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Castor Stands Up Against Special Interests, In Support Of Medicare Patient, Usa

Categorie : Medicare / Medicaid / Tricare
U.S. Rep. Kathy Castor today stood up against special interests and in support of Medicare patients. She addressed the troubling reimbursement delays local independent pharmacists are experiencing, which are putting some of them out of business. "The private companies the Bush administration ...

read more U.S. Rep. Kathy Castor today stood up against special interests and in support of Medicare patients. She addressed the troubling reimbursement delays local independent pharmacists are experiencing, which are putting some of them out of business. read more Tue Jun 2007 Tue Jun 2007

Debate Over Reducing Medicare Advantage Plan Payments Continues

Categorie : Medicare / Medicaid / Tricare
Lawmakers continue to debate whether to reduce federal payments to private insurers that administer the fastest-growing type of Medicare Advantage plans -- private fee-for-service plans, the AP/Atlanta Journal-Constitution reports (Freking, AP/Atlanta Journal-Constitution, 5/30). The House Ways and ...

read more Lawmakers continue to debate whether to reduce federal payments to private insurers that administer the fastest-growing type of Medicare Advantage plans -- private fee-for-service plans, the AP/Atlanta Journal-Constitution reports (Freking, AP/Atlanta Journal-Constitution, 5/30). The House Ways and read more Sat Jun 2007 Sat Jun 2007

Alabama First To Add Self-Directed Home-Based Services Through Its State Medicaid Plan

Categorie : Medicare / Medicaid / Tricare
Alabama is the first state to receive federal approval to allow self-directed personal assistance services (PAS) as a feature of its Medicaid plan, eliminating the need for repeated requests for time-limited section 1115 demonstration programs or section 1915(c) waiver programs, HHS Secretary Mike L ...

read more Alabama is the first state to receive federal approval to allow self-directed personal assistance services (PAS) as a feature of its Medicaid plan, eliminating the need for repeated requests for time-limited section 1115 demonstration programs or section 1915(c) waiver programs, HHS Secretary Mike L read more Thu May 2007 Thu May 2007

Live 'Elements Of State Health Reform' Will Address Health Care Quality And Transparency

Categorie : Medicare / Medicaid / Tricare
The Kaiser Family Foundation and the National Governors Association Center for Best Practices sponsor this fourth show in the Elements of State Health Reform series on value-driven health care at 2 p.m. ET on Friday, May 25. [click link for full article] ...

read more The Kaiser Family Foundation and the National Governors Association Center for Best Practices sponsor this fourth show in the Elements of State Health Reform series on value-driven health care at 2 p.m. ET on Friday, May 25. [click link for full article] read more Wed May 2007 Wed May 2007

Many Small Physician Offices No Longer Provide Injected Medications Because Of Medicare Reimbursement Issues

Categorie : Medicare / Medicaid / Tricare
Thousands of small physician offices are "getting out of the business of administering drugs for conditions ranging from anemia and cancer to arthritis and infections," the Wall Street Journal reports. The shift is "an unintended consequence of a change in the way Medicare reimburses doctors" to ad ...

read more Thousands of small physician offices are read more Tue May 2007 Tue May 2007

MedPAC Names Three New Members, Reappoints Four Others

Categorie : Medicare / Medicaid / Tricare
Three new members have been appointed to the Medicare Payment Advisory Commission, CQ HealthBeat reports. Bruce Stuart, a professor and executive director of the [click link for full article] ...

read more Three new members have been appointed to the Medicare Payment Advisory Commission, CQ HealthBeat reports. Bruce Stuart, a professor and executive director of the [click link for full article] read more Tue May 2007 Tue May 2007

Rep. Stark Says Private Medicare Advantage Fee-for-Service Plans At 'Top' Of His List For Reductions In Medicare Reimbursements

Categorie : Medicare / Medicaid / Tricare
The House Ways and Means Health Subcommittee on Tuesday held a hearing on private Medicare Advantage fee-for-service plans, and subcommittee Chair Pete Stark (D-Calif.) said that the plans top his list for proposed reductions in Medicare reimbursements to fund an expansion of SCHIP, [click link for ...

read more The House Ways and Means Health Subcommittee on Tuesday held a hearing on private Medicare Advantage fee-for-service plans, and subcommittee Chair Pete Stark (D-Calif.) said that the plans top his list for proposed reductions in Medicare reimbursements to fund an expansion of SCHIP, [click link for read more Sat May 2007 Sat May 2007

CMS Proposes Reforms Of Compliance Requirements For Medicare Advantage Plans - Provisions Extend To Part D Prescription Drug Plans, USA

Categorie : Medicare / Medicaid / Tricare
To further safeguard Medicare beneficiaries, the Centers for Medicare and Medicaid Services (CMS) today proposed strengthening its current oversight requirements and penalties for Medicare Advantage plans and Part D prescription drug plans. [click link for full article] ...

read more To further safeguard Medicare beneficiaries, the Centers for Medicare and Medicaid Services (CMS) today proposed strengthening its current oversight requirements and penalties for Medicare Advantage plans and Part D prescription drug plans. [click link for full article] read more Fri May 2007 Fri May 2007

Medicare To Expand Coverage Of Ultrasound Diagnostic Procedures, USA

Categorie : Medicare / Medicaid / Tricare
The Centers for Medicare & Medicaid Services (CMS) announced today a decision to provide coverage for Doppler monitoring of cardiac output in certain settings. CMS has determined that the current evidence is adequate to revise its longstanding Ultrasound Diagnostic Procedures National Coverage Dete ...

read more The Centers for Medicare & Medicaid Services (CMS) announced today a decision to provide coverage for Doppler monitoring of cardiac output in certain settings. CMS has determined that the current evidence is adequate to revise its longstanding Ultrasound Diagnostic Procedures National Coverage Dete read more Fri May 2007 Fri May 2007

Missouri Legislature Approves Bill To Revise State Medicaid Program

Categorie : Medicare / Medicaid / Tricare
The Missouri Legislature on Friday approved a bill (SB 577) that would revise the state Medicaid program, the Kansas City Star reports (Wagar/Hoover, Kansas City Star, 5/18). The legislation, finalized early Friday morning in negotiations between state Rep. [click link for full article] ...

read more The Missouri Legislature on Friday approved a bill (SB 577) that would revise the state Medicaid program, the Kansas City Star reports (Wagar/Hoover, Kansas City Star, 5/18). The legislation, finalized early Friday morning in negotiations between state Rep. [click link for full article] read more Fri May 2007 Fri May 2007

Statement On Congressional Actions That Would Put An End To Medicare Private Health Plans' Abusive Marketing Practices, USA

Categorie : Medicare / Medicaid / Tricare
Statement by Robert M. Hayes, president of the Medicare Rights Center, on Congressional actions that would put an end to Medicare private health plans' abusive marketing practices, particularly private fee-for-service plans which are paid 19 percent more than the cost for someone with Original Medic ...

read more Statement by Robert M. Hayes, president of the Medicare Rights Center, on Congressional actions that would put an end to Medicare private health plans' abusive marketing practices, particularly private fee-for-service plans which are paid 19 percent more than the cost for someone with Original Medic read more Thu May 2007 Thu May 2007

Pharmacy Management Initiative In 19 States Strives For Best Possible Care For Medicaid Patients, USA

Categorie : Medicare / Medicaid / Tricare
An award-winning program seeks to improve the quality of care Medicaid patients receive by aligning physicians' prescribing of mental health medications with national, evidence-based best prescribing practices. The Behavioral Health Pharmacy Management Program evaluates Medicaid pharmacy claims for ...

read more An award-winning program seeks to improve the quality of care Medicaid patients receive by aligning physicians' prescribing of mental health medications with national, evidence-based best prescribing practices. The Behavioral Health Pharmacy Management Program evaluates Medicaid pharmacy claims for read more Thu May 2007 Thu May 2007

CMS Officials Discuss Benefits Of Private Medicare Advantage Fee-for-Service Plans In Advance Of House Committee Hearing, CQ HealthBeat Reports

Categorie : Medicare / Medicaid / Tricare
CMS officials on Monday held a press briefing to provide information about private Medicare Advantage fee-for-service plans in advance of a House Ways and Means Health Subcommittee hearing on the plans scheduled for Tuesday, CongressDaily reports. The [click link for full article] ...

read more CMS officials on Monday held a press briefing to provide information about private Medicare Advantage fee-for-service plans in advance of a House Ways and Means Health Subcommittee hearing on the plans scheduled for Tuesday, CongressDaily reports. The [click link for full article] read more Thu May 2007 Thu May 2007

CQ's Carey Discusses Report On Medicare Marketing Practices, FY 2008 Budget, Medical Device User Fee Act

Categorie : Medicare / Medicaid / Tricare
Mary Agnes Carey, associate editor of [click link for full article] ...

read more Mary Agnes Carey, associate editor of [click link for full article] read more Thu May 2007 Thu May 2007

Center For Medicare Advocacy Releases Report On Medicare Advantage Private Fee-for-Service (PFFS) Plans

Categorie : Medicare / Medicaid / Tricare
A new report issued by the Center for Medicare Advocacy, on May 20, 2007, entitled Medicare Advantage Private Fee-for-Service (PFFS) Plans: A Primer for Advocates, describes the legal requirements that PFFS plans must meet and compares the requirements to other Medicare Advantage (MA) plans. [click ...

read more A new report issued by the Center for Medicare Advocacy, on May 20, 2007, entitled Medicare Advantage Private Fee-for-Service (PFFS) Plans: A Primer for Advocates, describes the legal requirements that PFFS plans must meet and compares the requirements to other Medicare Advantage (MA) plans. [click read more Wed May 2007 Wed May 2007

CMS Awards Grants To 13 States For Alternatives To Nursing Home Care, USA

Categorie : Medicare / Medicaid / Tricare
Thirteen states and the District of Columbia will get more than $547 million in grants over five years to build Medicaid long-term care programs that will help keep people at home and out of institutions, Leslie V. Norwalk, Acting Administrator of the Centers for Medicare and Medicaid Services (CMS) ...

read more Thirteen states and the District of Columbia will get more than $547 million in grants over five years to build Medicaid long-term care programs that will help keep people at home and out of institutions, Leslie V. Norwalk, Acting Administrator of the Centers for Medicare and Medicaid Services (CMS) read more Wed May 2007 Wed May 2007

Rep. Thompson To Introduce Bill To Revise Medicare Reimbursement Rule For Physicians In National Guard, Reserves

Categorie : Medicare / Medicaid / Tricare
Rep. Mike Thompson (D-Calif.) plans to introduce a bill that would revise a rule to allow physicians who serve in the National Guard or reserves and are called to active duty to continue to receive Medicare reimbursements for the duration of their deployments, the [click link for full article] ...

read more Rep. Mike Thompson (D-Calif.) plans to introduce a bill that would revise a rule to allow physicians who serve in the National Guard or reserves and are called to active duty to continue to receive Medicare reimbursements for the duration of their deployments, the [click link for full article] read more Wed May 2007 Wed May 2007

Kaiser Daily Health Policy Report Highlights Medicaid Developments In Four States

Categorie : Medicare / Medicaid / Tricare
Newspapers recently reported on Medicaid developments in Missouri, Montana, Nevada and Oregon. Summaries of the coverage appear below.Missouri: The state House on Thursday on a voice vote approved an amendment that would extend Medicaid until 2010, as lawmakers work out the details of overhauling th ...

read more Newspapers recently reported on Medicaid developments in Missouri, Montana, Nevada and Oregon. Summaries of the coverage appear below.Missouri: The state House on Thursday on a voice vote approved an amendment that would extend Medicaid until 2010, as lawmakers work out the details of overhauling th read more Wed May 2007 Wed May 2007

AMA Releases Legislative Recommendations To Congress, Including Proposal That Would Postpone Repeal Of Medicare Physician Payment Formula

Categorie : Medicare / Medicaid / Tricare
The American Medical Association and 86 other medical organizations on Thursday recommended that Congress set a date for repealing the Sustainable Growth Rate formula used to calculate Medicare physician payments, CQ HealthBeat reports. [click link for full article] ...

read more The American Medical Association and 86 other medical organizations on Thursday recommended that Congress set a date for repealing the Sustainable Growth Rate formula used to calculate Medicare physician payments, CQ HealthBeat reports. [click link for full article] read more Tue May 2007 Tue May 2007

Low-Income Medicare Beneficiaries Enrolled In More-Costly Prescription Drug Plans, Study Finds

Categorie : Medicare / Medicaid / Tricare
Medicare randomly enrolls low-income beneficiaries in prescription drug plans that cost the federal government as much as $1,400 more than the least-costly plans, according to a Consumers Union study released Tuesday, CongressDaily reports. For example, an analysis of coverage in the Boston area fo ...

read more Medicare randomly enrolls low-income beneficiaries in prescription drug plans that cost the federal government as much as $1,400 more than the least-costly plans, according to a Consumers Union study released Tuesday, CongressDaily reports. For example, an analysis of coverage in the Boston area fo read more Mon May 2007 Mon May 2007

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