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Lawmakers form caucus for Medicaid expansion
By Virgil Dickson | July 23, 2014
A group of 33 Democratic lawmakers, primarily from states that have yet to expand Medicaid, Wednesday announced a new congressional caucus to push for expansion in their states. Caucus members will be making floor speeches and videos, along with penning op-eds, to advance their cause, they...
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Information
Maine's nursing home funding challenges to continue
By Associated Press | July 19, 2014
Maine officials are relieved they found a way to provide the state's nursing homes with an additional $13 million but warn that a long-term strategy must be developed to aid the facilities in the nation's oldest state.
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Information
Changes in the works for Medicaid managed care in Louisiana
By Associated Press | July 19, 2014
Louisiana's health department intends to rework how it pays the private managed-care networks that provide health services to two-thirds of the state's Medicaid patients, Gov. Bobby Jindal's administration told lawmakers Friday.
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Information
N.Y. Medicaid covering post-birth contraceptives
By Associated Press | July 18, 2014
Emboldened and incensed by the U.S. Supreme Court's recent decision limiting certain contraceptive coverage in the private sector, New York health officials moved forward Thursday with a plan to provide contraceptive devices to low-income women who don't want to get pregnant soon after giving birth.
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News
Reform Update: CMS creates fund to seed state-based Medicaid innovation
By Virgil Dickson | July 15, 2014 | Basic Web Basic Web Subscription Details
The CMS is setting aside more than $100 million over the next five years to help states develop and test new Medicaid payment and delivery models.
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News
Halifax Health to pay $1 million settlement in widely watched False Claims case
By Joe Carlson | July 14, 2014 | Basic Web Basic Web Subscription Details
One of the most widely watched False Claims Act cases filed against a hospital is quietly approaching an end—Florida's Halifax Health is preparing to pay $1 million to settle an alleged $73 million Medicare overbilling case.
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Magazine
Better rules needed to boost use of big data
By Merrill Goozner, Editor | July 12, 2014 | Print Magazine Print Magazine Subscription Details
It's easy to get swept up in the swelling enthusiasm for using the explosion in electronic health and claims records to improve every aspect of healthcare. But the era of “big data” isn't going to happen without better federal rules for stimulating its uses and preventing abuses.
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News
Phoenix Children's and Arizona Blues team up to curb obesity
By Bob Herman | July 09, 2014 | Basic Web Basic Web Subscription Details
In a rare direct payer-provider partnership, Phoenix Children's Hospital and Blue Cross Blue Shield of Arizona are launching a medical home program this month to curb and prevent childhood obesity.
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News
Reform Update: Can Medicaid beneficiaries find a doctor? The CMS wants to know
By Virgil Dickson | July 08, 2014 | Basic Web Basic Web Subscription Details
The CMS is planning to conduct its first nationwide research effort to answer the question of whether adult Medicaid beneficiaries can find providers, and if factors such as being in managed Medicaid versus a fee-for-service offering aid or hurt the search. What it's likely to find, according to...
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News
Reform Update: CMS advances quality initiatives in draft payment rule
By Sabriya Rice | July 07, 2014 | Basic Web Basic Web Subscription Details
The CMS plans to expand public reporting through the Physician Compare website and require more practices to share patient-experience data. The agency also intends to eliminate “topped out” quality measures deemed no longer useful in assessing the performance of accountable care...
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