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BusinessWeek February 21, 2005 Howard Gleckman |
The New Face Of Medicaid Seniors and the disabled are pushing the program to the breaking point. |
Managed Care August 2004 |
Medicaid Fees Rise, But Still Below Medicare A recent study reports that 30 states raised their Medicaid fees at or above the rate of inflation, including 10 that raised physician fees by more than 35%. |
BusinessWeek February 17, 2011 |
Taking a Scalpel to Medicaid A look at eight key states whose governors want to cut costs for Medicaid. |
CIO March 15, 2006 Louis Gutierrez |
Opening a Virtual Gateway to Better Health This CIO swore he would stay away from turnarounds - until he was offered the opportunity to revamp the way Massachusetts residents obtain state health services. It was a challenge he couldn't resist. |
Managed Care February 2005 John Carroll |
Just What Can We Expect From New Head of HHS? How much will plans have to "be like Mike" -- Leavitt, that is. The influence of the secretary of health and human services reaches beyond the public sector. |
Managed Care May 2002 Patrick Mullen |
Interview: Thomas Scilly In a candid, wide-ranging interview, the Centers for Medicare and Medicaid Services administrator counsels patience in solving the myriad problems of health care. A fix could take 20 years |
Managed Care December 2001 |
CMS Medicaid Managed Care Proposal Under Close Scrutiny Bioterrorism. Medicaid managed care plans. No link between them? Guess again. It all has to do with how proposed Medicaid regulations would affect patients' rights and funding for Medicaid programs ranging from nursing home care to emergency rooms... |
Financial Planning February 1, 2005 DeFrancesco & Flory |
The Golden Years? As this country's baby boomers get closer to retirement, long-term care (LTC) will only grow in importance. Medicaid annuities may help clients preserve their assets, even if they're already in a nursing home. |
Managed Care December 2000 Bob Carlson |
3 New England States Prescribe Innovative Ways To Cut Drug Prices It's too soon to tell whether Maine's prescription drug price control law will survive a legal challenge by drug makers. But private efforts and another innovative strategy -- a plan by Maine, Vermont, and New Hampshire to purchase prescription drugs jointly -- are moving ahead... |
InternetNews October 28, 2010 |
Patients' Medicaid Data Exposed in Breech Portable flash drive containing data from over 280,000 Medicaid recipients was misplaced. |
Managed Care April 2005 John Carroll |
Can Managed Care Programs Rein in Medicaid's Runaway Budgets? Cadillac or Yugo care for the poor? Fee-for-service or managed care? The states have a lot on their minds as the Medicaid monster grows and grows. |
Managed Care February 2002 Michael Levin-Epstein |
Plans, Providers Should Use HIPAA Breathing Room Wisely HMOs may delay compliance with HIPAA electronic transactions and code reporting requirements for one year under legislation passed by Congress late last year. However, the new law doesn't affect information privacy requirements slated to take effect in 2003... |
Registered Rep. September 18, 2013 Kevin McKinley |
Having Money and Getting Medicaid Clients who want to have both their money and Medicaid may want to purchase a specific type of long-term care insurance known as a "partnership" policy, currently available to residents in 31 states. |
CIO July 1, 2003 Alice Dragoon |
Eight (Not So) Simple Steps to the HIPAA Finish Line While much of the new security rule is common sense, meeting it by the 2005 deadline won't be easy. Here's a checklist to ease your heartburn. |
Nursing Management April 2010 Lisa A. Gallagher |
Revisiting HIPAA The Health Insurance Portability and Accountability Act of 1996 Privacy and Security Rules have been in effect since 2002-03. |
BusinessWeek August 8, 2005 Howard Gleckman |
Radical Surgery For Medicaid? South Carolina Governor Sanford has a plan to slash costs - but a political battle looms. |
Financial Planning September 1, 2008 Donald Jay Korn |
Pleading Poverty Few things can play havoc with a thoughtful financial plan as surely as a long stay in a nursing home. Therefore, "Medicaid planning" has become a prime concern for many seniors and their younger relatives. |
Financial Advisor May 2007 Gail Liberman |
More Wrinkles Than Ever Your financial advisory clients need you to help them understand the new Medicaid rules. |
Managed Care February 2006 |
Managed Care Offered to More Medicaid Enrollees A chart illustrates the percentage of medicaid enrollees in managed care, for the years 1996 to 2004. |
Managed Care January 2002 |
1-Year Delay Near In Implementation Of HIPAA Rules It looks like most players in health care -- IT vendors excluded -- will get what they want if a bill delaying the deadline for compliance with the Health Insurance Portability and Accountability Act's electronic claims standards becomes law... |
Managed Care August 2000 Carey Lee Straetz |
Managing Medicaid Rolls Often State-by-State Affair Despite the strong economy, Medicaid enrollment may be slowly rising after a three-year decline. The challenges for serving this population are huge. |
Managed Care March 2005 |
'This Country Cannot Continue With the System We Now Have' As a vice president of Pfizer Health Solutions, a major disease management company, John Sory knows how difficult it is to bring systematic care to the chronically ill. He discusses Pfizer's work with Florida's Medicaid program. |
Managed Care September 1999 Frank Diamond Senior Editor |
Florida Medicaid Moves Toward Direct Contracting Florida will soon test a program that could provide competition for HMOs serving the Medicaid population. Other states are watching. |
Managed Care December 2002 Joyce Ochs |
Providers, Plans Misinformed About Vendor Software Capability Software vendors are not affected by HIPAA, although their customers are. Jeffrey Fusile, the partner at PriceWaterhouseCoopers who heads the HIPAA Advisory Services, claims that "vendors and clearinghouses have misled people to a fault." |
CIO November 1, 2002 Ben Worthen |
How to Meet Tomorrow's Privacy Rules Today When it comes to preparing for impending security regulations, health-care CIOs have some simple advice: Act now. |
Managed Care August 2002 Madeleine A. Estabrook |
Regulators Take More Interest In Role of PBMs in Health Care In a highly regulated industry such as health care, it is just a matter of time before every component of the industry comes under scrutiny and review. Pharmacy benefit managers are taking center stage now. |
Managed Care April 2000 Bob Carlson |
Many State Medicaid Agencies Use Financial Incentives To Boost Quality The days when state Medicaid agencies were bureaucratic establishments that paid claims and were unable to demand little better than institutional-style care are gone.... |
Commercial Investment Real Estate Sep/Oct 2009 Andrew Dick |
Understanding Federal Healthcare Laws Commercial real estate professionals who work with medical office development must be aware of the federal healthcare fraud and abuse laws. |
Managed Care May 2002 David Humiston & Stephen M. Crane |
Will Your State's Privacy Law Be Superseded by HIPAA? Careful interpretation required: Health plans operating in multiple states have a challenge sorting out where the federal law trumps state statutes |
Managed Care March 2001 |
Maine Gets HCFA Waiver for Drug Discount Program The Health Care Financing Administration has given Maine officials clearance to offer a discount prescription program to 200,000 people without a pharmacy benefit... |
Managed Care November 2002 John Carroll |
Drug Companies Crying Foul Over Medicaid's Formulary Push With states' preferred drug lists spreading like a prairie wildfire, the manufacturers have mounted a furious legislative counterattack, funding grass roots campaigns aimed at fanning the opposition in state legislatures even as they wage a legal war in state and federal courts. |
American Family Physician June 15, 2005 Carrie A. Morantz |
Newsletter Medicaid Expected to Top States' Health Care Agendas in 2005... NRMP Rules Out Second Residency Match... CMS Proposes New Rule on Hospice Care for Medicare Patients... Congressional Bill Encourages Use of Health Information Technology... etc. |
Managed Care December 2001 |
Economic Boom Over, State Health Budgets Besieged The National Association of State Budget Officers estimated that aggregate state shortfalls for fiscal 2002 could exceed $15 billion... |
Managed Care January 2002 Michael Levin-Epstein |
HHS Seems To Soften Hard Line on Kickbacks Do two recent advisory opinions from the Health and Human Services Office of the Inspector General signal some moderation in federal policy on what constitutes a kickback? Maybe. Or then again, maybe not... |
Managed Care December 2001 John Carroll |
The Coming HIPAA Crisis HIPAA's timetable has been known for years, but many organizations that the law covers are dawdling pitifully in preparing for compliance... |
Managed Care August 2001 Bob Carlson |
States' Role as Policy Labs Tested as Resources Tighten State health-policy types point out that the State Children's Health Insurance Program (CHIP), the Health Insurance Portability and Accountability Act, the Patients' Bill of Rights and other federal initiatives came into existence only after states did the heavy lifting... |