Keyword: medicaid

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  • California lawmakers propose health coverage for immigrants

    12/14/2017 4:04:20 PM PST · by artichokegrower · 28 replies
    Modesto Bee ^ | December 14, 2017 | JONATHAN J. COOPER
    California, flush with cash from an expanding economy, would eventually spend $1 billion a year to provide health care to immigrants living in the state illegally under a proposal announced Wednesday by Democratic lawmakers. The proposal would eliminate legal residency requirements in California's Medicaid program, known as Medi-Cal, as the state has already done for young people up to age 19.
  • California lawmakers propose health coverage for immigrants [illegal aliens]

    12/14/2017 1:31:40 PM PST · by Oldeconomybuyer · 46 replies
    The Spokesman-Review ^ | December 14, 2017 | By Jonathan J. Cooper (AP)
    SACRAMENTO, Calif. – California, flush with cash from an expanding economy, would eventually spend $1 billion a year to provide health care to immigrants living in the state illegally under a proposal announced Wednesday by Democratic lawmakers. The proposal would eliminate legal residency requirements in California’s Medicaid program, known as Medi-Cal, as the state has already done for young people up to age 19. It’s part of $4.3 billion in new spending proposed by Assemblyman Phil Ting, a San Francisco Democrat who leads the budget committee. While federal funds cover at least half – and as much 95 percent –...
  • Professor: Bad Math Led to $100 Million Medicare Fraud Tally

    12/06/2017 10:25:37 PM PST · by nickcarraway · 10 replies
    Attorneys for a prominent Florida eye doctor used a statistician to challenge the government's assertion that he stole $100 million from the federal Medicaid program. The amount Dr. Salomon Melgen stole will help determine the length of his sentence. The government said its estimate is based on a random sample of 310 patients. But University of North Florida math professor Donna Mohr testified Wednesday the sample wasn't random, making the extrapolation faulty. U.S. District Judge Kenneth Marra didn't say whether he will accept Mohr's testimony. Marra had been expected to sentence Melgen on Thursday after both sides make arguments, but...
  • New Mexico Seeks New Payments From Medicaid Patients

    12/06/2017 10:07:48 PM PST · by nickcarraway · 4 replies
    KOB4 ^ | December 06, 2017 | Morgan Lee
    Low-income Medicaid patients in New Mexico may soon have to pay more for certain brand-name drugs or if they visit the emergency room to receive routine medical care, under a reform plan submitted Wednesday to federal regulators. The state Human Services Department applied for federal authorization of new copayments and monthly premiums in an effort to conserve state spending on Medicaid health care for the poor and disabled. Human Service Secretary Brent Earnest said New Mexico's waiver application also would expand services for substance abuse disorders and phase out retroactive health care coverage by 2020 for newly enrolled patients.
  • Hospital-employed physicians drain Medicare

    11/20/2017 5:21:23 PM PST · by spintreebob · 19 replies
    Modern Healthcare ^ | 11-14-2017 | Alex Kacik
    Healthcare costs for four common procedures are rising as hospitals and health systems employ more physicians, according to a new study. A 49% increase in hospital-employed physicians between 2012 and 2015 led to a $3.1 billion increase in Medicare costs related to four specific procedures in cardiology, orthopedics and gastroenterology, according to analysis from consulting firm Avalere Health. Medicare paid $2.7 billion more for diagnostic cardiac catheterizations, echocardiograms, arthrocentesis and colonoscopies delivered in hospital outpatient settings than it would for treatment in independent facilities, while beneficiaries footed a $411 million higher bill. Hospital-employed physicians performed more services in costlier hospital...
  • Maine governor says he won't implement voter-approved Medicaid expansion without full funding

    11/10/2017 2:34:40 PM PST · by buckalfa · 7 replies
    Becker's Hospital Review ^ | November 10, 2017 | Kelly Gooch
    On Tuesday, Maine became the 32nd state to approve Medicaid expansion and the first to do so via referendum. But Republican Gov. Paul LePage is pushing back. In a statement released the day after the vote, the governor referenced costs associated with the initiative, saying taxpayers would be on the hook for "hundreds of millions of dollars." "The last time Maine experimented with Medicaid expansion in 2002 under then-Gov. Angus King, it created a $750 million debt to hospitals, resulted in massive budget shortfalls every year, did not reduce emergency room use, did not reduce the number of uninsured Mainers...
  • Maine Just Jumped On The Medicaid Expansion Bandwagon

    11/08/2017 1:27:27 PM PST · by SeekAndFind · 15 replies
    Hotair ^ | 11/08/2017 | Jazz Shaw
    While everyone else was focused on the drubbing the GOP was taking in the New Jersey and Virginia gubernatorial races, something equally disturbing was taking place up in Maine. Despite Governor Paul LePage’s best efforts in recent years, the voters there overwhelmingly voted to expand Medicaid coverage under Obamacare. Considering the state’s graying population and rising health insurance premiums, it probably wasn’t all that shocking. (Associated Press) Residents in this rural state grappling with a heroin epidemic and an aging population voted Tuesday to deliver a rebuke to Republican Gov. Paul LePage and join 31 other states that have...
  • Wolf Vetoes Medicaid Work Requirements

    10/21/2017 9:18:10 PM PDT · by Extremely Extreme Extremist · 3 replies
    CBS PHILLY ^ | 22 OCTOBER 2017 | TONY ROMEO
    HARRISBURG, Pa. (CBS) — As promised, Governor Wolf has vetoed a bill that intended to impose new requirements on Medicaid recipients. The bill vetoed by Governor Wolf contained provisions that sought to include work or work search requirements in Pennsylvania’s Medicaid program. Prior to the governor’s action, Dan Moul and a group of state House Republicans held a news conference urging Wolf to sign the bill.
  • Pro-Trump states most affected by his health care decision [fakenews]

    10/14/2017 7:15:58 AM PDT · by Olog-hai · 16 replies
    Associated Press ^ | Oct 14, 2017 9:47 AM EDT | Christina A. Cassidy and Meghan Hoyer
    President Donald Trump’s decision to end a provision of the Affordable Care Act that was benefiting roughly 6 million Americans helps fulfill a campaign promise, but it also risks harming some of the very people who helped him win the presidency. Nearly 70 percent of those benefiting from the so-called cost-sharing subsidies live in states Trump won last November, according to an analysis by The Associated Press.The subsidies are paid to insurers by the federal government to help lower consumers’ deductibles and co-pays. People who benefit will continue receiving the discounts because insurers are obligated by law to provide them....
  • navigators aren't getting credit for their Medicaid achievements

    10/10/2017 10:33:01 AM PDT · by spintreebob · 8 replies
    Washington Post ^ | 10/9/2017 | Paige Winfield Cunningham
    Groups charged with enrolling as many people as possible in Obamacare's insurance marketplaces say the Trump administration didn’t give them credit for signing up thousands more people for Medicaid when the administration dramatically slashed their federal funding this year. The groups known as "navigators," created under the Affordable Care Act to help people obtain coverage, are under fire as Republicans and the Trump administration fight the 2010 law that has provided health coverage to more than 20 million Americans. After attempts to roll back the ACA failed in Congress, Trump's Health and Human Services Department is now targeting the navigators,...
  • My Medicaid Expansion Funding Proposal to Enable Broader Health Care Funding Reform

    10/02/2017 11:34:14 AM PDT · by Brian Griffin · 2 replies
    self | 10/02/2017 | Brian Griffin
    Choice 1 - annual deficit method: The PPACA type Medicaid expansion program shall be continued, but with a participating state having to pay a calendar year share after 2021 at a percentage rate of 10 plus 1 for each prior federal fiscal year after 2017 that had a deficit in excess of $400 billion. If fiscal years 2018, 2019, 2020, 2021 had a deficits of $399 billion, $500 billion, $300 billion, and $401 billion, respectively, the state share would go from 10% to 12%. Choice 2 - increase in national debt method: The PPACA type Medicaid expansion program shall be...
  • I Was On Medicaid For Years. It’s Horrible And Should Be Cut, Not Expanded

    09/23/2017 8:05:30 PM PDT · by SeekAndFind · 26 replies
    The Federalist ^ | 09/23/2017 | Bethany Mandel
    Progressives have never met an entitlement program they didn’t like. Americans’ love affair with free things, even when they cost us dearly in increased taxes, regulatory costs, limitations on choice, and more, ensures that once an entitlement program is passed, the only change we will see to it is expansion. That is ultimately why Obamacare will never be repealed and why the only change that has happened in the 52 years since Medicare and Medicaid were signed into law is the growth of the entitlement programs.On its face, Medicaid sounds like a worthy and worthwhile use of American taxpayer...
  • State pursues Medicaid premiums, copays to cover rising costs

    09/21/2017 11:56:26 AM PDT · by Oldeconomybuyer · 6 replies
    Santa Fe New Mexican ^ | September 20, 2017 | By Andrew Oxford
    New Mexico residents enrolled in Medicaid may have to cough up more money for their health care costs by the end of the year or early next year under a proposal that aims to offset state spending on the program. New Mexico’s Medicaid rolls have swollen since Gov. Susana Martinez expanded low- or no-cost health insurance in 2014 to cover adults with incomes slightly above the federal poverty level, up to about $16,600. As of July, more than 250,000 New Mexicans had enrolled in Medicaid under the program expansion. A single patient earning $12,060 a year could end up having...
  • I watched my patients die of poverty for 40 years. It’s time for single-payer.(Barf alert)

    09/13/2017 3:25:05 PM PDT · by Ennis85 · 65 replies
    Washington Post ^ | 13th September 2017 | David A. Ansell
    Sarai was 25 years old when she died of Wilson’s disease, an inherited disorder that causes liver failure. A liver transplant could have cured her, but she was uninsured and was denied an appointment at two prominent Chicago transplant hospitals, including my own. Sarai’s plight was brought to my attention when a local religious group held a hunger strike advocating transplant access for Sarai and other uninsured patients. When she died, her congregation marched seven miles, holding her photograph and lugging coffins emblazoned with her name, to launch a sit-in in front of Northwestern University Hospital. Her death certificate named...
  • The Swamp Is Incoherent on the Rule of Law, Thanks to Pharma

    09/09/2017 5:42:49 AM PDT · by Kaslin · 10 replies
    Townhall.com ^ | September 9, 2017 | Mytheos Holt
    The bipartisan Washington, DC “consensus” has so many blind spots, you’d think its exponents lived in a black box. Recently, it has become clear that one of the biggest of those blind spots is the federal government’s treatment of the pharmaceutical industry.This can be most clearly seen in the troubling continuity between the favored policy of pharma-friendly elements within the Trump administration, and the Obama administration’s own weakness on a critical policy in the battle over drug prices: namely, the 340B drug pricing program.As granular followers of pharmaceutical policy will already know, 340B is a program passed during the first...
  • Why We're Doomed: The point is the present system cannot endure

    09/01/2017 8:44:20 AM PDT · by SeekAndFind · 13 replies
    Of Two Minds ^ | 08/31/2017 | Charles Hugh Smith
    Authored by Charles Hugh Smith via OfTwoMinds blog,The point is the present system cannot endure.Despite all the happy talk about "recovery" and higher growth, wages have gone nowhere since 2000--and for the bottom 20% of workers, they've gone nowhere since the 1970s.Gross domestic product (GDP) has risen smartly since 2000, but the share of GDP going to wages and salaries has plummeted: this is simply an extension of a 47-year downtrend.Last month I posted one reason Why We're Doomed: Our Economy's Toxic Inequality (August 16, 2017). The second half of why we're doomed is stagnant wages. Why do stagnating...
  • Estimated $72 Million in Medicaid Payments Made to Ineligible Beneficiaries

    08/26/2017 9:34:00 AM PDT · by ForYourChildren · 15 replies
    Washington Free Bacon ^ | 08/21/2017 | Ali Meyer
    An estimated $72 million in Medicaid payments were made to potentially ineligible beneficiaries in Kentucky, according to an audit from the agency's inspector general. The audit found the state agency in Kentucky did not always determine eligibility status for Medicaid benefits in line with federal and state requirements and that the agency did not keep paperwork noting it verified citizenship status. In order to receive Medicaid benefits, the state must verify citizenship or nationality status and have documentary evidence. The state can conduct this verification process through the Social Security Administration. The audit found the state determined eligibility status for...
  • Drowning in debt, Connecticut faces budget crunch

    08/23/2017 5:59:04 PM PDT · by Olog-hai · 38 replies
    Reuters ^ | August 23, 2017 | 7:28 AM | Hillary Russ
    Connecticut, home to hedge fund billionaires alongside cities mired in poverty, is racing against the clock to pass a budget or face further spending cuts to education and municipal aid across the state. Nearly two months without a budget, Connecticut is getting crushed by a burdensome debt load that has squeezed spending and amplified legislative discord. State lawmakers must agree on a biennial budget soon or else Governor Dannel Malloy’s executive order to slash state aid to municipalities and eliminate school funding for some districts will go into effect in October. The state faces a $3.5 billion deficit over the...
  • The $272 billion swindle

    08/19/2017 9:23:11 AM PDT · by ForYourChildren · 22 replies
    The Economist ^ | 05/31/2014 | na
    Why thieves love America’s health-care system! INVESTIGATORS in New York were looking for health-care fraud hot-spots. Agents suggested Oceana, a cluster of luxury condos in Brighton Beach. The 865-unit complex had a garage full of Porsches and Aston Martins—and 500 residents claiming Medicaid, which is meant for the poor and disabled. Though many claims had been filed legitimately, some looked iffy. Last August six residents were charged. Within weeks another 150 had stopped claiming assistance, says Robert Byrnes, one of the investigators. Health care is a tempting target for thieves. Medicaid doles out $415 billion a year; Medicare (a federal...
  • SNAP Reform and Unhealthy Food and Beverage Taxation to Reduce the Need for Medicaid

    08/04/2017 10:05:45 AM PDT · by Brian Griffin · 44 replies
    self | 08/04/2017 | Brian Griffin
    There was an article in the Summer 2017 issue of "Good Medicine" that suggested removing SNAP ("food stamp" replacement) program eligibility for sweetened beverages, desserts, red meat, cheese, salty snacks, candy and sugar for health reasons. I support such SNAP eligibility removals, except for red meat or cheese. I'm not so sure that red meat or cheese should be removed from SNAP eligibility since so much of American agricultural land is only suitable for raising red meat/dairy product animals. That issue in "Good Medicine" also reported on the MIND diet to reduce Alzheimer's risk. The MIND diet was also reported...