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Keyword: medicaid

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  • Skyrocketing Medicaid signups stir Obamacare fights

    05/19/2015 10:36:36 AM PDT · by Brad from Tennessee · 28 replies
    Politico ^ | May 18, 2015 | By Rachana Pradhan
    Medicaid enrollment under Obamacare is skyrocketing past expectations, giving some GOP governors who oppose the program’s expansion under the health law an “I told you so” moment. More than 12 million people have signed up for Medicaid under the Affordable Care Act since January 2014, and in some states that embraced that piece of the law, enrollment is hundreds of thousands beyond initial projections. Seven states have seen particularly big surges, with their overruns totaling nearly 1.4 million. The federal government is picking up 100 percent of the expansion costs through 2016, and then will gradually cut back to 90...
  • Health Law Tax Passed Along to States

    05/18/2015 3:41:04 PM PDT · by Oldeconomybuyer · 4 replies
    New York Times ^ | May 18, 2015
    There's more than a touch of absurdity in the way an industry fee in President Barack Obama's health care law is being passed along to state taxpayers. As Alice in Wonderland might say, a curious tax just got curiouser. The burden to states could mount to $13 billion in less than a decade. The Health Insurance Providers Fee was aimed at insurance companies. The thinking went: Because insurers would gain a windfall of customers, they ought to help pay for the expansion of coverage. Insurers say they have raised prices for individuals and small businesses to cover the new tax....
  • State governments lament that citizens are actually getting health coverage

    05/18/2015 3:19:05 PM PDT · by Oldeconomybuyer · 22 replies
    Los Angeles Times ^ | May 18, 2015 | by Michael Hiltzik
    One of the more bizarre spectacles of U.S. government in the modern age is the sight of political leaders complaining that a public program is actually working. In many states that expanded Medicaid and even some that rejected expansion under the Affordable Care Act, enrollment has significantly exceeded projections. To some political leaders, for some reason, this is supposed to be a bad thing. Some Republican governors are in effect calling it "an 'I told you so' moment". In Michigan, for instance, first-year enrollment was projected at 323,000, but enrollment topped out at 605,000. Illinois expected 199,000, and has ended...
  • Paying for Obamacare

    05/17/2015 12:10:59 PM PDT · by george76 · 7 replies
    ap ^ | May 17, 2015
    As Alice in Wonderland might say, a curious tax just got curiouser. The burden to states could mount to $13 billion in less than a decade. ... It works like this: State governments pay insurers for the tax. The insurers then pay the tax to the federal government. The federal government then reimburses part of the cost to the states. It may sound absurd, but it's not amusing to state governments, which wind up losing 54 cents for every dollar of the insurance tax. State taxpayers end up the biggest losers, without any added benefit to their state's low-income Medicaid...
  • Republicans brace for glorious victory over Obamacare

    05/16/2015 10:59:44 AM PDT · by Jim Robinson · 43 replies
    Washington Post ^ | May 15, 2015 | By Greg Sargent
    Nancy Pelosi is now predicting that Republicans will “rue the day” that the Supreme Court guts Obamacare subsidies for millions in three dozen states. “They’re going to then go out and say we’re going to take subsidies away from people who have health care? No, I don’t think so,” says Pelosi. “It would be really bad news for them.” Meanwhile, if anything, Republicans may be moving away from their previously-stated vow to participate in providing a contingency fix to temporarily keep those millions covered. The Hill reports that GOP Rep. Tom Price, the chairman of the House budget committee and...
  • Mercury News editorial: California must raise Medi-Cal reimbursement rates

    05/13/2015 3:26:25 PM PDT · by Oldeconomybuyer · 20 replies
    San Jose Mercury News ^ | May 13, 2015 | Editorial Board
    California is serving as the national model for President Barack Obama's health care reforms, but that won't continue unless the state does something about its abysmal Medi-Cal reimbursement rates for doctors and hospitals caring for the 12 million Californians with Medi-Cal coverage. Gov. Jerry Brown has a golden opportunity to fix the problem Thursday when he unveils his May revised budget plan. But don't hold your breath. It's becoming increasingly clear that the influx of 2.7 million Californians to the Medi-Cal roles is putting a strain on the state's medical system. The low reimbursement rates provide a disincentive for physicians...
  • Congressman: Fight Poverty With ‘A Salad Bar in Every Single School’ (Tim Ryan, D-OH)

    05/09/2015 7:58:38 AM PDT · by Olog-hai · 37 replies
    Cybercast News Service ^ | May 8, 2015 | 2:16 PM EDT | Eric Scheiner
    Rep. Tim Ryan (D-Ohio) says a bill will be introduced in the House that will “put a salad bar in every single school in the United States of America.” Speaking at the Religious Action Center’s “Consultation on Conscience” event last month, Ryan told the Washington D.C. audience about efforts that will help “begin to end poverty.” […] “It starts to paint the picture of the kind of system that we want,” Ryan continued. “Now, we have a lot of school districts in Ohio and across the country, 70, 80, 90 percent of the kids in the school will be Medicaid—free...
  • Majority of Exchange Enrollees Previously Had Coverage

    05/08/2015 1:40:53 PM PDT · by ThethoughtsofGreg · 6 replies
    American Legislator ^ | 5-8-15 | Sean Riley
    A new study this week from RAND Corp. estimates that just 4.1 of the 11.2 million people enrolled in exchanges were previously uninsured. The majority, 7.1 million, had coverage prior to the Affordable Care Act (ACA). Indeed, a higher number of uninsured gained coverage through Medicaid than through the exchanges, according to estimates, despite exchanges being the face of the law’s implementation. Though the study found that a net 16.9 million people have gained coverage since the Affordable Care Act took effect—22.8 million gaining coverage, and 5.9 million losing—the estimates are based on a survey of just 1,589 people. Authors...
  • Trump: Huckabee can't protect entitlements like I can

    05/07/2015 8:41:37 PM PDT · by 2ndDivisionVet · 36 replies
    The Hill's Ballot Box ^ | May 7, 2015 | Mark Hensch
    New York real estate mogul Donald Trump said Thursday that former Arkansas Gov. Mike Huckabee (R) could not prevent funding cuts to entitlement programs if elected president in 2016. “Huckabee is a nice guy but will never be able to bring in the funds so as not to cut Social Security, Medicare & Medicaid,” Trump tweeted. “I will.” Trump, a possible 2016 GOP presidential candidate, also argued Huckabee was stealing his potential campaign ideas. “Huckabee copied me,” Trump wrote. “I was the first & only potential GOP candidate to state there will be no cuts to Social Security, Medicare &...
  • NICE JOB, GOV. KASICH: Ohio Obamacare expansion costs $3 billion in first 15 months

    04/29/2015 11:15:21 PM PDT · by 2ndDivisionVet · 26 replies
    Doug Ross @ Journal ^ | April 29, 2015 | Jason Hart
    Americans’ tax burden is already $3 billion heavier because of Ohio Gov. John Kasich’s expansion of Medicaid under Obamacare. By putting more able-bodied, working-age childless adults on Medicaid than Kasich projected, Obamacare expansion is reducing incentives to work and threatening traditional Medicaid recipients’ access to care faster and at greater cost than anticipated. After Kasich expanded Medicaid unilaterally, a state panel approved $2.56 billion in Obamacare spending for the expansion’s first 18 months. The money was meant to last until July, but it ran out in February. Kasich’s Obamacare expansion cost $323 million in March — 84 percent greater than...
  • After Putting the Aborted Baby in Formaldehyde She Said “My God, We’re Going to Hell”

    04/18/2015 3:14:46 PM PDT · by NYer · 22 replies
    Life News ^ | April 17, 2015 | SARAH TERZO
    (LiveActionNews) — A pamphlet produced by Last Days Ministries entitled, “Abortion Clinics: An Inside Look” contained the testimonies of two former abortion facility workers. One worker who tells her story is Sam Griggs.Griggs talks first about the job interview. Some time ago, Planned Parenthood director turned pro-life activist Abby Johnson wrote about how abortion facilities often tell prospective employees that they will not be assisting in abortions.Johnson said that since “no one grows up wanting to work in an abortion clinic” abortion facilities often promise new employees that they will not deal with the abortion procedure, or the bodies of aborted babies. Johnson describes a...
  • If MinnesotaCare goes, here's what's at stake

    04/18/2015 11:33:06 AM PDT · by TurboZamboni · 8 replies
    Pioneer Press | 4-16-15 | David Montgomery
    In 49 states, there are basically two options for public health insurance programs: Medicaid for the very poor, and subsidized private health insurance on the Affordable Care Act's exchanges for everyone else. Minnesota is the exception. Unlike every other state, it has a third option in the middle: MinnesotaCare. Created in the 1990s, MinnesotaCare covers people who earn too much money for Medical Assistance (Minnesota's Medicaid program) but not enough to qualify for MNsure, the state's health insurance exchange.
  • Rand Splits With Rubio, Cruz To Vote For Deficit-Exploding Healthcare Bill

    04/15/2015 9:12:48 AM PDT · by SoConPubbie · 42 replies
    Daily Caller ^ | RACHEL STOLTZFOOS
    Republican Sen. Rand Paul split with senators Ted Cruz and Marco Rubio to vote for a healthcare bill Tuesday night that will add about half a trillion dollars to the national debt over the next several decades.Paul sided with the overwhelming majority of senators and representatives who voted for the bill, in a decision almost certain to come up in the primary race, where he is currently joined by Cruz and Rubio.The “doc-fix” bill solves a recurring problem in the way Medicare payments are made to doctors, extends a children’s health insurance program, and requires higher-income seniors to pay higher...
  • Rick Scott Walks Back Medicaid-Expansion Support Amid Tense CMS Talks

    04/06/2015 4:01:40 PM PDT · by SoFloFreeper · 10 replies
    National Journal ^ | 4/6/15 | Dylan Soc
    The Obama administration and Florida are negotiating over a $1 billion Medicaid funding stream. lorida's negotiations with the Obama administration over Medicaid—and by extension, Obamacare's Medicaid expansion—got even more complicated Monday, when Republican Gov. Rick Scott walked back his previous support for expanding the low-income health-insurance program. The Associated Press first reported Scott's change of heart Monday. In a statement, the governor effectively blamed the Obama administration's posturing in the ongoing negotiations over a Medicaid funding stream, the Low-Income Pool, which helps pay for uncompensated care. "Given that the federal government said they would not fund the federal LIP program...
  • Ted Cruz accused of wanting to repeal the 20th Century

    04/05/2015 1:40:14 PM PDT · by Marcus · 51 replies
    Houston Politics Examiner ^ | April 5, 2015 | Mark R. Whittington
    With Sen. Ted Cruz, R-Texas, the first major announced presidential candidate, surging in the polls and raking in campaign cash, it was inevitable that the push back would follow. The “Stop Ted Cruz” campaign got off to a roaring start in Salon, a magazine that has always disdained the man from Texas, with a Sunday article by Heather Cox Richardson, a college professor who teaches 19th century American history. Richardson’s indictment against Cruz is a beaut, accusing him of being part of a conspiracy started by the late William F. Buckley and furthered by the late Sen. Barry Goldwater to...
  • Smoking Worst Health Habit of Those on Medicaid [how do "poor" people afford cigarettes?]

    04/02/2015 9:23:49 PM PDT · by grundle · 29 replies
    Gallup ^ | April 4, 2013 | Elizabeth Mendes
    Smoking Worst Health Habit of Those on Medicaid Thirty-six percent of adults whose primary health insurance source is Medicaid say they smoke -- making them 21 percentage points more likely to report the habit than those with employer-based insurance, and 17 points more likely than the overall adult average. Smoking appears to be the main health habit that this group struggles with disproportionately -- they are about as likely as others to exercise frequently and eat healthily.
  • Supreme Court: Health providers can't sue for more Medicaid money

    04/01/2015 2:26:11 AM PDT · by Cincinatus' Wife · 7 replies
    Washington Examiner ^ | March 31, 2015 | Paige Winfield Cunningham
    Healthcare providers can't sue states for keeping Medicaid reimbursements low, the Supreme Court ruled Tuesday. In a split 5-4 decision, the justices said five private companies serving Idaho Medicaid patients can't ask courts to force the state to pay them higher reimbursements. The case Armstrong v. Exceptional Child Center was brought by five private companies providing Medicaid patients with in-home healthcare and other services. The firms said Idaho unfairly kept reimbursement rates at 2006 levels, even though care continued to grow more expensive.....
  • Church leaders support Medicaid expansion (Montana)

    03/31/2015 9:07:46 PM PDT · by 2ndDivisionVet · 6 replies
    Hungry Horse News ^ | March 31, 2015 | 21 Church Leaders
    As people of faith, we believe that each of us has a moral obligation to take care of each other. At one time or another, every one of our fellow human beings has a need that we can help ease. We have an even stronger obligation to help the most vulnerable among us — those whose needs are often the greatest. 4307821 Whitefish Physical Therapy (headache) Instory HHN That obligation means more than making sure people have food and clothing. In today’s world, those basics fall far short of what anyone needs to better their lives, support a family and...
  • The Next Big Obamacare Case?

    03/28/2015 10:59:55 AM PDT · by Kaslin · 2 replies
    Townhall.com ^ | March 28, 2015 | Ilya Shapiro
    Medicaid, the entitlement program for low-income Americans jointly funded by the state and federal government, represents about 25 percent of state budgets. Federal funding represents more than half (57 percent) of that amount, and that funding is now being threatened by Obamacare. In what seems like déjŕ-vu all over again, Maine’s Department of Health and Human Services (DHHS) is pursuing a lawsuit to prevent this sort of federal coercion. Here’s the scoop: In 2009, the American Recovery & Reinvestment Act (ARRA) offered states stimulus funds if they agreed to a maintenance-of-effort (“MOE”) provision that required them to maintain Medicaid-eligibility standards...
  • Poll: Majority wants Scott Walker to address potential Obamacare crisis

    03/18/2015 2:08:48 AM PDT · by Cincinatus' Wife · 56 replies
    The Capital Times ^ | March 17, 2015 | Steven Elbow
    A new poll shows that a majority of Wisconsinites want Gov. Scott Walker to expand Medicaid and to take action to prevent more than 184,000 people from losing health care subsidies, potentially making their health care unaffordable, if the U.S. Supreme Court eliminates subsidies in Wisconsin and 33 other states. The court is expected to render its decision in June. The survey of 1,071 registered voters, commissioned by Citizen Action of Wisconsin, showed that by a margin of by 31 percent — 58 to 27 percent — respondents thought Walker should accept a federally funded expansion of Medicaid, which Walker...
  • Josh Earnest: Rejecting Medicaid expansion is basically condemning Americans to death

    03/17/2015 6:45:05 AM PDT · by SeekAndFind · 12 replies
    Hotair ^ | 03/17/2015 | Noah Rothman
    The Party of Science has struck again. Conservatives who are either programmatically or philosophically allergic to the notion that expanding access to Medicaid is tantamount to providing the poor access to health care will be surprised to learn that they are heartless ghouls who may also be complicit in an untold number of negligent homicides. During MondayÂ’s White House press briefing, Press Sec. Josh Earnest reportedly equated the decision made by some governors to decline to expand access to Medicaid in their state under the Affordable Care Act with a lack of concern for the health of their constituents:...
  • Federal agencies make $125B in improper payments last year

    03/16/2015 6:42:21 PM PDT · by Olog-hai · 17 replies
    Associated Press ^ | Mar 16, 2015 5:47 PM EDT | Stephen Ohlemacher
    Federal agencies made $125 billion in improper payments last year, including tax credits to people who didn’t qualify, Medicare payments for treatments that might not be necessary and unemployment benefits for people who were actually working, said a government report released Monday. The level of improper payments was a new high after several years of declines. In addition to fraud, the errors included overpayments and underpayments, as well payments made without proper documentation. While the errors were spread among 22 federal agencies, three programs stood out: Medicare, Medicaid and the Earned Income Tax Credit. Together, the three programs accounted for...
  • LBJ destroyed your state's budget

    03/10/2015 8:48:19 PM PDT · by 2ndDivisionVet · 11 replies
    Don Surber's Blog ^ | March 7, 2015 | Don Surber
    As state legislatures throughout America struggle with requirements to balance their state budgets, let us pause to remember that one-quarter of the budget is dictated by Lyndon Baines Johnson, whose damage to state budgets lives on 42 years after his death. As president, LBJ pushed for Medicaid -- free health insurance for poor people. This was a boon to the medical industry, particularly hospitals, doctors, sellers of wheelchairs, and nursing homes. But Medicaid comes at the expense of schools, highways, prisons and others state services because it requires states to pony up some of the money in this federally mandated...
  • Christie touts benefits of Medicaid expansion at town hall

    03/10/2015 12:28:10 PM PDT · by Olog-hai · 9 replies
    Associated Press ^ | Mar 10, 2015 3:20 PM EDT
    New Jersey Gov. Chris Christie is touting the budgetary benefits of Medicaid expansion under President Barack Obama’s health care overhaul. The potential Republican presidential contender said Tuesday during a town hall event in Somerville that Medicaid expansion has helped save New Jersey significant money. […] Christie has been a vocal critic of Obama’s signature health care program. But he says expanding Medicaid was the right decision for New Jersey. …
  • Brownback softens stance on Medicaid expansion (Brownback goes wobbly)

    03/07/2015 7:43:52 PM PST · by balch3 · 10 replies
    Lawrence Journal-World ^ | March 4, 2015 | Peter Hancock
    Topeka — Gov. Sam Brownback suggested Wednesday that he might consider proposals to expand Medicaid under the Affordable Care Act, provided the Legislature can identify a way to pay for it. "I’ve been pushing that anything we do on Medicaid expansion has to be 100-percent paid for," Brownback said during impromptu remarks to the Kansas Association of Insurance Agents, who met at the Statehouse on Wednesday. Under the federal health law, also known as Obamacare, states are allowed to expand their Medicaid programs to cover all individuals in households with incomes up to 138 percent of the poverty level. That's...
  • About 61,000 Ohioans poised to lose Medicaid health benefits

    02/26/2015 11:47:10 PM PST · by Citizen Zed · 9 replies
    wkbn.com / ap ^ | 2-26-2015
    Roughly 61,000 Ohioans in Medicaid are expected to lose their coverage this weekend after failing to take steps to renew their health benefits as required, the state’s Medicaid director said Thursday. Those recipients who did not update their household income or other eligibility information as requested are poised to be terminated from the program Saturday. Federal law requires states to “redetermine” annually whether recipients remain eligible for Medicaid. The federal-state program for the poor and disabled provides coverage to nearly one out of every four Ohioans. The process was on hold in Ohio for a year as the federal health...
  • Paging Physician Assistants As Obamacare Fuels Demand

    02/22/2015 2:04:33 PM PST · by Lorianne · 31 replies
    Forbes ^ | 22 February 2015 | Bruce Japsen
    There is unprecedented demand for physician assistants as insurance payment and the Affordable Care Act encourage a team-based approach to managing the care of patient populations. A snapshot of this trend can be seen in a new report by The Medicus Firm, a national physician recruiter, which said physician assistants (PAs) rose to No. 5 among its top 10 most frequently placed medical care providers in 2014, outstripping several categories of medical doctors. Primary care doctors continue to hold the top three spots with family physicians at No. 1, followed by hospitalist doctors and internists at No. 3. Just a...
  • Medicaid Helps Hospitals Pay For Illegal Immigrants’ Care

    02/18/2015 9:53:09 PM PST · by 11th_VA · 14 replies
    Kaiser Health News ^ | February 12, 2013 | Phil Galewitz
    Federal law generally bars illegal immigrants from being covered by Medicaid. But a little-known part of the state-federal health insurance program for the poor has long paid about $2 billion a year for emergency treatment for a group of patients who, according to hospitals, mostly comprise illegal immigrants. The lion’s share goes to reimburse hospitals for delivering babies for women who show up in their emergency rooms, according to interviews with hospital officials and studies. The funding — which has been around since the late 1980s and is less than 1 percent of the cost of Medicaid — underscores the...
  • 32 Federal Programs Are Now At High Risk of Failure

    02/13/2015 6:44:30 AM PST · by IBD editorial writer · 31 replies
    Investor's Business Daily ^ | 02/13/2015 | John Merline
    The Government Accountability Office added two more federal programs to its "high risk" list in a report released this week, bringing the total up to 32. Those high risk programs are ones the GAO deems to be extremely vulnerable to fraud, waste, abuse and mismanagement, putting billions of dollars of taxpayer money at risk.
  • Bill targets abortion services “unbundled” for Medicaid reimbursement (Wisconsin)

    02/10/2015 3:17:46 PM PST · by Morgana · 2 replies
    life dynamics ^ | February 9, 2015 | life dynamics
    A bill has been introduced into the U.S. House by a Wisconsin Congressman which would stop abortion providers from “unbundling” abortion services so they can submit separate claims to Medicaid. U.S. Representative Sean Duffy (R-WI) said that he introduced the ‘‘Medicaid Abortion Funding Prohibition Accountability Act“ to target Medicaid providers who improperly submit reimbursement claims to pay for abortions, and related services. “These companies submit separate claims for abortion related procedures in order to receive increased Medicaid reimbursements. It is a process known as “unbundling” and is in violation of federal law,” Rep. Duffy said in his press release. “All...
  • Wyoming Defeats Medicaid Expansion Proposal

    02/09/2015 1:06:04 PM PST · by ThethoughtsofGreg · 4 replies
    American Legislator ^ | 2-9-15 | Wes Watt
    On Friday, the Wyoming State Senate voted 19-11 against a proposal to expand Medicaid under the Affordable Care Act. The House Labor, Health and Social Services Committee then pulled its version of the bill. “With all of the Senate’s work, they still fundamentally believe this is not the right thing for Wyoming,” Committee Chairwoman Rep. Elaine Harvey stated. The proposal, known as the SHARE plan, would have called for a federal waiver permitting the state to charge monthly premiums and co-payments to low-income individuals participating in the program. However, the proposal would have almost assuredly been rejected by federal officials,...
  • In Rebuke of Tennessee Governor, Koch Group Shows Its Power

    02/07/2015 5:30:58 AM PST · by cotton1706 · 30 replies
    NBC ^ | February 6, 2015 | Perry Bacon Jr. Lead reporter covering Obama's campaign and Affordable Care Act
    In Rebuke of Tennessee Governor, Koch Group Shows Its Power "In December, Tennessee Gov. Bill Haslam, a Republican, got the deal he wanted from the Obama administration: Tennessee would accept more than $1 billion in federal funding to expand Medicaid, as allowed for in the Affordable Care Act, but Obama aides would allow Haslam to essentially write staunchly conservative ideas into the program's rules for the state. He dubbed the reformed Medicaid program "Insure Tennessee." But the state's chapter of Americans for Prosperity, the national conservative group whose foundation is chaired by controversial billionaire David Koch, argued Haslam was just...
  • Victory for Taxpayers: Medicaid Expansion Fails in Tennessee

    02/06/2015 1:49:21 PM PST · by ThethoughtsofGreg · 2 replies
    American Legislator ^ | 2-6-15 | Wes Watt
    A proposal to expand Medicaid under the Affordable Care Act failed 4-7 in Tennessee’s Senate Health Committee during a special session Wednesday as lawmakers expressed concern with increasing the federal government’s role in state affairs. The proposal, Insure Tennessee, had been in development since early 2013 when Governor Bill Haslam signaled interest in negotiating an expansion with federal officials. The two-part proposal included the Volunteer Plan, providing premium assistance to those with employer sponsored coverage, and the Healthy Incentives Plan, establishing health savings accounts and incentivizing healthy behaviors like physicals and appropriate emergency room use. Critics of the plan, however,...
  • ‘Disappointed’ Haslam: Further attempts to pass Insure TN ‘pointless right now’

    02/05/2015 10:18:52 AM PST · by SharpRightTurn · 18 replies
    knoxblogs.com ^ | February 4, 2015 | Tom Humphrey
    Gov. Bill Haslam said he sees no point in returning to federal officials to ask for more concessions on his health care plan after the state legislature killed the proposal Wednesday, according to the Commercial Appeal. “I think it feels a little pointless right now to come back with the same plan. And so there has to be something that would show change (among lawmakers),” the governor told reporters after the defeat. ..Asked if he would return to the regular legislative session, which opens Monday for a three-month run, with the same plan or a modified version, the governor said:...
  • Health insurer Anthem (Blue Cross) hacked; data on millions of patients, employees exposed

    02/05/2015 3:20:55 AM PST · by Zakeet · 23 replies
    LA Times ^ | February 4, 2015 | Chad Terhune and Ryan Parker
    Health insurance giant Anthem Inc. said late Wednesday that hackers had breached its computer system and the personal information of tens of millions of customers and employees was possibly at risk. [Snip] The data breach extended across all of Anthem's business, possibly affecting customers at large employers, individual policyholders and people enrolled in Medicaid managed-care plans. Anthem has more than 37 million members in California and 13 other states. But the company warned that it also had information in its database on other Blue Cross Blue Shield patients from all 50 states who had sought care in its coverage area.
  • Mike Pence's very bad week

    02/04/2015 4:49:17 PM PST · by ObamahatesPACoal · 8 replies
    CNN ^ | January 31, 2015 | Eric Bradner
    It should have been Mike Pence's strongest moment as Indiana governor -- a chance to showcase his style of executive leadership on the national stage. Instead, the week turned into a calamity of Team Pence's own making. The leaked details of a bizarre proposal to create what sounded like a state government-run news agency sucked all the oxygen out of Indiana's political media, right when Pence was supposed to explain a complicated conservative approach he's taking to expanding Medicaid. Pence immediately backtracked, but the damage was already done. (SNIP) Indiana's Republican House speaker, Brian Bosma, even taunted Pence a bit,...
  • Planned Parenthood director on Medicaid audit claims “no wrongdoing no fraud”

    02/01/2015 2:08:59 PM PST · by Morgana · 2 replies
    saynsumthn's blog ^ | January 30, 2015 | saynsumthn
    In 2010, Planned Parenthood of the Inland Northwest agreed to pay the state $345,000 after settling a 2009 audit that uncovered the clinic used incorrect codes and provided insufficient documentation for some claims billed to Medicaid. The original audit finding estimated the Spokane family-planning organization improperly billed Medicaid more than $629,000 for 333 patient procedures from March 2004 through February 2007. During that time, the clinic collected about $7.6 million from Medicaid. Planned Parenthoods in New Jersey were also investigated that same year. In 2012, a published report said that Illinois Medicaid’s inspector general was investigating the billing practices of...
  • When Politics Defy Reality: The Real State of the Union Features Dishonesty and Deception

    01/28/2015 1:55:14 PM PST · by Kaslin · 3 replies
    Townhall.com ^ | January 28, 2015 | Dr Ben Carson
    In his recent State of the Union address, President Obama was upbeat and inspiring, particularly if a listener had no prior knowledge of his many speeches that were quite similar but bore no fruit. It almost appeared that he was living in an alternate universe that bore no resemblance to present-day America and the current global stage. He boasted that the economy was doing very well and that unemployment had been cut in half since he took office. Perhaps someone should educate him about the labor force participation rate, which is at its lowest point in the past 36 years...
  • Indiana Governor to Expand Medicaid Coverage

    01/27/2015 8:28:17 AM PST · by GIdget2004 · 12 replies
    WSJ ^ | 01/27/2015 | LOUISE RADNOFSKY
    Indiana Republican Gov. Mike Pence is moving ahead to extend Medicaid coverage to hundreds of thousands of Hoosiers under the federal health law after securing a key concession from the Obama administration. The deal, to be announced Tuesday, could pave the way for half a dozen more states to seek similar deals, boosting Medicaid expansion proposals in Republican-led states including Florida, North Carolina and Wyoming. Indiana and Washington officials had been locked for months in negotiations over an issue that could shape the future of Medicaid, the 50-year-old federal-state health program that covers more than 60 million low-income Americans. Mr....
  • To Collect Debts, Nursing Homes Are Seizing Control Over Patients

    01/27/2015 2:22:54 AM PST · by iowamark · 42 replies
    NY Times ^ | JAN. 25, 2015 | NINA BERNSTEIN
    Lillian Palermo tried to prepare for the worst possibilities of aging. An insurance executive with a Ph.D. in psychology and a love of ballroom dancing, she arranged for her power of attorney and health care proxy to go to her husband, Dino, eight years her junior, if she became incapacitated. And in her 80s, she did... But one day last summer, after he disputed nursing home bills that had suddenly doubled Mrs. Palermo’s copays... Palermo was shocked to find a six-page legal document waiting on her bed. It was a guardianship petition filed by the nursing home, Mary Manning Walsh,...
  • Governor Cuomo Proposes Regulations to Have Medicaid Cover "Transgender Care and Services"

    01/26/2015 11:23:43 PM PST · by ubipetrusest · 5 replies
    Governor's Press Office ^ | December 17, 2014 | Governor's Press Office
    Governor Andrew M. Cuomo today announced new regulations to include transgender health care services under New York State’s Medicaid program. The proposed regulations provide treatment for hormone therapy and gender reassignment surgery.... New York will join California, Massachusetts, Oregon, Vermont, and Washington D.C., which cover transgender health care through their Medicaid programs. In May, the federal government also ended its decades-long exclusion of coverage for certain services related to gender transition under Medicare. The introduction of this Medicaid regulation follows last week’s announcement that New York State law requires private health insurance companies to cover transgender health care on the...
  • 724 Hospitals Have Lost Medicare Funding For Avoidable Complications

    01/24/2015 1:27:06 PM PST · by LucyT · 57 replies
    The Inquisitor ^ | January 24, 2015 | Staff
    Nationally, 724 hospitals have had their Medicare funding reduced after the Centers for Medicare and Medicaid Services found that each had high rates of potentially avoidable “hospital-acquired conditions,” including falls, bed sores, and certain infections, including ventilator acquired pneumonia and catheter-associated urinary tract infections. CMS scored hospitals on the prevalence of three risk factors to their Medicare population patients: central line bloodstream infections, catheter-associated urinary tract infections, and serious complications, a catch-all group made up of eight types of injuries, including blood clots, falls, and bed sores. Funding can be reinstated for hospitals whose scores improve in the targeted areas.
  • Judge Orders California To Make Timely Decisions On Medicaid Coverage

    01/23/2015 3:42:31 PM PST · by Oldeconomybuyer · 13 replies
    Kaiser Health News ^ | January 23, 2015 | By Anna Gorman
    Medi-Cal applicants who have been waiting for more than 45 days can receive temporary health benefits while officials determine eligibility for the public insurance program, a state Superior Court judge ruled this week. The suit, which was filed in Alameda County Superior Court by a coalition of health advocates and legal services groups, cited delays in enrolling pregnant women, children and adults with life-threatening conditions. Advocates said many either had to postpone treatment or pay cash to see doctors. Medi-Cal is California’s version of Medicaid, the publicly funded insurance program for poor and disabled residents. Prompted by the Affordable Care...
  • SOTU Fact Check: Obama's Health Care Debt Bomb

    01/21/2015 4:07:24 AM PST · by Kaslin · 5 replies
    Townhall.com ^ | January 20, 2015 | Conn Carroll
    In his State of the Union Tuesday, President Obama claimed that Obamacare has helped cut the deficit by two thirds by slowing the rate of health care spending growth. Not only is this claim false, but Obamacare has created a deficit time bomb that will explode just as he is leaving office.Now it is true that the growth of health care spending has fallen during Obama's presidency. But that slowdown began not only before Obama passed Obamacare, but even before Obama took office. The reality is that larger economic factors, including the growth of cost-sharing health care plans, began slowing health care spending...
  • Illegal immigrants could receive Social Security, Medicare under Obama action

    11/26/2014 2:40:04 AM PST · by SkyPilot · 43 replies
    Washington Post ^ | 15 Nov 14 | Karen Tumulty
    Under President Obama’s new program to protect millions of illegal immigrants from deportation, many of those affected will be eligible to receive Social Security, Medicare and a wide array of other federal benefits, a White House official said Tuesday. In his speech Thursday night, the president touted his plan as a means of bringing accountability to a broken immigration system, under which 11 million or more people are estimated to be living in this country illegally. “We’re going to offer the following deal: If you’ve with been in America more than five years. If you have children who are American citizens...
  • "Some Folks Were Lying?" Medicaid Chief Marilyn Tavenner 'Steps Down' After Obamacare "Error"

    01/16/2015 7:51:19 AM PST · by SeekAndFind · 30 replies
    Zero Hedge ^ | 01/15/2015 | Tyler Durden
    Marilyn Tavenner, head of the U.S. Centers for Medicare and Medicaid Services, plans to step down at the end of February, she told her staff in an e-mail.As Bloomberg reports, Tavenner didn’t say why she was leaving.In November, she acknowledged that her agency had made a mistake in its calculation of the number of people enrolled under Obamacare. As a reminder... from November The Obama administration said it erroneously calculated the number of people with health coverage under the Affordable Care Act, incorrectly adding 380,000 dental subscribers to raise the total above 7 million. The accurate number with full health-care plans...
  • The great Obamacare-Medicaid bait 'n' switch

    01/12/2015 2:34:59 PM PST · by Brad from Tennessee · 18 replies
    CNBC ^ | January 12, 2015 | By Jake Novak
    Hey, are you one of the 9.7 million Americans who have been put onto the Medicaid rolls since 2013 mostly as a result of theAffordable Care Act? Congratulations! But that and $2.75 will get you one ride on the New York City subway. That's because finding a doctor who accepts Medicaid payments – never all that easy to do even before 2013 – is getting harder than ever thanks to a steep drop in reimbursement rates for doctors who treat patients on Medicaid. When I say "steep," I mean it. We're talking an average of 43 percent nationwide and almost...
  • Supreme Court Battle Brewing Over Medicaid Fees

    01/12/2015 8:05:36 AM PST · by Oldeconomybuyer · 5 replies
    Kaiser Health News ^ | January 12, 2015 | By Phil Galewitz
    PALM BEACH GARDENS, Fla. — Rita Gorenflo’s 7-year-old son Nathaniel was in severe pain from a sinus infection. But since the boy was covered by Medicaid, she couldn’t immediately find a specialist willing to see him. After days of calling, she was finally able to get Nathaniel an appointment nearly a week later near their South Florida home. That was in 2005. Last month, ruling in a lawsuit brought by the state’s pediatricians and patient advocacy groups, a federal district judge in Miami determined Nathaniel’s wait was “unreasonable” and that Florida’s Medicaid program was failing him and nearly 2 million...
  • ObamaCare Slaps States With $15 Billion In New Costs

    01/05/2015 2:05:24 PM PST · by Jim Robinson · 20 replies
    Forbes ^ | January 5, 2015 | By Grace-Marie Turner
    Thirty-six states that rely on private managed care programs to provide medical services to all or some of their Medicaid recipients are facing an added ObamaCare tax. According to a report by Milliman consulting actuaries, states that contract with Medicaid managed care plans face up to $15 billion in added costs over 10 years for their share of the law’s tax on private health insurance. States will pay even if they strongly oppose ObamaCare and are refusing to establish health insurance exchanges or expand Medicaid. The health law imposes an annual tax on private health insurance plans – a tax...
  • IRS Goes After Nonprofit Hospitals On Asking Customers To Pay Bills

    12/30/2014 12:27:39 PM PST · by Tolerance Sucks Rocks · 45 replies
    The Daily Caller ^ | December 29, 2014 | Sarah Hurtubise
    The Obama administration announced new rules under Obamacare on Monday that target nonprofit hospitals’ efforts to get paid by their patients.Nonprofit hospitals, which serve a charitable purpose and are often religiously affiliated, will now be subject to strict rules on when and how they can collect payments from customers, thanks to regulations included in the health-care law. As a condition of their tax-exempt status, these hospitals must “take an active role in improving the health of the communities they serve,” Treasury Department deputy assistant secretary for tax policy Emily McMahon wrote in a blog post Monday. Under the new IRS...