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Medicaid insurers prodding Mass. on funds
By Boston Globe | August 20, 2014
Buckling from more than $140 million in losses since the start of the year, companies that insure Medicaid patients are pressing Massachusetts Gov. Deval Patrick's administration to increase payments they receive from the state for serving low-income residents.
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Reform Update: Arkansas may make Medicaid enrollees fund HSAs
By Steven Ross Johnson | August 19, 2014 | Basic Web Basic Web Subscription Details
Arkansas, the first state to establish the conservative private-plan model for expanding Medicaid under the Patient Protection and Affordable Care Act, now is looking to join several other conservative-leaning states in requiring low-income beneficiaries to make monthly contributions to their...
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Number of providers facing Stage 2 EHR hurdle puts billions at stake
By Joseph Conn | August 15, 2014 | Basic Web Basic Web Subscription Details
Billions of dollars in federal electronic health-record incentive payments appear to be in jeopardy as hospitals, physicians and other eligible professionals who got an early start on the payment program face a more stringent set of criteria this year, according to a Modern Healthcare analysis of...
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Higher expenses gnaw at New York-Presbyterian's margin
By Bob Herman | August 14, 2014 | Basic Web Basic Web Subscription Details
New York-Presbyterian Hospital in Manhattan posted stable surpluses in the first half of 2014, but increased expenses chipped away at the academic medical center's margin.
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GAO finds Medicare's audit contractors may duplicate efforts
By Bob Herman | August 14, 2014 | Basic Web Basic Web Subscription Details
The CMS' audit contractors may overlap duties and hammer hospitals with multiple reviews of the same payment claims, according to a new Government Accountability Office report that echoes concerns the provider community has voiced for years.
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Rosy Q2 for hospitals, insurers doesn't eliminate long-term challenges: S&P
By Bob Herman | August 12, 2014 | Basic Web Basic Web Subscription Details
Several for-profit hospitals and health insurers have booked improved financial results in the second quarter of the calendar year, thanks in part to healthcare reform, but providers and payers still face headwinds to maintain sustained profitability, Standard & Poor's analysts say in a report.
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Medicaid expansion talk key in Fla. gov race
By Associated Press | August 09, 2014
Expanding Medicaid to an additional 1 million Floridians under President Obama's health law is turning into one of the biggest issues of this year's gubernatorial race.
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Suspect HIV drug prescriptions cost Medicare millions
By Bob Herman | August 06, 2014 | Basic Web Basic Web Subscription Details
Medicare paid $32 million in 2012 for HIV drugs that were tied to questionable and potentially fraudulent uses, according to a new report from HHS' Office of Inspector General. In some instances, there was no indication the beneficiaries had HIV.
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Controversial Medicare recovery audits make limited return
By Paul Demko | August 05, 2014 | Basic Web Basic Web Subscription Details
The CMS is restarting audits of Medicare fee-for-service claims on a limited basis. The program has been dormant since June 1 when current audit contracts expired.
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Texas kicks off Medicaid contract with Accenture
By Virgil Dickson | August 01, 2014 | Basic Web Basic Web Subscription Details
The Texas Health and Human Services Commission has hired Accenture to take over its Medicaid claims processing work from Xerox.
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