medicaid programs news from FierceHealthcare
News
Without stimulus, Medicaid in trouble, states say
Right now, states are using about $90 billion in stimulus funding to prop up their Medicaid programs. However, once the stimulus funding ends in January 2011, states aren't sure how they're going to... Read more...
Medicaid verification rules leading to higher health costs
In many states, Medicaid beneficiaries are forced to prove that they and their children are eligible for the program more than once a year. This often leads to overwhelmed families "falling off the... Read more...
Wyeth faces whistleblower suits over Protonix pricing
In theory, drug companies are supposed to sell drugs to Medicaid for the lowest price that they offer commercial buyers. But according to two whistleblowers, Wyeth didn't follow the rules when it... Read more...
ALSO NOTED: IOM urges geriatrician pay increase; Kuhn takes over as Medicaid head; and much more...
> In an effort to make sure aging baby boomers get appropriate care, the Institute of Medicine is urging payers to support an increase in pay for geriatric specialists. Read more...
CMS proposes more flexible Medicaid rules
CMS has proposed new rules that would give states more latitude in designing their Medicaid programs. The rules, which address provisions of the Deficit Reduction Act of 2005 and the Tax Relief and... Read more...
DOJ: CHS submitted $27.5M in bad claims
The U.S. Department of Justice already had let the world know that hospitals run by Community Health Systems had submitted improper claims. Now, the government has attached a number to CHS's alleged... Read more...
Providers face cuts under new budget proposal
While President Bush's proposed 2009 budget adds money to the Medicare and Medicaid programs, it also proposes to cut funding by a substantial amount over the next five years, raising protests from... Read more...
Judge dismisses IL conspiracy suit against MD groups
An Illinois judge has booted an antitrust suit brought against two Chicago-area physician groups, which claimed that they'd conspired to get rid of Medicaid patients in an effort to force the State... Read more...
Minn. critics blast Lilly med monitoring program
Questions continue to dog the medication monitoring program managed by a contractor for drugmaker Eli Lilly, that has been working to cut costs for psychiatric medications for 20 Medicaid programs.... Read more...
CMS P4P project shows diabetes care savings
While the evidence for cost-savings seems a bit, well, ambiguous, CMS this week is trumpeting the results of the first year of its diabetes care P4P project. CMS has just completed the first year of a three-year demonstration project under which the agency is monitoring diabetes care provided by 10 large medical practices. Diabetes management is being measured by standards drawn from CMS's Doctor's Office Quality project. Under the terms of the demonstration, which was mandated by …
... Read more...




