My Parents' Medicaid Eligibility
Returning to the subject of Medicaid: after the previous post talking about general Medicare and Medicaid issues, ... they qualify for Medicaid, but not all of it. The spouse who goes into a nursing home can keep a small ... here's more on the specific case of how my parents might pay for a nursing home... please [more...]
Date: 2009-01-20 14:17:00
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Medicaid Modus Operandi - Limit Access, Save Money
Posted by WhiteCoat on December 15, 2008 Forget the fact that Medicaid payments to physicians amount to less than the cost of a lunch at McDonalds ... that are willing to provide care for Medicaid patients. What good is health insurance if you’re ... a Medicaid claim. Some claims take even longer to be paid in those states. To put this in perspective [more...]
Date: 2008-12-15 11:25:20
Fraud not the only problem in Medicaid overpayments
New York State needs to shape up its Medicaid claims system, state Comptroller Thomas DiNapoli said ... to providers that incorrectly billed Medicaid for Medicare Part B services. In many cases, the providers ... to inadequate oversight and other problems, the comptroller found in an audit. Medicaid, which provides [more...]
Date: 2008-12-11 00:31:55
WHAT MEDICAID TELLS US ABOUT GOVERNMENT HEALTH CARE
Medicaid provides coverage to poor and disabled Americans, ... at the Centers for Medicare and Medicaid Services. Reimbursement rates are so low, and billing ... , Medicaid is replete with paperwork, regulations and rejections that make the program hard to navigate [more...]
Date: 2009-01-09 13:26:58
Obama Making Good on Quick Stimulus - Tells Governors Medicaid Help On The Way
President Obama talks to governors earlier today - AP Photo $15 Billion in Medicaid Budget Relief for states will arrive on Wednesday Ohio’s ... some health care providers. Medicaid relief keeps services viable and ensures hospitals, doctors ... to $500,169,636, according to the U.S. Dept. of Health and Human Services . Medicaid relief was part [more...]
Date: 2009-02-23 18:00:54
The pitter patter
Of rats’ feet over broken glass.ONETim Pawlenty, our dear Governor Pepsodent: “We must tighten our belts ... s Medicaid recipients won’t see a similar decrease in funding because we’ll be getting some extra Medicaid money from the feds with strings attached that restrict the ability of the state to reduce Medicaid [more...]
Date: 2009-03-05 17:40:00
Saving Medicaid
At the end of this post I'm asking for your help. So please stay with me to the end of this post ... Medicaid. In Sunday's Daily Herald newspaper Rep. Becky Lockhart, R-Provo, was quoted as saying ... if I get this straight. My state legislature is planning on cutting Medicaid funding. Or, at the very least, repealing [more...]
Date: 2009-01-28 17:19:08
McCain’s Medicaid Cuts: $738 Billion Over 10 Years
The recent economic downturn is forcing states to “scale back safety-net health-coverage programs,” USA Today is reporting ... cutting $1.3 trillion from Medicare and Medicaid to plug the $1.3 trillion funding gap in his budget ... Medicare and Medicaid had released a new report documenting the consequences of McCain’s proposed “ [more...]
Date: 2008-10-31 22:02:25
US Government Pays Millions For Unapproved Drugs
Taxpayers have shelled out at least $200 million since 2004 for meds that have never been reviewed by the government for safety and effectiveness but are still covered under Medicaid, according to an Associated Press analysis ... federal laws allow Medicaid to pay for them, the AP writes. The AP analysis found Medicaid paid nearly [more...]
Date: 2008-11-24 13:40:25
Texas pay too little for doctors taking CHIP or Medicaid patients
Republicans have found so many creative ways to stop children from getting health care ... Insurance Program and Medicaid, but even if they succeed, those kids may have a tough time finding doctors ... they would take on new Medicaid patients. The numbers were even lower -- 34 percent -- for CHIP [more...]
Date: 2009-02-15 16:25:00
Wellcare leaving Medicaid Reform
Tampa-based Wellcare of Florida plans to leave the Medicaid reform program in Broward County and the Jacksonville area, ... to stay in the rest of the state's Medicaid program, where provider rates are about 2 percent higher than ... that former Gov. Jeb Bush hoped would change the way state-paid healthcare is managed. The AP reported [more...]
Date: 2009-02-04 20:45:07
It’s time for a broadside on SCHIP
Congress is currently debating legislation that would force Americans to pay billions of dollars to take an unpopular taxpayer-funded program for ... as a supplement to Medicaid, has grown since its inception, with 41 states raising the minimum income required ... . SCHIP and Medicaid together, according to the Department of Health and Human Services, [more...]
Date: 2009-01-14 18:47:24
State Workers, Taxpayers Caught in a Fiscal Vise
The badly needed economic recovery package included some substantial assistance for states that are facing growing budget shortfalls, ... situation is dire. Revenues are declining, and the need for services such as Medicaid is rising as people ... of the federal money will go to specific projects, such as infrastructure, Medicaid funding, education [more...]
Date: 2009-02-27 22:08:45
Stimulus Package Contains Money for Contraceptives
One of the lesser known aspects of the Madoff swindle is that it has left America’s number one abortion provided in dire financial straights: ... clears the way for expanded federal funding of contraceptives through Medicaid for those who aren’t even poor.A Clinton-era program allows states to seek a waiver to offer Medicaid “family planning” [more...]
Date: 2009-01-26 22:38:10
Annuities That Help You Qualify for Medicaid and Protect Your Assets
Long term health care costs remain high and growing. Because of this retirees with significant assets should plan for their potential Medicaid eligibility. A Medicaid qualified annuity can play a part in this planning when one spouse has to enter [more...]
Date: 2009-02-27 17:26:50
Doomed to Failure
My initial impression of President Obama's healthcare plan is one of suspicion laced with grave concern and sprinkled with disdain ... reimbursement to Medicare levels would still leave many patients without access to healthcare ... . Surely he must realize that expanding Medicaid is not providing universal healthcare - Medicaid [more...]
Date: 2009-02-26 06:26:00
President's 2010 Budget Overview Includes Medicaid Family Planning Expansion
President Obama's 2010 "Budget Overview Document" it out, and there's "great news" for in it for reproductive health advocates, ... clear that the Medicaid family planning expansion -- which would extend Medicaid coverage ... enable states to extend coverage to non-pregnant women without first seeking a waiver [more...]
Date: 2009-02-26 17:20:20
Another County Heard From and Ignored
Add Jeffrey Sachs to the list of economists who politely and vainly make the case for locking the GOP out of Congress so that there's a chance for a ... governments, especially for health (Medicaid), education, and other urgent public services; income ... for the uninsured (as well as adequate Medicaid funding mentioned earlier); and a significant multi [more...]
Date: 2009-02-10 02:03:03
Stimulus Bill Signed by President Obama
February 18, 2009 in 1, Medicare, Nursing Homes, advocacy, health care, housing, long-term care, medicaid, seniors | Tags: AAHSA, ... on Oct. 1, 2008. Every state would get a 6.2 percent increase in its federal Medicaid match. Additionally ... rates.However, there is a “prompt pay requirement.” That is, for states to qualify for the enhanced Medica [more...]
Date: 2009-02-18 20:43:57
Florida Medicaid, Antipsychotics And Small Children
At a time when growing use of atypical antipyschotics in children is under a microscope, ... , but only for those with autistic disorder. To be eligible for Medicaid reimbursement, a drug ... that they are being properly prescribed (look here). Despite such concerns, the state’s Agency for HealthCare [more...]
Date: 2008-12-17 17:36:10
REPORT: 14,000 Americans Lose Health Insurance Every Day
The final stimulus package, which the President is scheduled to sign later this afternoon , includes a fair number of health provisions ... components: For instance, while the final compromise includes $87 billion in additional Medicaid ... in Medicaid if they can’t afford COBRA premiums “ even with the new subsidies” . Despite [more...]
Date: 2009-02-17 18:55:25
Here I Go Again
I’m on the mission of getting Elijah a Closed Circuit TV (CCTV) AGAIN! I’ve been down this road before ... on being a parental advocate for a special needs child. We got into medical insurance and Medicaid issues at the last session. (Eli receives SSI for his blindness therefore also has Medicaid alone [more...]
Date: 2009-02-24 19:39:01
Municipalities Get Increased Medicaid Reimbursements
Posted on Wednesday, 4 of March , 2009 at 7:14 pm ALBANY—Warren County will share in $38.2 million in increased Medicaid reimbursements awarded to Wednesday to the nine-county area ... relief through increased Federal Medical Assistance Percentages (FMAP) reimbursements for Medicaid [more...]
Date: 2009-03-05 00:14:37
MASSACHUSETTS, SAN FRANCISCO EXPAND GOVERNMENT REACH
In 2006, San Francisco passed a law that required most employers within the county to provide health insurance to their workers or pay into a ... allowing the state to continue to provide Medicaid subsidies to people making as much as $63,600 a year ... . While the federal government would have been funding part of the state's Medicaid program in any case [more...]
Date: 2008-12-15 13:48:56
HEALTH: Baucus Plan Highlights Importance Bipartisanship and Cost of Inaction
This post also appears on the National Journal's Health Care Experts Blog. where you can also see what other health policy analysts have to say ... will become eligible for Medicaid or some kind of safety net insurance. This occurs just as states ... in the unemployment rate leads to roughly 1 million more Medicaid and SCHIP enrollees. Senator Baucus' [more...]
Date: 2008-11-14 18:20:08
Heard Around The Blogosphere, 12.15.08
I hope you enjoy this week’s round up of quotable quotes from the medical blogosphere… Scalpel or Sword quotes Taiwanese hospital administrator who ... actually draws a starker picture. Hospitals collectively lose $30 billion on Medicare and Medicaid ... the provider operating deficit created by Medicare and Medicaid. Paul Levy: There are two types [more...]
Date: 2008-12-15 11:51:55
Distorted priorities of Oregon Health Plan (Medicaid)
March 2nd, 2009 | by Brian Schwartz | When politicians decide how to spend taxpayers’ money on health care, ... new web pages. tags: Medicaid, Oregon, rationingIncremental persuasion: Medicare ... in rationing appears to be unavoidable when political processes are given control over medical decision making [more...]
Date: 2009-03-02 07:30:03
Repackaging Bad Ideas in Health Care
I fail to see why Ezra Klein is so excited about a proposal by Bobby Jindal to move Medicaid recipients in Louisiana into managed care plans ... systems. There is a tremendous difference between Medicare for All and Medicaid ... care. This HMO model was tried (and to some degree still exists) for employer-paid health care [more...]
Date: 2008-11-15 09:06:34
OMB in the Health-Care Driver's Seat, Cont.
Over at Politico, Ben Smith has written an interesting and revealing profile of the new Office of Management and Budget (OMB) ... Medicare and Medicaid payment rules. Far too often, care is delivered to patients in highly inefficient ... payment systems in Medicare and Medicaid. If we have learned anything it should be that reliance [more...]
Date: 2009-02-20 15:21:30
Good News and Medicaid
#fullpost{display:inline;}Often, once periods or events in life have passed, ... they were happening. Today, I'm going to talk about Medicaid, after last night's (not so serious, relax Mom) fun with Kayla.I was laid off in the middle of July, and was informed that my health insurance [more...]
Date: 2009-02-12 19:36:00
‘Live at home on your dime or accept nursing care’
Young adult finds rigid Medicaid rules limit her options after a stroke; Institutional bias stymies people with disabilities and their families ... health care would be cheaper for the government and better for Perez, federal Medicaid law considers ... with government funding, or keep her at home with no government funding for home care. They decided [more...]
Date: 2009-03-03 17:25:38
Oh goody! Mr. Gaffe-tastic will oversee the stimulus plan
We know, we know. There are a lot of people that at the time this was announced wanted the world to stop so they could get off ... package, part of which will be available this week for state Medicaid programs. Obama announced ... . The administration projects the money will help states struggling with budget deficits and maintain Medicaid [more...]
Date: 2009-02-23 19:49:00
If Ezra Klein Really Wants to End the “Entitlement Scare,” He Should Do It
Ezra Klein responds to my post on Peter Orszag , addressing a quote from Ben Stein's Politico interview with Orszag this morning: ... requires only modest tax hikes and benefit cuts , while Medicare and Medicaid have much more dramatic ... to slow Medicaid and Medicare growth without resorting to cuts -- and an end to the fear-mongering [more...]
Date: 2009-02-19 23:11:00
Medicaid Expansion In West Virginia
Medicaid is to be extended in West Virginia. People with incomes up to 50 percent of the federal poverty level will benefit ... in the comprehensive health care overhaul. The 20 member coalition aims to improve nursing education, job satisfaction ... of the expansion and the number of adults that would be eligible. CMS would probably not be asked [more...]
Date: 2009-03-03 09:28:07
Stimulus Finalized Without Medicaid Family Planning Expansion
Well, the other shoe has dropped. The economic stimulus package has been finalized, and it does not include the straightforward provision allowing states to extend Medicaid coverage ... to their health insurance; with that, their ability to afford contraception. As they downsize and plan [more...]
Date: 2009-01-27 20:11:34
“Right to Die” Can Become a “Duty to Die”
OrthodoxyToday.org | Wesley J. Smith | Mar. 1, 2009Imagine that you have lung cancer ... Stroup had prostate cancer. Both were on Medicaid, the state’s health insurance plan for the poor ... as you are from a State Medicaid program. In this case the drug in question was both expensive and highly unlikely [more...]
Date: 2009-03-02 19:07:00
Nassau County Sweep Nets 8 For Welfare Fraud
Posted on Friday, 6 of March , 2009 at 2:30 pm NASSAU COUNTY—A sweep targeting county residents who steal undeserved Medicaid and public assistance ... County Department of Social Services. Medicaid is a state-run program that provides free public health ... to the local county. The U.S. Government Accountability Office estimates that 10 percent of hea [more...]
Date: 2009-03-06 19:30:23
The Tentative Democrat/Obama Economic Stimulus Bill - What’s In It?
Doesn’t sound like too much of an immediate stimulus to Flap ... of Medicaid and education programs. Sen. Susan Collins of Maine, the moderate Republican who helped broker ... to help pay for Medicaid, along with a $54 billion “fiscal stabilization” fund that states could use [more...]
Date: 2009-02-12 00:31:26
New York Paid $28M In Medicaid Payments For 20,000 People Receiving Benefits In Other States, Audit Finds
New York Comptroller Thomas DiNapoli on Tuesday said that from 2004 to 2008 the state Health Department made about $28 million in Medicaid payments to about 20,000 people who also were enrolled in Medicaid programs in other states, the Rochester Democrat and Chronicle reports. [more...]
Date: 2009-03-06 12:00:00
The Silence Of The Left
by hilzoyBen Smith at Politico has a story called 'Left Silent On Social Security, Medicare': "Strikingly, however, ... . We do have a problem with Medicaid and Medicare, but that is due to the fact that we have a much more general problem with rising health care costs. Spending on Medicaid and Medicare has risen less rapidly [more...]
Date: 2009-02-12 03:59:22
Second in command at DHS resigns
The No. 2 person and Medicaid director with the Minnesota Department of Human Services (DHS) has resigned, effective today. Christine Bronson was deputy commissioner of the state’s largest agency; she'd been Medicaid ... insurance programs proposed by Gov. Tim Pawlenty and DHS Commissioner Cal Ludeman. read more [more...]
Date: 2009-01-30 22:24:01
THE "RATIONING PROBLEM" IN MEDICAID, MEDICARE
Massachusetts Democratic Senator Ted Kennedy says he is "looking forward to working with Barack Obama on health care ... and lowering the age of eligibility for Medicare. According to Goodman:What that means is putting ... problem in Medicaid; now we're beginning to see one in Medicare. Goodman backs what he says are two good [more...]
Date: 2008-11-25 15:21:41
Republicans Fear Too Many Children Will Be Crowded Into SCHIP
Today, during a Senate Finance Committee hearing about SCHIP expansion, Sen. Jon Kyl (R-TX) ... for their children and enroll the children in SCHIP or Medicaid instead” — to keep from expanding the program ... who would gain SCHIP or Medicaid coverage would have otherwise had private coverage. But as the Center [more...]
Date: 2009-01-15 19:31:16
Roundup: Republicans, Independents Endorse Contraception and Sexuality Education
Republicans, Independents Favor Reproductive Health Agenda On US News & World Report, ... " It was "distressing to see President Obama strip Medicaid coverage of family planning services out of the House ... Medicaid money for family planning services, including cancer screenings, must obtain a waiver [more...]
Date: 2009-02-03 16:53:47
How Medicaid, Medicare, Medical Insurance can Help Your Health
by Marie Brown The state of health insurance right now is nothing less than atrocious ... . You have other options as well. For example, there are many government funded Medicare or Medicaid health insurance programs which might be advantageous to you. Just to name a few, there is Medicare [more...]
Date: 2009-02-17 13:47:01
Medicaid Paying For Toupees?
You've got to be kidding me . Should bald men on Medicaid also get this right as well? This is why government has no business spending my tax money. Perhaps nursing home granny should get free botox for her life threatening wrinklitis. via Cato Stop Burning $20 Bills [more...]
Date: 2009-03-06 12:00:00
The problem with power is governing
By Fester: I'm building off of what BJ wrote this afternoon concerning McCain's plan to cut Medicaid/Medicare: ... for his health plan with major reductions to Medicare and Medicaid, a top aide said, in a move ... has always planned to fund the tax credits, in part, with savings from Medicare and Medicaid. Those [more...]
Date: 2008-10-06 21:38:22
Fifteen days of blogging for health care reform: OHP - a bold experiment in systematic reform
Guest post by Skylanda. Local newspapers are a funny thing - half pulpy fiber ready-made for the recycling bin, ... of the state Medicaid program, known about town as the Oregon Health Plan (OHP). There is much myth ... into politics. This crowd got federal exemption from the standard Medicaid rules, and went about creating [more...]
Date: 2008-08-17 14:00:01
A Big F*&*}% You!!!
Ok, I am so tired of sitting back and not saying anything but after reading the news, hearing the news, ... move. Well hear this...I live in "suburbia" and ALL of the people on food stamps and medicaid ... I am fumbling in my purse for my $15 co-pay at the doctor, they whip out their Medicaid cards and sashay [more...]
Date: 2009-03-07 01:37:27
Adding Up Obama?s Plan to Save $300 Billion in Medicare, Medicaid
We all know by know that the $630 billion health-care “reserve fund” described in President Obama’s budget relies on a combination of tax increases and savings in Medicare and Medicaid spending. But just what do those spending cuts look ... , overall spending on the programs is expected to rise in the next decade; these are projected “savings” [more...]
Date: 2009-02-27 15:36:35
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