Latest Headlines

Latest Headlines

Obama budget director wants more aggressive approach to improper medical payments

The Obama administration is zeroing in on fraud, waste and abuse, as evidenced by a letter from a White House official calling for "a more aggressive strategy" to combat improper payments within government healthcare programs.  

Iowa governor defends companies selected to manage Medicaid program

Iowa Gov. Terry Branstad is defending the companies selected to manage the state's $4.2 billion Medicaid program, despite reports that all four have been involved in high-priced fraud settlements, according to the  Des Moines Register.  

OIG: New Jersey billed $32.2M in improper personal care services

Between 2008 and 2011, New Jersey submitted at least $32.2 million in unallowable Medicaid claims for personal care services, according to a new report from the Office of Inspector General.

A tale of two community hospitals: How different leadership decisions shaped their futures

A critical decision on ownership nearly four decades ago ensured the future survival of one Arizona community hospital but potentially led to the recent closure of another, according to an article in the  Silver City Daily Press.

Why insurers should be watching New Jersey ACOs

New Jersey has certified three of six applicants for its Medicaid Accountable Care Organization (ACO) Demonstration Project. And insurers could benefit by following the three community coalitions--the Camden Coalition of Healthcare Providers, the Healthy Greater Newark ACO and the Trenton Health Team--during the three-year demonstration project. 

Medicaid to save billions as antipsychotic drug patents expire

Medicaid will likely save billions of dollars each year when patents for five antipsychotic medications expire, allowing the state-federal health insurance program to offer generic versions for its members.

Report cards make consumers' opinions about insurers public

The five insurers operating Medicaid managed care plans in Ohio only scored an "average" rating when it came to how satisfied their members were with their doctors, according to a new report card from the state.

Survey: Uninsured adults say coverage costs are too high

Although roughly 70 percent of the uninsured population is potentially eligible for subsidies, there are still several barriers preventing them from obtaining insurance.

Florida ophthalmologist facing fraud charges suspended from Medicaid

Weeks after posting $18 million in bonds to secure his release from prison, Salomon Melgen, M.D., was officially suspended from participation in the Medicaid program in July, according to a press release from Florida's Agency for Health Care Administration. Melgen, who operated out of Palm Beach, faces 76 counts of healthcare fraud for allegedly performing unnecessary tests, procedures and surgeries totaling $105 million.  

Private hospitals not entitled to indigent care reimbursement in Florida

In Florida, private providers appear to be shut out of getting paid for treating indigent patients, according to the  Sarasota Herald-Tribune.