CMS Issues Proposed Rule To Expand Plan Choices To Medicare Beneficiaries With Limited Incomes And Resources, USA

The Centers for Medicare & Medicaid Services (CMS) announced a proposed regulation that aims to allow more Medicare beneficiaries with limited income and resources to remain in the Medicare prescription drug plan in which they are enrolled without having to pay a premium.
Medicare beneficiaries with limited income and resources, and those who are dually eligible [...]

New Jersey More Than Triples Medicaid Reimbursement Rate For Physicians Who Treat Children

New Jersey on Tuesday more than tripled Medicaid reimbursements for physicians who treat beneficiaries younger than age 21, the AP/Long Island Newsday reports. Medicaid physician reimbursements for a child’s office visit increased from $23.03 to $73.70, and dentist reimbursements increased from $18.02 per child’s exam to $64.
Gov. Jon Corzine (D) last summer set aside $10 [...]

President Bush Signs SCHIP Extension, Provides Funds Through March 2009

President Bush on Saturday signed legislation that will provide funding for SCHIP through March 2009, the AP/Houston Chronicle reports. The extension is expected to provide enough funds to cover children currently enrolled in the program. White House spokesperson Tony Fratto said, “We’re pleased that the program will be extended and that states can be certain [...]

Medicare Health And Prescription Drug Plan Enrollees Expected To Experience Smooth Transition To 2008 - Medicare & Medicaid Services

Medicare beneficiaries who have chosen to change their health and drug coverage for 2008 should experience very few difficulties when getting their covered prescription drugs through Medicare Part D, the Centers for Medicare & Medicaid Services (CMS) announced today.
“A top priority throughout the fall open enrollment season has been to help beneficiaries prepare and compare [...]

AARP Calls Medicare Bill “Woefully Inadequate”

As Congress approaches the end of the legislative year, AARP Director of Government Relations David Sloane issued the following statement on efforts to pass a package of Medicare improvements.
“Given the inability to find consensus on a broader Medicare improvement package, the short term package coming before the Senate this week is the path of least [...]

GAO Reports Examine Medicare Drug Benefit Contractor Payments, Effects Of SCHIP Coverage Of Adults

Summaries of two reports on the Medicare prescription drug benefit and SCHIP recently released by the Government Accountability Office appear below.
* Medicare prescription drug benefit: CMS might have made almost $90 million in questionable payments to contractors hired to help launch the Medicare prescription drug benefit, according to a report released [...]

Welsh Nurse Struck Off For Thieving, UK

A conduct hearing held in Cardiff last week ordered a 36 year-old nurse from Wales be struck off the register for stealing medication from a vulnerable patient.
An independent panel of the Nursing & Midwifery Council last week heard that Sarah Louise Cole was working in the Burns & Plastics Unit at Morriston Hopsital in Swansea [...]

Kentucky Auditor Report Questions Effect Of Program Restructuring On Costs

It is impossible under the current Kentucky Cabinet for Health and Family Services reporting process to determine whether a 2006 restructuring of the state’s Medicaid program saved money, according to the state auditor’s office, the AP/Louisville Courier-Journal reports (AP/Louisville Courier-Journal, 12/17). According to a report by state Auditor Crit Luallen, estimates by former Gov. Ernie [...]

Senate Approves Medicare Bill That Would Delay Physician Fee Cut, Extend SCHIP Through March 2009

The Senate on Tuesday by voice vote approved a “bare-bones” Medicare bill (S 2499) that would delay for six months a 10% physician fee cut and would extend SCHIP through March 2009, CQ Today reports. House Majority Leader Steny Hoyer (D-Md.) said the House will take up the measure on Wednesday.
The legislation would increase Medicare [...]

Judge Grants Preliminary Injunction Against Rule That Would Revise Medicaid AMP For Rx Drugs

U.S District Court Judge Royce Lamberth in Washington, D.C., on Friday granted a preliminary injunction that prohibits HHS from adopting a new method for calculating the average manufacturer price for prescription drugs covered by Medicaid, Dow Jones reports (Wisenberg Brin, Dow Jones, 12/17).
The rule would have redefined the AMP for brand-name and generic medications. States [...]