTON, June 1 /PRNewswire-USNewswire/ -- Medicaid Health Plans of America (MHPA) Executive Director Thomas L. Johnson issued the following statement regarding the proposed elimination of California's State Children's Health Insurance Program (SCHIP), called "Healthy Families": "The ...

Oregon Department of Human Services Selects APS Healthcare to Manage Expanded Statewide Medicaid Program

WHITE PLAINS, N.Y., May 28 /PRNewswire/ -- APS Healthcare, a leading provider of specialty healthcare solutions, has been selected by the Oregon Department of Human Services (DHS), Division of Medical Assistance Programs, to manage its statewide Medicaid disease and medical care management progr...

HMS Adds Over One Million Lives in New Medicaid Managed Care Contracts

NEW YORK, May 21 /PRNewswire-FirstCall/ -- HMS today announced that it had been awarded contracts with six additional Medicaid managed care plans, adding over one million lives to the company's portfolio. HMS will be providing one or more of its core services -- including third party recovery and ...

Filling the gap: The importance of Medicaid continuity for former inmates

PROVIDENCE, RI It is time for states to suspend, rather than terminate, the Medicaid benefits of inmates while they are incarcerated, say correctional health care experts from The Miriam Hospital in a commentary published online by the Journal of General Internal Medicine . Although federal ...

CMS Awards Medicaid Integrity Program Contract to HMS

NEW YORK, May 11 /PRNewswire-FirstCall/ -- HMS today announced that it has been awarded a second Medicaid Integrity Program (MIP) Task Order by the Centers for Medicare and Medicaid Services (CMS). Under this Task Order, HMS will examine payments to providers made under Title XIX of the Social Se...

EO Medicaid Cuts Would Harm People

Health Care for All Michigan Residents Will Suffer LANSING, Mich., May 4 /PRNewswire-USNewswire/ -- As the recession sends record numbers of Michigan residents onto the Medicaid rolls or into hospital emergency rooms with no health insurance, any mid-year cuts to Medicaid would harm peo...

HMS Awarded Medicaid Provider Audit Contract in Virginia

NEW YORK, April 20 /PRNewswire-FirstCall/ -- HMS today announced that it had been awarded a contract by the Commonwealth of Virginia Department of Medical Assistance Services (DMAS) to audit community mental health and other behavioral health providers that participate in the Virginia Medicaid pro...

Health Authority Offers Expedient, Web-Based Medicaid Enrollment Service

DETROIT, April 7 /PRNewswire-USNewswire/ -- The Detroit Wayne County Health Authority has begun using a web-based Medicaid enrollment service that will expedite the screening and enrollment of prospective Medicaid recipients. The new technology, called HelpEngen(TM), was developed by TriHealix, a ...

HMS Awarded Medicaid Audit Contract in South Carolina

NEW YORK, April 7 /PRNewswire-FirstCall/ -- HMS today announced that it had been awarded a contract for consulting and audit services for Medicaid overpayments from the South Carolina Department of Health and Human Services. The contract is for one year, with two optional renewal years. HMS ...

NMMRA QIO Uses Milliman Care Guidelines(R) for New Mexico Medicare and Medicaid Reviews

Evidence-Based Clinical Guidelines and Software Improve Quality Review Process SEATTLE, March 24 /PRNewswire/ -- New Mexico Medical Review Association (NMMRA), a Quality Improvement Organization (QIO), has signed a five-year licensing agreement with Milliman Care Guidelines, LLC, A Milliman C...

WellPoint Announces Appearance at 2nd Annual Medicaid Managed Care Summit

INDIANAPOLIS, Feb. 24 /PRNewswire/ -- WellPoint (NYSE: WLP ) today announced that Kevin Hayden, president of State Sponsored Business, will appear at the 2nd Annual Medicaid Managed Care Summit on Wednesday, Feb. 25 and Thursday, Feb. 26 in Washington, DC. The conference is scheduled to conv...

National Caregiver Coalition to National Governors Association: Establish State Task Forces to Monitor Medicaid Spending, Ascertain Funds Going to Protect Seniors

Coalition to Protect Senior Care Letter to Governors Rendell, Douglas Says to Use Medicaid Funds for Seniors - Not Unrelated State Projects JOPLIN, Mo., Feb. 23 /PRNewswire-USNewswire/ -- In a new letter to National Governors Association (NGA) Chairman Ed Rendell (D-PA) and James Douglas (R-V...

Providence Service Corporation Comments on $87 Billion Medicaid Assistance for States in the American Recovery and Reinvestment Act Signed into Law Yesterday

TUCSON, Ariz., Feb. 18 /PRNewswire-FirstCall/ -- The Providence Service Corporation (Nasdaq: PRSC ) today commented on the Medicaid assistance for states in the American Recovery and Reinvestment Act, which was signed by President Obama yesterday. The American Recovery and Reinvestment Act in...

Medicaid Health Plans of America Lauds Stimulus Bill's Conference Agreement Which Provides $90 Billion in Medicaid Relief for Nation's Most Vulnerable Citizens

WASHINGTON, Feb. 12 /PRNewswire-USNewswire/ -- Today, the Medicaid Health Plans of America (MHPA) , the leading trade association solely focused on representing Medicaid health plans, applauded House and Senate negotiators who agreed to include provisions in the American Recovery and Reinvestment...

Availity Offers No Cost Florida Medicaid Transactions to Providers

JACKSONVILLE, Fla., Feb. 9 /PRNewswire/ -- Availity, LLC, a leading provider of electronic administrative, financial, and clinical health information services, today announced its new connectivity option for the transmission of real-time electronic eligibility and benefits and claim status wit...

AMERIGROUP Health Plan in Nevada Begins Serving Medicaid Enrollees

VIRGINIA BEACH, Va., Feb. 2 /PRNewswire/ -- AMERIGROUP Corporation (NYSE: AGP ) announced today that its wholly-owned health plan in the State of Nevada began offering healthcare services to individuals enrolled in Medicaid and the State Children's Health Insurance (SCHIP) programs beginning Feb...

Nationally Recognized Medicaid Fraud Prosecutor Tim Terry Joins Successful Whistleblower Law Practice, Specializing in "Qui Tam" Citizen Suits Under False Claims Acts

L. Timothy Terry, formerly president of the National Association of Medicaid Fraud Control Units and Director of Nevada's Medicaid Fraud Control Unit, has joined the Whistleblower Action Network through his law firm, The Terry Law Firm, Ltd. of Carson City, Nevada. The Whistleblower Action Netwo...

Circumcision rates lower in states where Medicaid does not cover procedure

Hospitals in states where Medicaid does not pay for routine male circumcision are only about half as likely to perform the procedure, and this disparity could lead to an increased risk of HIV infection among lower-income children later in life, according to a UCLA AIDS Institute study. Resea...

Providence Service Corporation Provides The Center on Budget and Policy Priorities' Preliminary Analysis of Potential Medicaid Assistance for States in the House Economic Recovery Package

TUCSON, Ariz., Jan. 26 /PRNewswire-FirstCall/ -- The Providence Service Corporation (Nasdaq: PRSC ) today provided The Center on Budget and Policy Priorities' preliminary analysis of Medicaid assistance for states in the House Economic Recovery package. The report was issued on J...

Whistleblowers' Complaints Lead Eli Lilly to Pay $800 Million to Settle Civil Medicaid Fraud Charges, According to Berg & Androphy

HOUSTON, Jan. 15 /PRNewswire/ -- The $800 million settlement that Eli Lilly and Company (NYSE: LLY ) has agreed to pay to settle civil False Claims Act charges related to allegedly false or fraudulent marketing, promotion and sale of its drug Zyprexa can be traced to the courageous stands ta...

Highmark Medicare Services Awarded New Contract from Centers for Medicare & Medicaid Services

New Deal Means an Additional 480 positions CAMP HILL, Pa., Jan. 9 /PRNewswire/ -- Highmark Medicare Services has been selected by The Centers for Medicare and Medicaid Services (CMS) to process Medicare fee-for-service claims from hospitals and other institutional providers, physicians and h...

AMERIGROUP Terminates Agreement to Purchase New Jersey Medicaid Plan

VIRGINIA BEACH, Va., Dec. 31, 2008 /PRNewswire-FirstCall/ -- AMERIGROUP Corporation (NYSE: AGP ) announced today that it has terminated its agreement to purchase certain assets of University Health Plan, Inc., a wholly-owned subsidiary of Centene Corporation, related to its New Jersey Medica...

Cutting Medicaid Hospice Benefit Would Cost Florida More, Put Neediest Individuals at Risk

TALLAHASSEE, Fla., Dec. 30 /PRNewswire-USNewswire/ -- The State of Florida's proposed elimination of the Medicaid benefit that provides hospice care to some of the state's most fragile individuals actually would cost Florida millions more than the state currently spends - adding to the state's...

Interruptions in Medicaid coverage linked to increased hospitalization

New York, NY, December 15, 2008Interruptions in Medicaid coverage are associated with a higher rate of hospitalization for conditions that can often be treated in an ambulatory care setting, including asthma, diabetes, and hypertension, according to a new study in today's issue of the Annals of I...

Michigan Governor's Executive Order Budget Cuts Do Not Cut Payments to Medicaid Patients

LANSING, Mich., Dec. 10 /PRNewswire-USNewswire/ -- News stories this afternoon by some major Michigan newspapers' web sites contain unintentionally inaccurate information about Executive Order (EO) budget cuts proposed today by Gov. Jennifer Granholm. Specifically, the stories mistakenly reported:...

Detroit Area Hospitals Sue To Recover Medicaid Funds

DETROIT, Dec. 8 /PRNewswire/ -- In a lawsuit arising out of the demise of the Detroit-based OmniCare, a once large health maintenance organization servicing primarily Medicaid recipients, several major Detroit area hospitals filed an emergency motion this morning in Wayne County Circuit Court agai...

CNSI Selects Edifecs Healthcare Accelerator Suite(TM) for MMIS Solution to Support South Dakota Medicaid Program

BELLEVUE, Wash., Nov. 26 /PRNewswire/ -- Edifecs, Inc., the leader in B2B solutions for transaction interoperability, announced today that CNSI has selected the Edifecs Healthcare Accelerator Suite to support the development and implementation of a new Medicaid Management Information System (MMIS)...

AMERIGROUP to Acquire New Jersey Medicaid Business, Sell Medicaid Business in South Carolina

VIRGINIA BEACH, Va., Nov. 20, 2008 /PRNewswire-FirstCall/ -- AMERIGROUP Corporation (NYSE: AGP ) announced today that it plans to purchase certain assets from Centene Corporation, principally the right to provide managed care services to Centene's Medicaid members in New Jersey. In a related tr...

Nevada Gives Final Approval to AMERIGROUP Medicaid Contract

Company to Serve About 50,000 People Beginning February 1, 2009 VIRGINIA BEACH, Va., Nov. 12, 2008 /PRNewswire-FirstCall/ -- AMERIGROUP Corporation (NYSE: AGP ) announced today that the State of Nevada has given final approval to a contract authorizing the Company's Nevada subsidiary to e...

Health Plan of Michigan Ranked Among Nation's Best Medicaid Health Plans in 2008

Health plan retains its standing as one of America's Best Health Plans for the second year in a row, according to U.S.News & World Report/NCQA findings DETROIT, Nov. 7 /PRNewswire/ -- Detroit-based Health Plan of Michigan has been recognized as one of the Top 15 ...

Top 25 Managed Care Organizations Lead Increases in Managed Care Medicaid Enrollment Nationally, Though Hold Only One-Third of Its Enrollment

Independence Blue Cross and Aetna Experienced Greatest Increases in Medicaid Lives, According to Data from HealthLeaders-InterStudy NASHVILLE, Tenn., Oct. 28 /PRNewswire/ -- HealthLeaders-InterStudy, the leading provider of managed care market intelligence, reports that the country's 25 l...

New National Medicaid Study Underscores Importance of Including State Relief in Stimulus Plan

Medicaid Underfunds Actual Cost of Providing Quality Long Term Care by $4.2 Billion in 2008 WASHINGTON, Oct. 22 /PRNewswire-USNewswire/ -- A new Eljay, LLC analysis of Medicaid financing, which was released by the American Health Care Association (AHCA) today, projects that Medicaid underfund...

ACS Signs $27 Million Contract with Alaska to Transition Fiscal Agent Services for State Medicaid Program

DALLAS, Oct. 15 /PRNewswire-FirstCall/ -- Affiliated Computer Services, Inc. (NYSE: ACS ), today announced the award of a $27 million, 21-month contract for the transition of the Medicaid Management Information System (MMIS) for the state of Alaska's Department of Health and Social Services. ...