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THE BIG PICTURE

Medicaid News with
John Umphress

John Umphress has spent more than two decades researching and writing about public health policy and other topics within the public policy arena, covering advocacy organizations, state and local government agencies and the Texas Legislature.

Archive

EHR Payments Pass $5 Billion Mark

Posted Administrator Account on 5/15/2012
Payments to providers that have adopted electronic health records (EHR) systems had surpassed the $5 billion mark by the end of April, according to the Centers for Medicare and Medicaid Services.

Florida Governor Uses Vetoes to Trim Health Care Spending

Posted Administrator Account on 4/23/2012
Florida Governor Rick Scott used vetoes to trim nearly $40 million in health-related spending from the state's $70 billion budget.

HHS Proposes Rule to Establish Unique Health Plan Identifier, Extend ICD-10 Adoption

Posted Administrator Account on 4/17/2012
The Department of Health and Human Services (HHS) has published a draft rule that establishes a system of unique health plan identifiers under the Health Insurance Portability and Accountability Act of 1996 (HIPAA).

Florida Counties Will Have to Reimburse State Disputed Medicaid Payments

Posted Administrator Account on 4/2/2012
Florida counties will have to pay the state hundreds of millions of dollars in disputed Medicaid payments that the state claims the counties never paid.

House Votes to Repeal Medicare Cost Committee

Posted Administrator Account on 3/26/2012
The U.S. House of Representatives has voted to repeal the Independent Payment Advisory Board (IPAB), a key piece of the Affordable Care Act.

MMC Rate Setting Scrutinized

Posted Administrator Account on 3/3/2012
United States Senator Chuck Grassley (R-Iowa) has asked each state for information as to whether the states and the federal government are exercising adequate oversight of their rate-setting for Medicaid managed care (MMC) plans.

New CMS Rule Would Extend Lookback, Reopening on Medicare Payments

Posted Administrator Account on 3/2/2012
The Centers for Medicare and Medicaid Services (CMS) has proposed a new rule that would extend the lookback period on potential Medicare overpayments to ten years.

Congress Passes Extension of Doc Fix

Posted Administrator Account on 2/27/2012
When Congress earlier this month extended both unemployment benefits and a payroll tax cut, they also granted doctors a reprieve from a 27 percent cut in Medicare payments, but it was a temporary one.

Managed Care Woes Plague Kentucky Medicaid

Posted Administrator Account on 2/15/2012
Kentucky officials have gotten an earful from providers about problems with a Medicaid managed care (MMC) that was rolled out last fall.

Proposed Medicaid Cuts Unpopular With Floridians

Posted Administrator Account on 2/8/2012
Reductions to Medicaid being proposed by Florida governor Rick Scott are proving to be unpopular with voters in the state.

CMS Rejects California Copayment Request

Posted Administrator Account on 2/7/2012
The the Centers for Medicare & Medicaid Services (CMS) has rejected a proposal by California to require copayments from Medicaid patients.

Health Care Spending Slowed During Last Three Years

Posted Administrator Account on 2/2/2012
Health care spending saw historically low growth rates over the last three years according to data gathered by the Centers for Medicare & Medicaid Services (CMS) and Fitch Ratings.

Report : Half of States Improved Medicaid Eligibility Last Year

Posted Administrator Account on 1/26/2012
Despite a challenging revenue environment, half the states made it easier for children and their parents to enroll in Medicaid in 2011, according to a survey of Medicaid programs across the U.S. by streamlining enrollment and using technology advances to verify citizenship requirements, according to a report released Wednesday.

New Rule Redefines Uninsured for Calculation of DSH Limits

Posted Administrator Account on 1/19/2012
A proposed rule would broaden the definition of uninsured with respect to disproportionate share hospital (DSH) payment calculations, possibly raising the limit on funds hospitals could receive under the program.

Hospitals Battle New Hampshire Over Medicaid Cuts

Posted Administrator Account on 1/19/2012
A battle between New Hampshire hospitals and the state moved into a federal courtroom this week, with the hospitals attempting to halt a reduction of $130 million in Medicaid funding.
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