Medicaid
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$10 Million in Grants Aimed at Enrolling American Indian, Alaska Native Kids in Health Care to be Awarded
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HHS Secretary Kathleen Sebelius today announced the availability of up to $10 million in grants to help reach American Indian and Alaska Native (AI/AN) children who qualify for, but are not yet enrolled, in Medicaid and the Childrens Health Insurance Program (CHIP). (Source: News stories via the Rural Assistance Center)
Source: News stories via the Rural Assistance Center - November 20, 2009 Category: Rural Health Source Type: news
Supplying prescriptions as three month supply
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Purchasing prescription drugs in a three-month supply rather than a one-month supply has long been regarded as a way to reduce the cost of drugs for patients and third-party payers. New research from the University of Chicago quantifies the savings for the first time. An analysis of 26,852 prescriptions filled for 395 different drugs from 2000-2005 showed that patients who purchased their drugs in three-month supplies rather than with one-month supplies saved on average 29% in out-of-pocket costs. After factoring in third-party payers, including Medicare, Medicaid and insurance companies, total savings averaged 18%...........
Source: Medicineworld.org: New Article Alert - November 20, 2009 Category: Consumer Health News Source Type: info
Statement By Medicare Rights Center President Joe Baker On The House Vote To Repeal Medicare Pay Cuts For Doctors
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Today's vote by the House of Representatives is an important step toward repealing the 21.5 percent Medicare pay cut for doctors set to take effect next year, and moves to stabilize Medicare's payment system for doctors for the long term. People with Medicare must be able to maintain relationships with the doctors they trust. (Source: Health News from Medical News Today)
Source: Health News from Medical News Today - November 20, 2009 Category: Consumer Health News Tags: Medicare / Medicaid / SCHIP Source Type: news
A Look At How Key Provisions Compare In The House And Senate Bills
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The New York Times reports that "the health care proposals from the House and the Senate are broadly similar but differ on some major issues." It reports on five issues - the public plan, employer contribution, abortion, illegal immigrants and financing - and puts differences in bold type (11/19). (Source: Health News from Medical News Today)
Source: Health News from Medical News Today - November 20, 2009 Category: Consumer Health News Tags: Medicare / Medicaid / SCHIP Source Type: news
Patients Win With Immediate Avastin Payment Reversal
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Following efforts by the American Academy of Ophthalmology with the help of the American Society of Retina Specialists, the Macula Society, the Retina Society and Congressional allies, the Center for Medicare and Medicaid Services (CMS) said that it will retract an Oct. 1 payment policy for small doses of Avastin. Avastin, a cancer drug, is used in smaller doses to treat eye diseases such as age-related macular degeneration (AMD). (Source: Eye Health / Optometry News From Medical News Today)
Source: Eye Health / Optometry News From Medical News Today - November 20, 2009 Category: Opthalmology Tags: Eye Health / Blindness Source Type: news
White House Backing Medicare 'Doc Fix' Bill
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Reuters reports that the White House Wednesday "urged Congress to pass a bill to boost Medicare payments to doctors, a step that could shore up support" from the American Medical Association for health care reform. The bill, which would stop a scheduled 21 percent cut in doctor Medicare payments next year and implement a fee schedule that pays doctors more, has been endorsed by the AMA. (Source: Health News from Medical News Today)
Source: Health News from Medical News Today - November 20, 2009 Category: Consumer Health News Tags: Medicare / Medicaid / SCHIP Source Type: news
Senate Bill Draws Immediate Reactions From GOP, Interest Groups
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Republicans quickly rebuked Senate Democrats' health overhaul bill after its release last night, Roll Call reports. They said it would result in higher insurance premiums, tax hikes, and Medicare cuts, and complained that it was drafted behind closed doors, and that they have not yet had a chance to read it. "It is my hope that Sen. (Source: Health News from Medical News Today)
Source: Health News from Medical News Today - November 20, 2009 Category: Consumer Health News Tags: Medicare / Medicaid / SCHIP Source Type: news
Patients Win With Immediate Avastin Payment Reversal
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Following efforts by the American Academy of Ophthalmology with the help of the American Society of Retina Specialists, the Macula Society, the Retina Society and Congressional allies, the Center for Medicare and Medicaid Services (CMS) said that it will retract an Oct. 1 payment policy for small doses of Avastin. (Source: Health News from Medical News Today)
Source: Health News from Medical News Today - November 20, 2009 Category: Consumer Health News Tags: Eye Health / Blindness Source Type: news
California's Physicians And Seniors Urge Congress To Protect Access To Care By Strengthening Medicare
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The California Medical Association (CMA) and AARP are calling on the U.S. House of Representatives to pass H.R. 3961, which would ease the difficulty seniors now face in finding a physician who accepts Medicare. (Source: Health News from Medical News Today)
Source: Health News from Medical News Today - November 20, 2009 Category: Consumer Health News Tags: Medicare / Medicaid / SCHIP Source Type: news
Medicare Program: Changes to the Hospital Outpatient Prospective Payment System and CY 2010 Payment Rates; Changes to the Ambulatory Surgical Center Payment System and CY 2010 Payment Rates; Final Rule
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This final rule with comment period from the Centers for Medicare & Medicaid Services revises the Medicare hospital outpatient prospective payment system to implement applicable statutory requirements and changes arising from their continuing experience with this system. In addition, it updates the revised Medicare ambulatory surgical center payment system to implement applicable statutory requirements and changes arising from their continuing experience with this system. (Source: Federal Register updates via the Rural Assistance Center)
Source: Federal Register updates via the Rural Assistance Center - November 20, 2009 Category: Rural Health Source Type: info
Health Care Payment Reform: Considerations for Global Payments in Medicaid
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Payment reform is an integral part of national and state-based health reform efforts. Indeed, payment reform is essential to moving from quantity-based reimbursement to a performance-based health care system. That is, moving from fee-for-service to fee-for-value. Payment innovations, such as global payment, are designed to reward efficiency and higher quality, while supporting providers as they invest in patient-centered models... (Source: Piper Report on Health Care)
Source: Piper Report on Health Care - November 19, 2009 Category: Pharmaceuticals Tags: Health Care Policy Source Type: info
HHS revise Medicare fee-for-service error rates
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The Department of Health and Human Services (HHS) and the Centers for Medicare & Medicaid Services (CMS) have significantly revised its calculations of Medicare fee-for-service error rates in 2009. (Source: Cardiovascular Business News)
Source: Cardiovascular Business News - November 19, 2009 Category: Cardiology Tags: Latest News Source Type: news
HHS revises Medicare fee-for-service error rates
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The Department of Health and Human Services (HHS) and the Centers for Medicare & Medicaid Services (CMS) have significantly revised its calculations of Medicare fee-for-service error rates in 2009. (Source: Health Imaging News)
Source: Health Imaging News - November 19, 2009 Category: Radiology Tags: Latest News Source Type: news
Mammography Debate Puzzles Many
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Obama Administration Distances Itself from Task Force Finding; Sebelius Says Medicare, Medicaid Will Pay for Mammograms (Source: Health News: CBSNews.com)
Source: Health News: CBSNews.com - November 19, 2009 Category: Consumer Health News Source Type: news
CMS Skilled Nursing Facility (SNF)/Long-Term Care (LTC) Open Door Forum
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Dec 8, 2009. Hubert H. Humphrey Bldg., Washington, DC. Sponsored by Centers for Medicare and Medicaid Services (Source: Rural events via the Rural Assistance Center)
Source: Rural events via the Rural Assistance Center - November 19, 2009 Category: Rural Health Source Type: events
Physicians, Nurses & Allied Health Professionals Open Door Forum
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Dec 16, 2009. Hubert H. Humphrey Bldg., Washington, DC. Sponsored by Centers for Medicare and Medicaid Services (Source: Rural events via the Rural Assistance Center)
Source: Rural events via the Rural Assistance Center - November 19, 2009 Category: Rural Health Source Type: events
Medicare & Regulatory Issues: CMS to Eliminate Outpatient Mental Health Treatment Limitation
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As part of its final 2010 ruling on the physician fee schedule, the Centers for Medicare and Medicaid Services has initiated a plan to phase out the current limitation on payment for outpatient mental health treatment. (Source: American Academy of Neurology)
Source: American Academy of Neurology - November 19, 2009 Category: Medical Law Source Type: organizations
CMS' reimbursements for PET MPI to increase
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The Centers for Medicaid & Medicare Services (CMS) will increase the reimbursement for PET myocardial perfusion imaging (MPI) by 24 percent in 2010. (Source: Cardiovascular Business News)
Source: Cardiovascular Business News - November 19, 2009 Category: Cardiology Tags: Latest News Source Type: news
CMS increases PET MPI reimbursement
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The Centers for Medicaid & Medicare Services (CMS) will increase the reimbursement for PET myocardial perfusion imaging (MPI) by 24 percent in 2010. (Source: Health Imaging News)
Source: Health Imaging News - November 19, 2009 Category: Radiology Tags: Latest News Source Type: news
Bracco argues for PET as preferred cardiac choice
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Bracco Diagnostics sees opportunity in the latest decision by the Centers for Medicaid and Medicare Services to reimburse more for PET procedures in 2010. (Source: Diagnostic Imaging)
Source: Diagnostic Imaging - November 19, 2009 Category: Radiology Source Type: info
AARP Tells GOP It Won't Reverse Support For Democrats' House Health Bill
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"House Republicans want the AARP to rescind its endorsement of comprehensive health reform legislation after a government report showed it could cause some providers to stop accepting Medicare patients," CongressDaily reports. The report, issued by the Center for Medicare and Medicaid Services. "warned some Medicare beneficiaries could lose access to providers if the House bill becomes law. (Source: Health News from Medical News Today)
Source: Health News from Medical News Today - November 19, 2009 Category: Consumer Health News Tags: Health Insurance / Medical Insurance Source Type: news
Docs Worry Reform Angst Is Tainting Medicare Pay 'Fix'
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Kaiser Health News staff writer Chris Weaver reports on efforts to address Medicare's physician pay formula. "Dr. Nancy Nielsen, the immediate past president of the American Medical Association, urged lawmakers Tuesday to permanently eliminate the looming cuts to Medicare's physician payments - something her organization has demanded for years" (11/17). (Source: Health News from Medical News Today)
Source: Health News from Medical News Today - November 19, 2009 Category: Consumer Health News Tags: Medicare / Medicaid / SCHIP Source Type: news
House Medicare 'Doc Fix' Vote Likely Thursday Amid Disputes About Cost, Role In Health Reform
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"On Thursday, the House is expected to pass a $210 billion measure - known as the 'doc fix' - that will adjust Medicare payment rates to avoid a 21 percent cut in January and continuing cuts in the years ahead," The New York Times reports, adding: "The House originally included the provision in its big health care bill. (Source: Health News from Medical News Today)
Source: Health News from Medical News Today - November 19, 2009 Category: Consumer Health News Tags: Medicare / Medicaid / SCHIP Source Type: news
White House Reports Billions Lost In Improper Payments For Medicare, Other Government Programs
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The White House announced Tuesday that billions of federal dollars were spent in improper payments in 2009 and that spending in the Medicare and Medicaid programs accounted for more than half of that total. President Barack Obama will issue an executive order to crack down on the problem, officials said. (Source: Public Health News From Medical News Today)
Source: Public Health News From Medical News Today - November 19, 2009 Category: Primary Care Tags: Medicare / Medicaid / SCHIP Source Type: news
APA Presses Congress To Block Cuts In Medicare Payments To Physicians
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American Psychiatric Association Medical Director and CEO James H. Scully, Jr., M.D., sent letters to Members of Congress yesterday urging them to pass H.R. 3961, the Medicare Physician Payment Reform Act of 2009, a bill that would block a 21 percent cut in Medicare payments to physicians. (Source: Health News from Medical News Today)
Source: Health News from Medical News Today - November 19, 2009 Category: Consumer Health News Tags: Medicare / Medicaid / SCHIP Source Type: news
White House Reports Billions Lost In Improper Payments For Medicare, Other Government Programs
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The White House announced Tuesday that billions of federal dollars were spent in improper payments in 2009 and that spending in the Medicare and Medicaid programs accounted for more than half of that total. President Barack Obama will issue an executive order to crack down on the problem, officials said. (Source: Health News from Medical News Today)
Source: Health News from Medical News Today - November 19, 2009 Category: Consumer Health News Tags: Medicare / Medicaid / SCHIP Source Type: news
States Mull How Medicaid Expansion Might Affect Budgets
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States consider how health legislation on Capitol Hill might affect their Medicaid programs and budgets. "The House health-care bill, which passed last week, expands Medicaid and for the first time sets a national standard on whom would qualify," The Durango Herald reports. "States would have to pay 9 percent of the expanded costs. (Source: Health News from Medical News Today)
Source: Health News from Medical News Today - November 19, 2009 Category: Consumer Health News Tags: Medicare / Medicaid / SCHIP Source Type: news
HHS Employs New Tougher Standards In Calculation Of Improper Medicare Payment Rates For 2009
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As part of the Obama Administration's goal of reducing waste, fraud and abuse in Medicare, the Department of Health and Human Services and the Centers for Medicare & Medicaid Services (CMS) significantly revised and improved its calculations of Medicare fee-for-service (FFS) error rates in 2009, reflecting a more complete accounting of Medicare's improper payments than in past years. (Source: Health News from Medical News Today)
Source: Health News from Medical News Today - November 19, 2009 Category: Consumer Health News Tags: Medicare / Medicaid / SCHIP Source Type: news
Cancer industry desperately needs mammogram screenings to recruit patients and generate repeat business
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(NaturalNews) Any time you threaten to take away repeat customer from the businesses that make up the cancer industry, you're in for a political fight. After the United States Preventive Services Task Force released new recommendations advising against mammograms for women under 50 (and recommending only bi-annual screenings after that), the cancer industry went berserk.Mammograms, you see, are the bread and butter of the for-profit cancer industry. They serve two very important purposes:Purpose #1: RECRUIT patients. Mammograms are a clever tool for recruiting patients into a highly-profitable regimen of chemotherapy drugs...
Source: NaturalNews.com - November 19, 2009 Category: Consumer Health Advice Source Type: news
Discontinuation of Radiation Treatment among Medicaid-Enrolled Women with Local and Regional Stage Breast Cancer
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Abstract: For women with nonmetastatic breast cancer, radiation therapy is recommended as a necessary component of the breast conserving surgery (BCS) treatment option. The degree to which Medicaid-enrolled women complete recommended radiation therapy protocols is not known. We evaluate radiation treatment completion rates for Medicaid enrollees aged 18[ndash]64 diagnosed with breast cancer. We determine clinical and socio-demographic factors associated with not starting treatment, and with interruptions or not completing radiation treatment. Using data from the Washington State Cancer Registry linked to Medicaid enrollmen...
Source: The Breast Journal - November 19, 2009 Category: Cancer & Oncology Authors: Scott D. Ramsey, Steven B. Zeliadt, Lisa C. Richardson, Lori A. Pollack, Hannah Linden, David K. Blough, Mahesh Keitheri Cheteri, Lauri Tock, Krisztina Nagy, Nancy Anderson Source Type: journals
CDPHP® Rated Top Plan In New York State By U.S. News & World Report/NCQA America's Best Health Insurance Plans 2009-10*
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CDPHP Commercial, HMO, Self-Funded, Medicare, and Medicaid Plans Recognized Among The Nation's Top 25 (PRWeb Nov 17, 2009)
Read the full story at http://www.prweb.com/releases/CDPHP/NCQA/prweb3213634.htm (Source: PRWeb: Medical Pharmaceuticals)
Source: PRWeb: Medical Pharmaceuticals - November 18, 2009 Category: Pharmaceuticals Source Type: news
Liberals Push Reid To Stand By Public Option In Health Bill
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Senate Majority Leader Harry Reid is trying to hold together members of his caucus to vote for a government-run public option for health insurance that would allow states to opt-out of the plan - a plan that is getting an icy reception, even among Democrats, Bloomberg reports. (Source: Health News from Medical News Today)
Source: Health News from Medical News Today - November 18, 2009 Category: Consumer Health News Tags: Medicare / Medicaid / SCHIP Source Type: news
Medicare Doctor Payment "Fix" Could Slip, Jeopardizing AMA Support For Health Reform
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The American Medical Association backed the House Democrats' reform bill earlier this month, at a time when it appeared likely lawmakers would move to permanently end looming cuts to doctors' Medicare payments that Congress defers from year to year, Politico reports. (Source: Health News from Medical News Today)
Source: Health News from Medical News Today - November 18, 2009 Category: Consumer Health News Tags: Medicare / Medicaid / SCHIP Source Type: news
AMA, AARP And MOAA Call For Passage Of House Medicare Reform Bill, Vote Expected This Week On H.R. 3961
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Today, leading advocates for seniors, military families and physicians joined together to call for passage of legislation in the House that will preserve access to care for seniors, baby boomers and military families through repeal of the broken Medicare physician payment formula. A vote on H.R. (Source: Health News from Medical News Today)
Source: Health News from Medical News Today - November 18, 2009 Category: Consumer Health News Tags: Medicare / Medicaid / SCHIP Source Type: news
Health Net Reminds Medicare Beneficiaries They Can Count On Health Affordability And Value With Company's 2010 Medicare Advantage Health Plans
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With the kick-off of the Medicare Annual Election Period (AEP) this week, Health Net, Inc. (NYSE:HNT) reminds those eligible for Medicare that Health Net's Medicare Advantage (MA) product portfolio offers a comprehensive range of budget-friendly health plan choices to beneficiaries for 2010. (Source: Health News from Medical News Today)
Source: Health News from Medical News Today - November 18, 2009 Category: Consumer Health News Tags: Medicare / Medicaid / SCHIP Source Type: news
Rite Aid Makes Medicare Part D Planning Easy For Patients And Caregivers
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Rite Aid pharmacies across the country are helping ease the Medicare Part D enrollment process now underway by offering a free Medicare Part D for Seniors planning guide in stores and online, as well as an online Medicare Advisor tool with personalized comparison plans. (Source: Health News from Medical News Today)
Source: Health News from Medical News Today - November 18, 2009 Category: Consumer Health News Tags: Medicare / Medicaid / SCHIP Source Type: news
HHS Employs New Tougher Standards in Calculation of Improper Medicare Payment Rates for 2009
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CMS announces that as part of the Obama Administration's goal of reducing waste, fraud and abuse in Medicare, the Department of Health and Human Services and the Centers for Medicare & Medicaid Services (CMS) significantly revised and improved its calculations of Medicare fee-for-service (FFS) error rates in 2009, reflecting a more complete accounting of Medicare's improper payments than in past years. (Source: News stories via the Rural Assistance Center)
Source: News stories via the Rural Assistance Center - November 18, 2009 Category: Rural Health Source Type: news
CMS Paid Quality Reporting Initiative Participants More Than $92M in 2008
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The Centers for Medicare and Medicaid Services (CMS) has awarded more than $92 million in bonuses to health care professionals who successfully reported quality measures under the 2008 Physician Quality Reporting Initiative (PQRI), a rate far higher than the $36 million awarded in 2007, Modern Healthcare reports. (Source: RWJF News Digest - Quality/Equality)
Source: RWJF News Digest - Quality/Equality - November 18, 2009 Category: Health Management Source Type: news
Medicaid and National Health Care Reform
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Defined by a history of both achievement and controversy, Medicaid has once again become central to the U.S. health policy debate, this time figuring as a key to national health ... (Source: New England Journal of Medicine)
Source: New England Journal of Medicine - November 18, 2009 Category: Internal Medicine Authors: Rosenbaum, S. Tags: PERSPECTIVE Source Type: journals
Coding & Reimbursement: Medicare Eliminates Consults: What the Academy is Doing For You
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When the Centers for Medicare & Medicaid Services (CMS) proposed eliminating consults in the summer of 2009, the Academy, along with other consultative specialties and the AMA, opposed the change. (Source: American Academy of Neurology)
Source: American Academy of Neurology - November 17, 2009 Category: Medical Law Source Type: organizations
Federal Health Overhaul Could Force State Changes
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The bills pending in Congress could alter some restrictions on insurers and channel money to state health programs. The House bill includes, for instance, $23.5 billion to "allow Congress to continue pumping billions in new short-term aid to states to cover Medicaid costs that have increased with rising unemployment in the past year," The Washington Post reports. (Source: Health News from Medical News Today)
Source: Health News from Medical News Today - November 17, 2009 Category: Consumer Health News Tags: Medicare / Medicaid / SCHIP Source Type: news
States Experience Medicaid Changes And Offer New Models For Reform
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News outlets report on a variety of health issues at the state level including the upcoming launch of a huge Medicaid data project in Florida, health care changes that could reduce spending in Georgia and a model for reform in Vermont. (Source: Public Health News From Medical News Today)
Source: Public Health News From Medical News Today - November 17, 2009 Category: Primary Care Tags: Medicare / Medicaid / SCHIP Source Type: news
States Experience Medicaid Changes And Offer New Models For Reform
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News outlets report on a variety of health issues at the state level including the upcoming launch of a huge Medicaid data project in Florida, health care changes that could reduce spending in Georgia and a model for reform in Vermont. Health News Florida: "In a big step forward in the use of electronic health records, Florida is preparing to make the health histories of 1. (Source: Health News from Medical News Today)
Source: Health News from Medical News Today - November 17, 2009 Category: Consumer Health News Tags: Medicare / Medicaid / SCHIP Source Type: news
CT colonography papers flood the gates at McCormick Place
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Rather than retreating after the hard blow handed them by the Centers for Medicare and Medicaid Services, which refused to grant reimbursement for the application in May, CT colonography researchers will arrive at the 2009 RSNA meeting with more of what CMS wants: hard data. (Source: Diagnostic Imaging)
Source: Diagnostic Imaging - November 17, 2009 Category: Radiology Source Type: info
NYT interviews Dr. Blumenthal, the President's EMR "czar"
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From the NYTimes:We found that about 17 percent of physicians in 2008 had adopted an electronic health record, and about ten percent of hospitals.The Danes have virtually 100 percent of physicians using electronic health records. In Britain, virtually 100 percent of primary care physicians use them. In Australia, Sweden, Norway, virtually 100 percent. In many, many other Western countries, the electronic record is virtually ubiquitous.From 2011 to 2015, there is a bonus (for adopting EMR). After 2015, if you have not adopted, and you see Medicare or Medicaid patients, you may experience a penalty.On average, the cost is be...
Source: Clinical Cases and Images - November 17, 2009 Category: Journals (General) Tags: EMR Source Type: info
CMS Report: House Bill Will Raise Health Care Costs, Affect Seniors' Benefits
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A new report from the Centers for Medicare and Medicaid Services finds that the health overhaul bill passed by the House will raise health costs by approximately $289 billion in the next ten years. The report was requested by House Republicans and compiled by CMS' chief actuary, Richard Foster. The (Source: Seniors / Aging News From Medical News Today)
Source: Seniors / Aging News From Medical News Today - November 17, 2009 Category: Geriatrics Tags: Medicare / Medicaid / SCHIP Source Type: news
2009 Report: False Medicare Claims Cost Government More Than $47 Billion
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The Associated Press: "The government paid more than $47 billion in questionable Medicare claims including medical treatment showing little relation to a patient's condition, wasting taxpayer dollars at a rate nearly three times the previous year. (Source: Health News from Medical News Today)
Source: Health News from Medical News Today - November 17, 2009 Category: Consumer Health News Tags: Medicare / Medicaid / SCHIP Source Type: news
CMS Report: House Bill Will Raise Health Care Costs, Affect Seniors' Benefits
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A new report from the Centers for Medicare and Medicaid Services finds that the health overhaul bill passed by the House will raise health costs by approximately $289 billion in the next ten years. The report was requested by House Republicans and compiled by CMS' chief actuary, Richard Foster. (Source: Health News from Medical News Today)
Source: Health News from Medical News Today - November 17, 2009 Category: Consumer Health News Tags: Medicare / Medicaid / SCHIP Source Type: news
