January 22, 2015 |
For two years, the Obama administration dramatically raised Medicaid reimbursements for primary-care physicians in the hope that they would see more poor patients. The idea was that states would jump in to continue at least part of the payments. Few did, and the experiment ended Dec. 31, before researchers could report evidence of an impact. Now they have. Significantly more appointments for eligible patients were available during the higher-pay period than before, according to a study published online Wednesday in the New England Journal of Medicine.
October 8, 2011 |
A former executive with a pharmaceutical distributors trade group alleges in a federal whistle-blower lawsuit that 13 drug companies manipulated price data to reduce the amounts they owed federal and state governments for the taxpayer-funded Medicaid program that serves the poor. The number of companies named as defendants has fluctuated. The original filing accused 30 companies. The fourth and most recent version of the complaint, unsealed this week in Philadelphia, accused 13 companies: Allergan, Amgen, AstraZeneca, Biogen, Bradley, Cephalon, Eisai, Genzyme, Mallinckrodt, NovoNordisk, Reliant, Sunovion, and Upsher-Smith.
April 8, 2013
What first-term governor would welcome a legacy of letting thousands of low-income adults and children slip through widening holes in his state's health-care safety net? Gov. Corbett may be coming around to the realization that his track record in this area isn't likely to win many points with Pennsylvania voters around reelection time next year. Because of Corbett's austere spending policies, 41,000 working-poor adults lost access to adultBasic, the low-cost state health plan, almost as soon as he took the oath of office in early 2011.
February 8, 2005 |
The first part of a financial double whammy for health-care providers in Pennsylvania and across the nation hit yesterday when President Bush released his 2006 budget proposal. The Bush administration proposes cutting Medicaid spending by tens of billions of dollars over the next decade. "It is fair to say that, at $60 billion, both the hospitals and nursing homes would be negatively impacted" if the Bush budget were enacted, said Tom Nickels, chief lobbyist of the American Hospital Association in Washington.
September 8, 2014 |
Now that the Obama administration has approved Gov. Corbett's private-market alternative to Medicaid expansion - putting Pennsylvania on track to become the 27th state to provide health insurance for low-income residents under the Affordable Care Act - the next issue is how to let people know. The national advocacy group Enroll America plans to ramp up Chase, its phone-call program that reminds people about enrolling in health insurance. Enroll America found that people were 25 percent more likely to buy insurance on the Obamacare marketplace when they received three follow-up calls.
April 3, 2012 |
KHELI Muhammad was trying to schedule a routine pediatrician's appointment last summer when she discovered that her 2-year-old son, who has a congenital heart disorder, had been kicked off the Medicaid rolls. The 30-year-old mother of two boys was stunned. "It is written in stone that he's covered," Muhammad said of Samad, who qualifies for Medicaid based on his serious medical condition, not the family's income level. "He's pacemaker-dependent . . . [H]is heart will not beat without a pacemaker.
September 12, 2013 |
Gov. Corbett is considering an expansion of Medicaid to cover hundreds of thousands of uninsured residents if he can also win significant changes to the existing part of the entitlement program, which otherwise would continue in its current form. Linking the two issues - a Medicaid expansion envisioned by the Affordable Care Act and money-saving changes in a program that he considers unsustainable - could achieve goals sought by liberals and conservatives. But it will require a delicate balancing act with both parties in Harrisburg as well as the Obama administration.
May 24, 2011 |
Gov. Christie plans to seek approval for a proposal that would deny Medicaid coverage to adults in a family of four with an annual household income of little more than $6,000, down from the current $30,000. A single mother raising three children who earned as little as $118 a week would not qualify for the government-funded medical coverage. The eligibility-requirement change, which must be cleared by the Obama administration and would apply only to new adult Medicaid applicants, would follow Christie's eliminating - for the second year - a long-standing line item that would provide nearly $7.5 million in funding to family-planning clinics.
August 21, 1991
There's always something pushing reform of the American health-care system to the bottom of the agenda. This week, out of the blue, it was a Soviet coup. That's not exactly how the National Governors' Association had planned it. In an August that was shaping up dull and slow, they'd counted on this week's Seattle conference to rekindle interest in a matter that the states want dealt with in the worst way: Health costs are eating state budgets up as they rise 25 percent annually. The governors didn't get their wish, obviously.
April 17, 2009 |
Elderly residents who spent the last of their life savings to be cared for at some assisted-living facilities in South Jersey were improperly discharged when they qualified for Medicaid, an 18-month investigation by a state watchdog has found. Assisted Living Concepts, a Wisconsin company that operates the facilities, "broke its trust with dozens of elderly residents who believed they would be permitted to age in place once their private funds were exhausted," New Jersey Public Advocate Ronald K. Chen said.