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Managed Care
November 2005
John A. Marcille
Florida's Medicaid Waiver Will Be Scrutinized Closely Health and Human Services Secretary Michael Leavitt approved a Medicaid waiver application that will shift 210,000 beneficiaries in Broward and Duval counties into managed care beginning in July 2006. mark for My Articles similar articles
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. mark for My Articles similar articles
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. mark for My Articles similar articles
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. mark for My Articles similar articles
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. mark for My Articles similar articles
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... mark for My Articles similar articles
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. mark for My Articles similar articles
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... mark for My Articles similar articles
BusinessWeek
February 17, 2011
Taking a Scalpel to Medicaid A look at eight key states whose governors want to cut costs for Medicaid. mark for My Articles similar articles
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. mark for My Articles similar articles
Managed Care
January 2001
John Carroll
Florida Leads the Way in Attempting Disease Management for Medicaid Officials across the country are watching to see whether the Sunshine State's innovation can save money... mark for My Articles similar articles
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. mark for My Articles similar articles
Managed Care
February 2002
Computer Glitch Blocks Too Many Prescriptions Pharmacists in Massachusetts were hopping mad when a new computer system designed to help process prescriptions for Medicaid enrollees malfunctioned during its launch... mark for My Articles similar articles
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. mark for My Articles similar articles
Managed Care
December 2004
John Carroll
Pfizer Touts Medicaid Data In Arguing That DM Works The pharmaceutical giant Pfizer says that its disease management program saved Florida $42 million, but a state watchdog group remains unconvinced. mark for My Articles similar articles
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. mark for My Articles similar articles
Managed Care
June 2003
HMO, Medicaid formularies exhibit surprisingly small differences When you compare HMO and Medicaid formularies for coverage in major therapeutic areas, you find that the differences are relatively small, with Medicaid plans being somewhat less stringent. mark for My Articles similar articles
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... mark for My Articles similar articles
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. mark for My Articles similar articles
Managed Care
December 2006
Medicaid Plans Too Successful For Own Good? The Wall Street Journal reports that Medicaid costs appear to be stabilizing, but health plans are raking in huge profits. mark for My Articles similar articles
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. mark for My Articles similar articles
Managed Care
April 2005
Medicare Modernization Act to Increase Public Sector Spending Nearly 50 Percent While the burden on the public sector to supply health care benefits to Medicare and Medicaid enrollees will increase, on the private side, a reevaluation of current forms of health insurance coverage may take place as growth in premiums continues to outpace growth in compensation. mark for My Articles similar articles
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. mark for My Articles similar articles
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. mark for My Articles similar articles
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. mark for My Articles similar articles
BusinessWeek
February 21, 2005
Howard Gleckman
The New Face Of Medicaid Seniors and the disabled are pushing the program to the breaking point. mark for My Articles similar articles
InternetNews
September 8, 2005
Roy Mark
Big Iron Vs. Medicaid Fraud Tapping into an IBM supercomputer running software developed for the private sector, Erie County in New York aims to curb up to $80 million a year in dubious Medicaid claims. mark for My Articles similar articles
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. mark for My Articles similar articles
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. mark for My Articles similar articles
Managed Care
June 2003
For-profit, not-for-profit enrollment holding about steady While HMOs seemed to be losing enrollees to PPOs, the ratio of enrollees in for-profit and not-for-profit HMOs stabilized in the late 1990s, according to data collected by the Centers for Medicare and Medicaid Services. mark for My Articles similar articles
Salon.com
October 21, 1999
Dena Bunis
Uninsured children A new report says there are still too many kids without health coverage. mark for My Articles similar articles
Financial Advisor
November 2005
Gail Liberman
Annuities May Cause Problems With Medicaid Medicaid, the state and federally funded public assistance program, might be off the radar screen for financial advisors selling annuities to senior clients for retirement planning, but it shouldn't be. mark for My Articles similar articles
Financial Advisor
May 2007
Gail Liberman
More Wrinkles Than Ever Your financial advisory clients need you to help them understand the new Medicaid rules. mark for My Articles similar articles
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%. mark for My Articles similar articles
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. mark for My Articles similar articles
InternetNews
October 28, 2010
Patients' Medicaid Data Exposed in Breech Portable flash drive containing data from over 280,000 Medicaid recipients was misplaced. mark for My Articles similar articles
Managed Care
January 2007
Headlines on Deadline ... State budgets got an unexpected gift last year... Mortality rates for hospitals ranked high... It looks likely that Massachusetts Gov. Mitt Romney will run for president... etc. mark for My Articles similar articles
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. mark for My Articles similar articles
Financial Advisor
October 2010
Gail Lieberman
Immediate Gratification Immediate annuities can help clients get government benefits they might otherwise price out of. mark for My Articles similar articles
Managed Care
February 2002
Hospital costs lead way in health care expenditures The share of the gross domestic product attributed to health care increased slightly more than overall GDP growth from 1999 to 2000 -- the first time that's happened in nine years... mark for My Articles similar articles
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. mark for My Articles similar articles
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... mark for My Articles similar articles
T.H.E. Journal
August 2002
Mary Black
Online System Simplifies Early Childhood Assessment for Florida School District Schools in Florida's Broward County recently found a solution to meet reporting requirements by encouraging the use of an online assessment system instead of an offline early childhood assessment tool. mark for My Articles similar articles
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. mark for My Articles similar articles
Managed Care
March 2006
Health Costs Expected To Hit $4 Trillion in 2015 The amount the U.S. spends on health care will reach $4 trillion, or about 20 percent of gross domestic product in 2015, according to a report by the National Health Statistics Group, a division of the Centers for Medicare & Medicaid Services. mark for My Articles similar articles
Salon.com
November 25, 2000
Harris certifies election results Florida's secretary of state officially certifies results that show Bush the winner of the election in the Sunshine State... mark for My Articles similar articles
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. mark for My Articles similar articles
The Motley Fool
November 30, 2010
Jim Roya
Here's Why I Haven't Purchased This Stock Today, I picked up shares of Sabra Health Care REIT. It's a growing small cap focused on leasing health-care facilities but now leases exclusively to former parent Sun Healthcare. mark for My Articles similar articles