Tag:
Medicaid
Latest Headlines
Latest Headlines
Medicaid payments come under Congressional scrutiny
Minnesota is the focus of a Congressional probe into the way it distributes Medicaid money--a potential issue in other states, reported the St. Paul Pioneer-Press .
HHS proposes pay raise for Medicaid primary care
Primary care physicians who treat Medicaid patients may get a pay raise totaling $11 billion over two years under a proposed rule announced last week by the Department of Health & Human Services.
Coventry violates state contract by not covering drug
Coventry Care, a Medicaid managed care insurer in Kentucky, said it will stop covering an expensive medication that helps treat drug addictions. The state, however, condemned the decision as a...
Hospitals face potential $5B Medicaid shortfall in Pennsylvania
Pennsylvania's hospitals are facing a potential shortfall in Medicaid payments that could total more than $5 billion by 2015, according to the Hospital & Healthsystem Association of Pennsylvania
Feds probe Humana on claims, doc loans
Humana is the subject of an investigation by the U.S. Justice Department regarding its coding of medical claims and loans to physicians in South Florida. Humana disclosed in a recent regulatory
Hospitals ask CMS to intervene in state Medicaid battle
Ten New Hampshire hospitals that are battling Granite State regulators over recent changes in Medicaid reimbursement have now asked the federal government to intervene, reported the New Hampshire
WellPoint could make $100B covering dual eligibles
WellPoint said it stands to make $100 billion by providing insurance for the dual-eligible market, which consists of certain Medicare and Medicaid enrollees who are eligible for both government
Coventry owes provider $17M in back payments, lawsuit alleges
Coventry Health and Kentucky Spirit Health Plan are facing lawsuits by Eastern Kentucky's largest healthcare system for allegedly failing to promptly pay claims, owing the provider at least $17
Enrollment, not costs, up Medicare, Medicaid spending
Overhauling Medicare and Medicaid won't help curb health spending, according to a Thursday report (.pdf) from policy research nonprofit the Urban Institute, which concluded that the programs aren't
Computer foul-ups cause $42M in Medicaid overpayments
New York State officials acknowledged they improperly paid more than $42 million for patients in Medicaid managed care plans, according to a post on iHealthBeat. Issues with the state's electronic
