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Medicaid

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  • LITTLE ROCK, Ark., Nov 5- The Republican surge in Tuesday's U.S. elections carried Arkansas along with it, threatening to sweep away a bipartisan health insurance plan in the state that is also being studied by other states as an alternative to Obamacare. The program uses federal Medicaid funds from the Affordable Care Act, or Obamacare, to help buy health insurance...

  • With opinion polls showing the odds for Senate control increasingly in their favor, Republicans are exploring a series of efforts to repeal some of Obamacare's taxes and penalties on businesses. Senate Republican Leader Mitch McConnell came under fire from conservatives critics last week after saying the party was unlikely to have the 60 Senate votes, out...

  • Medicare program's payment rate for hospital outpatient services will increase 2.3 percent in calendar year 2015, while the rate for ambulatory surgical services will rise 1.4 percent, the federal government announced on Friday. The Medicare health insurance program for the elderly and disabled will also begin to pay doctors a monthly fee to coordinate...

  • Marijuana to wages: What's at stake this election Friday, 31 Oct 2014 | 12:27 PM ET
    David Guard verifies a customer's identity before allowing him to purchase medical marijuana at Capital City Care in Washington, D.C.

    With the midterm elections Tuesday, businesses in select states have much at stake with ballot outcomes that could impact marijuana use, minimum wages and Medicaid.

  • Insurers have big plans for 2015 Obamacare enrollment Thursday, 30 Oct 2014 | 1:01 PM ET

    Oct 30- U.S. insurers planning to sell 2015 Obamacare health plans expect at least 20 percent growth in customers and in some states anticipate more than doubling sign-ups. With the start of enrollment barely two weeks away, their assessment is dramatically different from a year ago, when it was unclear how many Americans would apply for the brand new insurance...

  • Oct 29- U.S. health insurer WellPoint Inc on Wednesday reported a higher-than-expected quarterly profit as its medical costs stayed low, and it forecast continued earnings growth in 2015.. Some hospitals have said customers are have more procedures because of a turn in the economy, while others have cited new insurance and Medicaid plans offered under...

  • WellPoint beats expectations as customers grow Wednesday, 29 Oct 2014 | 10:23 AM ET

    WellPoint's profit beat expectations as the company's customer numbers grew due Medicaid growth and new subsidized individual health plans.

  • Oct 29- WellPoint Inc on Wednesday reported third-quarter profit that beat Wall Street expectations as the company's customer numbers grew due to growth in Medicaid and the creation of new subsidized individual health plans under the national healthcare reform law. The company reported net profit of $630.9 million, or $2.22 per share, compared with $656.2...

  • Oct 28- Health insurer Centene Corp reported better-than-expected quarterly revenue and profit as it signed on more Medicaid members. Centene, which provides services to government-sponsored healthcare programs, said total membership increased 42 percent from a year earlier to 3.7 million as of Sept. 30. Net profit attributable to Centene rose to $82.6...

  • Oct 28- Aetna Inc, the third-largest U.S. health insurer, said on Tuesday that third-quarter profit rose as the benefits of its Coventry government healthcare acquisition offset higher medical costs in its commercial business. This is also the first full year of owning the Coventry business, which specializes in Medicare and Medicaid plans from the U.S....

  • Oct 28- Health insurer Centene Corp reported a better-than-expected adjusted profit in the third quarter as it signed on more Medicaid members. About 70 percent of the total were Medicaid members. Net profit attributable to Centene rose to $82.6 million, or $1.36 per share, in the quarter ended Sept. 30, from $49.4 million or 87 cents per share.

  • NEW YORK, Oct 27- The United States on Monday joined a lawsuit accusing New York City and Computer Sciences Corp of defrauding Medicaid into making millions of dollars of improper reimbursements by exploiting a computerized billing system that the company designed. The U.S. attorney for Manhattan, Preet Bharara, said some of these services might have been...

  • NEW YORK, Oct 27- The United States on Monday joined a lawsuit accusing New York City and Computer Sciences Corp of defrauding Medicaid into making millions of dollars of improper reimbursements by exploiting a computerized billing system that the company designed. The U.S. attorney for Manhattan, Preet Bharara, said the fraud led to the city and Computer...

  • Oregon senator enrolled in low-income Medicaid Wednesday, 8 Oct 2014 | 6:10 PM ET
    Sen. Jeff Merkley, D-Ore., speaks during a news conference on Capitol Hill in Washington.

    Jeff Merkley, a U.S. senator from Oregon, was improperly enrolled into low-income Medicaid by Cover Oregon.

  • WASHINGTON, Oct 2- The U.S. Supreme Court is set to decide in a case coming from Idaho whether private medical providers can sue a state in order to raise Medicaid reimbursement rates to deal with rising medical costs. Medicaid is a federal health insurance program for lower-income people that is administered by the states. Idaho's lawyers say that in order to...

  • Virginia: No Medicaid expansion, but ... Monday, 8 Sep 2014 | 1:57 PM ET
    Terry McAuliffe

    Virginia Gov. Terry McAuliffe, stymied in his efforts to expand Medicaid in the state, Monday said he would extend health coverage to 25,000 people.

  • Medicaid 'expanding' profits for health systems Wednesday, 3 Sep 2014 | 12:01 AM ET
    Medicine doctor blood pressure

    Hospitals in states that expanded Medicaid are reaping financial benefits in excess of original estimates, a new report found.

  • Pennsylvania's hard-won Medicaid plan may be undone Tuesday, 2 Sep 2014 | 2:42 PM ET
    Pennsylvania Gov. Tom Corbett speaks at a news conference in State College, Penn.

    Pennsylvania's Medicaid expansion plan could be changed a bit if Democrat Tom Wolf beats Gov. Tom Corbett this fall.

  • How nursing homes game the Medicare ratings system Monday, 25 Aug 2014 | 7:41 AM ET

    Medicare’s five-year-old rating system to help families select nursing homes relies on unverified, incomplete and often misleading data. The NYT reports.

  • Pulse Systems Inc. logo

    WICHITA, Kan., May 29, 2014-- Pulse Systems, Inc., an industry-leading provider of Electronic Health Record, Practice Management and Revenue Cycle Management solutions, announced today that the Centers for Medicare and Medicaid Services has named Pulse's Physician Quality Reporting System a qualified registry for 2014. Pulse's PQRS Registry enables Eligible Professionals to seamlessly report specific quality measures through the Pulse Complete EHR or PulsePro Practice Management solutions to earn incentive payments from CMS.