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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.... |
Managed Care October 2001 |
CMS Defends Plan To Let States Tailor Medicaid Benefits Centers for Medicare and Medicaid Services Administrator Thomas Scully has defended the Bush administration's plan to allow states to opt out of mandatory Medicaid-coverage requirements... |
Managed Care October 2001 Bob Carlson |
Trying To Get Control of Drug Costs, Florida Earns Kudos -- and a Lawsuit Pharmaceutical Research and Manufacturers of America (PhRMA) filed suit against Florida's Agency for Health Care Administration, challenging a new Medicaid formulary that requires manufacturers to pay supplemental rebates to have their drugs included... |
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... |
Managed Care January 2001 Bob Carlson |
Ohio Struggles To Rescue Managed Medicaid Program Health plans and providers in Ohio's beleaguered Medicaid managed care program, OhioCare, welcomed its per-member, per-month payment increases of more than 25 percent over the last two years... |
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. |
Salon.com October 13, 2000 |
Say what? Five Bush debate statements bear closer inspection... |
Salon.com October 21, 1999 Dena Bunis |
Uninsured children A new report says there are still too many kids without health coverage. |
Managed Care July 2002 |
Despite Deficits, States Avoid Cutting Medicaid, CHIP Rolls Although states are straining to close budget deficits, they have refrained from introducing stringent eligibility requirements for the CHIP and Medicaid programs. |
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... |
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. |
BusinessWeek February 17, 2011 |
Taking a Scalpel to Medicaid A look at eight key states whose governors want to cut costs for Medicaid. |
Reason October 2003 John Hood |
Why the States Are Broke Bloated governments, budget gaps, and Parkinson's laws |
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 21, 2005 Howard Gleckman |
The New Face Of Medicaid Seniors and the disabled are pushing the program to the breaking point. |
BusinessWeek February 21, 2005 |
Mooching Off Medicaid The state-run medical-care programs originally designed to help poor mothers and their children now increasingly pay for nursing-home care for seniors. While many of those seniors are genuinely poor, others are not. The rules should be tightened. |
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. |
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. |
American Family Physician February 15, 2003 |
Newsletter House Bill May Reclaim Title VII Family Practice Training Funds... Health Care Spending in the United States Increased by 8.7 Percent in 2001... Two Surveys Demonstrate Negative Economic Impact of Medicaid Reductions... AHRQ Releases Fact Book on Women's Health Care in U.S. Hospitals... FDA Establishes Task Force on Consumer Nutrition Health Information... |
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. |
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. |
The Motley Fool May 26, 2010 Jennifer Schonberger |
The State of the States: Virginia's Governor Weighs In The Governor of Virginia on the fiscal state of Virginia. |
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 July 2004 Martin Sipkoff |
Managed Medicaid Business Might Be Worth the Difficulties Financial, regulatory, and access problems continue. Still, this remains a growth industry and some have found a way to profit. |
HBS Working Knowledge July 14, 2006 Regina E. Herzlinger |
The Case for Consumer-Driven Medicaid The Medicaid program is a health insurance safety net for 52 million Americans, but the price tag threatens the financial stability of the states. South Carolina provides a model in consumer-driven healthcare. |
BusinessWeek March 3, 2011 Tim Jones |
For Governors, Public Sector Unions Are the Enemy They're being targeted for pay cuts, benefit cuts, salary cuts, and loss of collective bargaining rights |
Pharmaceutical Executive April 1, 2007 Jill Wechsler |
Washington Report: Medicaid Sets the Pace for Pharma Pricing Forget Medicare price negotiations. Pending changes in Medicaid drug-pricing formulas will put even more pressure on pharmaceutical prices. |
Managed Care February 2007 |
Employer-Sponsored Insurance Coverage Rates Falling A new report says that that 61 percent of non-elderly Americans had employer-sponsored insurance in 2004, compared to 66 percent in 2000. |
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. |
Managed Care April 2004 |
Medicaid DM To Get Boost From CMS The federal government plans to give Medicaid disease management a lift by matching the money states pay to run such programs. |
Registered Rep. March 1, 2006 Janet Arrowood |
The Medicare and Medicaid Minefield As the population ages and life expectancy rises, so does the likelihood that more people will be needing long-term care and your financial advisory clients should know the hard facts about paying for it, because the costs can be staggering. |
Reason May 2009 Flynn & Summers |
Failed States After a long spending binge, governors go begging for a handout. It won't be their last. |
Managed Care October 2003 John Carroll |
Shining Light Or Shipwreck? Maine's health care reformers are on course to deliver a controversial universal care plan. But is the coast clear? |
BusinessWeek February 14, 2005 Howard Gleckman |
The Fog Of The Budget How Bush will mask the biggest national debt in history. |
Investment Advisor July 2009 Melanie Waddell |
The Great Health Reform Debate President Barack Obama has set an ambitious deadline of October to achieve comprehensive healthcare reform. |
Managed Care July 2002 |
CBO Weighs Effect of Growing Deficit on Fed Programs Health care programs such as Medicare and Medicaid figure to suffer, thanks to a growing federal budget deficit, according to a report by the Congressional Budget Office. |
Investment Advisor March 2006 Elizabeth Festa |
Incentives for Long-Term Care New long-term care partnership programs, which are active in four states, now provide private LTC insurance with special access to Medicaid for those exhausting their insurance benefits. |
Managed Care August 2002 |
24 States Hope Pharmacy Plus Helps Medicaid Twenty-four states may gamble that providing a prescription drug program to low-income elderly who do not qualify for Medicaid could save them money in the long run. |
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. |
Pharmaceutical Executive December 1, 2012 Jill Wechsler |
Obamacare, Innovation and Pricing Tax and budget decisions will shape the healthcare market and drug research and regulation. |
BusinessWeek May 10, 2004 John Carey |
Drug Prices: A New Covenant? The states' growing negotiating clout with Big Pharma raises crucial questions |
BusinessWeek October 22, 2009 |
Two Ways to Fund Reform Separate House and Senate health-care bills cover costs differently. |
Financial Advisor October 2010 Gail Lieberman |
Immediate Gratification Immediate annuities can help clients get government benefits they might otherwise price out of. |
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 April 2002 |
More Than Just 'Chipping' Away at Problem of Uninsured Children CHIP (the Children's Health Insurance Program) continues to grow by leaps and bounds. About 4.6 million children in the U.S. received coverage through CHIP in fiscal year 2001. That's an increase of 38 percent from fiscal year 2000... |
The Motley Fool November 10, 2005 David Braze |
Who Pays for Long-Term Care? In the second of a six-part series, this installment covers what Medicare and Medicaid cover (and don't cover) for long-term care. |
The Motley Fool January 27, 2009 Devon Rackle |
Almost Family Almost Makes the Cut Shares of home health provider Almost Family have risen eightfold in the past five years, but you still might want to stay away for the time being. |
Pharmaceutical Executive January 1, 2013 Jill Wechsler |
Transformation to Characterize 2013 FDA policies will reshape drug development, while pressure to cut healthcare spending may alter drug coverage and pricing. |
Managed Care March 2004 |
More State Medicaid Programs Use Preferred Drug Lists To Manage Costs Medicaid, enacted in 1965, is currently costing over $200 billion per year. With rapidly rising health care costs, including prescription drugs, state Medicaid budgets are feeling the strain. Here's what they're trying to do to manage. |
Managed Care September 2004 John Carroll |
Pfizer: DM Did Not Fizzle In Florida Medicaid Ruckus Medicaid officials close the books on a program the pharmaceutical giant contends that soon-to-be-released data will verify its disease management program's effectiveness. |