Keyword: medicaid

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  • 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...
  • GOP's Medicaid Expansion Plans Encounter Growing Skepticism

    12/30/2014 11:40:57 AM PST · by Tolerance Sucks Rocks · 10 replies
    Newsmax.com ^ | December 29, 2014 | Joe Himelfarb
    While states debate expanding their Medicaid programs under Obamacare, they're wrestling with a looming 2017 deadline — when their taxpayers begin paying for the cost of the expansion. Beginning in 2014, states that agree to expand Medicaid to persons with incomes of up to 138 percent of the poverty line will have the federal government pay 100 percent of the cost. But beginning in 2017, the federal share will fall to 95 percent, and it drops to 90 percent in 2020. This has officials — many of them in Republican-dominated states across the country — worried that they will not...
  • Azealia Banks Continues to Bash America For Impeding Advancement of Blacks

    12/29/2014 5:07:34 PM PST · by 2ndDivisionVet · 45 replies
    Just Jared ^ | December 27, 2014
    Azealia Banks is still bothered by America’s history with slavery and took to Twitter to let everyone know about it! The 23-year-old rapper believed that America owed money to blacks for putting them into slavery and stopping them from being successful in society. “I don’t know why all the white people on my Twitter are saying I’m “playing the victim” cause I’m not… I really just want my [expletive] money,” the 23-year-old rapper tweeted on Saturday (December 27). Azealia decided to voice her opinion after she stirred up some controversy by saying that she wanted to find descendants of slave...
  • (PDF) Reversing the Medicaid Fee Bump: How Much Could Medicaid Fees Fall in 2015?

    12/27/2014 2:56:13 PM PST · by steve86 · 13 replies
    Urban Institute ^ | December, 2014 | Stephen Zuckerman
    This is a .pdf format document. Full Title: Reversing the Medicaid Fee Bump: How Much Could Medicaid Fees For Primary Care Fall in 2015?
  • As Medicaid Rolls Swell, Cuts in Payments to Doctors Threaten Access to Care

    12/27/2014 12:08:38 PM PST · by E. Pluribus Unum · 56 replies
    New York Slijmes ^ | DEC. 27, 2014 | ROBERT PEAR
    WASHINGTON — Just as millions of people are gaining insurance through Medicaid, the program is poised to make deep cuts in payments to many doctors, prompting some physicians and consumer advocates to warn that the reductions could make it more difficult for Medicaid patients to obtain care.
  • As Docs Face Big Cuts In Medicaid Pay, Patients May Pay The Price

    12/23/2014 2:27:35 PM PST · by Oldeconomybuyer · 8 replies
    Kaiser Health News ^ | December 23, 2014 | By Phil Galewitz
    Andy Pasternak, a family doctor in Reno, Nev., has seen more than 100 new Medicaid patients this year after the state expanded the insurance program under the Affordable Care Act. But he won’t be taking any new ones after Dec. 31. That’s when the law’s two-year pay raise for primary care doctors like him who see Medicaid patients expires, resulting in fee reductions of 43 percent on average across the country, according to the nonpartisan Urban Institute. The challenge is to convince physicians not just to continue accepting such patients but to take on more without getting paid what they’re...
  • California regulator assails Obamacare cancellations

    12/25/2014 3:52:05 AM PST · by Cincinatus' Wife · 24 replies
    Los Angeles Times ^ | December 24, 2014 | Chad Terhune
    California's health exchange is violating the law by canceling private coverage for up to 95,000 people because they might qualify for Medi-Cal, the state's insurance commissioner says. At issue is health insurance for some of the poorest Californians whose incomes aren't high enough to even qualify for subsidized policies in the Covered California exchange. The state marketplace is notifying thousands of policyholders that their federal premium subsidies for Obamacare coverage will end Dec. 31 and their private health plan won't be renewed starting in January. Instead, these people will be put into Medi-Cal, the state's Medicaid program for low-income residents....
  • Without Cruz, there would be no opposition to President Obama (With 2016 poll to FReep)

    12/21/2014 2:42:32 AM PST · by 2ndDivisionVet · 16 replies
    The Nolan Chart Blog ^ | December 16, 2014 | Mark Vogl
    An entire nation votes, tens of millions of Americans come out to their local polls to tell Washington it is going in the wrong direction on amnesty and Obama Care, and endless deficits, and cowardice in the face of terrorism…and what do the Republicans leaders do? They give the president everything he could ask for, while turning on one of the few in the Republican ranks that understands we are fighting for the very life of the nation. The Republican Party simply is not up to the task of changing the course of this nation. Too many in the Republican...
  • Move to Medicaid: Nearly 10M enrolled since Obamacare launch

    12/19/2014 12:26:32 PM PST · by 2ndDivisionVet · 20 replies
    CNBC ^ | December 19, 2014 | Dan Mangan
    While enrollment on government-run Obamacare exchanges gets the bulk of media attention, sign-ups for Medicaid have been even greater, in no small part due to another part of the Affordable Care Act. Since October 2013, enrollment in Medicaid and the related Children's Health Insurance Program had grown by about 9.7 million people as of this past October, according to data released Thursday by the federal government. That's 17 percent higher than what was the average monthly enrollment level seen from July through September 2013. That bump brings total enrollment in the programs that provide coverage without a premium charge to...
  • Another Red State Moves To Expand Medicaid

    12/16/2014 8:04:21 PM PST · by Tolerance Sucks Rocks · 9 replies
    The Daily Caller ^ | December 15, 2014 | Sarah Hurtubise
    Tennessee Republican Gov. Bill Haslam became the latest red-state governor to approve a twist on Obamacare’s Medicaid expansion Monday.Haslam is supporting a private-option version of Obamacare’s Medicaid expansion, which was pioneered by Arkansas in 2014. The proposal will have to be approved by the Department of Health and Human Services and the Republican-controlled legislature; if it goes through, Tennessee will be just the 28th state to move forward with the expansion of the welfare program through Obamacare.“We made the decision in Tennessee nearly two years ago not to expand traditional Medicaid,” Haslam said Monday. “This is an alternative approach that...
  • Obamacare adds 450,000 Ohioans to Medicaid rolls

    12/16/2014 1:54:55 PM PST · by Oldeconomybuyer · 23 replies
    Ohio Watchdog.org ^ | December 16, 2014 | By Jason Hart
    Gov. John Kasich’s Obamacare expansion has put 450,941 Ohioans on Medicaid, outpacing his administration’s projections by 24 percent. Instead of tempering leftist support for the expansion, budget-busting enrollment is portrayed as good news for Ohio; Obamacare sticks federal taxpayers with 100 percent of Medicaid expansion benefit costs through 2016. Kasich — who expanded Medicaid over the General Assembly’s express disapproval — told attendees at a Dec. 4 infant mortality summit to march in favor of more Obamacare expansion spending, but critics are encouraging legislative opponents to stand their ground. “Kasich is threatening to organize protests to ensure the state continues...
  • Gruber model errs in Colorado as Vermont prepares to rely on data

    12/13/2014 7:30:05 AM PST · by george76 · 28 replies
    Vermont Watchdog ^ | December 12, 2014 | Bruce Parker
    Jonathan Gruber’s health care forecasting is failing in Colorado as Vermont’s Gov. Peter Shumlin prepares to use the economist’s math for single-payer health care. As Vermonters anxiously await a Gruber-modeled financing plan for Green Mountain Care, modeling done for Colorado’s health exchange by Jonathan Gruber Associates has proven wildly erroneous. In 2011, following Colorado’s decision to set up a state health exchange for Obamacare, the state hired Gruber to forecast enrollment trends from which the state and federal government could estimate costs. According to a presentation delivered to the Colorado Health Benefit Exchange Board on Sept. 16, 2011, and provided...
  • Medicaid Patients Get Schooled in ObamaCare Deception

    12/10/2014 4:09:01 AM PST · by IBD editorial writer · 12 replies
    Investor's Business Daily ^ | 12/10/2014 | John Merline
    The same day ObamaCare architect Jonathan "Stupid Americans" Gruber swore before Congress that there wasn't any deception involved in getting it passed, an inspector general report showed how the law continues to mislead the public. Writing off an advance copy of the report, the New York Times said the Health and Human Services IG found "half of the providers" listed as serving Medicaid patients "could not offer appointments to enrollees."
  • Shrinking reimbursement from insurance threatening outlook for rural hospitals

    12/08/2014 7:30:20 PM PST · by Republican Wildcat · 22 replies
    cn|2 Pure Politics ^ | 12/8/2014 | Don Weber
    LEXINGTON — Rural hospitals in Kentucky are facing some of the biggest challenges in their histories and some may be forced to close their doors state auditor Adam Edelen told the Kentucky Chamber on Monday. Edelen, who will be releasing an audit on the plight on the states rural hospitals in January, told members of the Kentucky Chamber of Commerce who were attending their annual legislative preview conference, that the difficult economy and managed care are the primary drivers of the difficulty in rural health care. Generally, Medicare reimburses hospitals around 90 percent of cost while Medicaid reimbursement is around...
  • Planned Parenthood: We’ll have to close clinics if Gov. Walker investigates us for Medicaid fraud

    12/02/2014 5:24:27 PM PST · by SMCC1 · 35 replies
    Life Site News ^ | 12/2/2014 | Ben Johnson
    It's not even under investigation, but Planned Parenthood is worried it is coming to the end of the line in Scott Walker's Wisconsin. Investigators with the state's Department of Health Office of Inspector General (OIG) say that two family planning facilities alone have charged the Medicaid program more than twice their allowable cost for birth control, overbilling taxpayers by millions of dollars a year. A spokesperson for Planned Parenthood Wisconsin admitted, if the state will demand that they follow the law as written, it would have to shut down its locations across the state.
  • These Two States Cut Medicaid…And Saved Money

    11/30/2014 4:50:57 AM PST · by Kaslin · 24 replies
    Townhall.com ^ | November 29, 2014 | Matt Vespa
    In 2012, the Department of Health and Human Services estimated that 72.2 million Americans were receiving Medicaid benefits for at least a month. Medicaid is a government health insurance program aimed at helping the poor and disabled. Enrollment into the program is going up dramatically, according to the Institute for Policy Innovation (IPI). Both Medicaid and ChildrenÂ’s Health Insurance Program (CHIP) are up 15 percent, or 8.7 million people, since Obamacare began enrolling people in the fall of 2013; states that expanded Medicaid coverage are seeing 22 percent growth or more. For many states, Medicaid is the largest item of...
  • Gov. John Kasich – Ohio’s Own Obama?

    01/14/2014 7:24:40 AM PST · by SeekAndFind · 22 replies
    Townhall ^ | 01/14/2014 | Jason Hart
    Ohio taxpayers are being treated to an unwelcome taste of DC, as Governor John Kasich brings President Obama’s favorite policies and tactics to the Buckeye State. Narrowly elected as a small-government conservative in 2010, Kasich has veered sharply to the left despite Republican supermajorities in both houses of the Ohio General Assembly. Candidate Kasich warned that the Obamacare Medicaid expansion would “stick states with large and unsustainable costs.” But after failing to trim public unions’ power in 2011, Kasich decided last winter that he’d show what a caring moderate he is by hanging the millstone of Medicaid expansion around Ohio’s...
  • N.C. Fires Gruber After ‘Stupidity of American Voters’ Remarks

    11/22/2014 9:34:23 AM PST · by Olog-hai · 20 replies
    Fox News Insider ^ | Nov 21, 2014 7:26 pm
    The state of North Carolina has given Jonathan Gruber the boot, firing the ObamaCare architect after he was caught on camera repeatedly calling American voters “stupid.” Rep. Mark Meadows (R-N.C.) went “On The Record” tonight, explaining that Gruber was hired one year ago to help with a health care plan that dealt with Medicaid recipients and the uninsured. Meadows said that Gruber was supposed to be an unbiased individual, but after these reports, the auditor decided that he’s not so unbiased after all. …
  • Executive Amnesty: 400,000 Illegal Immigrants Eligible for Free Health Services in California

    11/22/2014 9:41:33 AM PST · by PROCON · 28 replies
    breitbart ^ | Nov. 21, 2014 | Robert Wilde
    Roughly one million undocumented immigrants in California qualify for President Obama’s executive action of deferred deportation that he announced on Thursday. Of those 40% will be eligible for the states free Medi-Cal health services, while the remaining will be ineligible under the program’s income requirements. Medi-Cal is the state’s name for Medicaid, a federal health services program for people who have low income. According to KQED News, the newly protected illegal immigrants do not qualify for other benefits of the Affordable Care Act and are not eligible for subsidies on the Covered California exchange. “They’ll be in the same situation...