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*  U.S. GAO - Current Membership of the Patient-Centered Outcomes Research Institute (PCORI) Governing Board
She served on the governing committee of the Medicaid Evidence-based Decisions Project at the Center for Evidence-based Policy ...
  http://www.gao.gov/about/hcac/pcori_members.html
*  Medicare Prescription Drug Benefit Manual - PDF
APPENDIX B: VENDOR DRUG PROGRAM TEXAS MEDICAID PROVIDER PROCEDURES MANUAL: VOL. 1 AUGUST 2015 TEXAS MEDICAID PROVIDER ... NOTE: Methadone is a Part D drug when indicated for pain). State Medicaid Programs may continue to include the costs of ... Executive Office of Health and Human Services Office of Medicaid 600 Washington Street Boston, MA 02111 www.mass.gov/masshealth ... APPENDIX B: VENDOR DRUG PROGRAM TEXAS MEDICAID PROVIDER PROCEDURES MANUAL: VOL. 1 ...
  http://docplayer.net/704060-Medicare-prescription-drug-benefit-manual.html
*  Implementation Principles and Strategies for the State Children's Health Insurance Program | AMERICAN ACADEMY OF PEDIATRICS |...
State Medicaid agencies can provide grants to optimize physician use of Medicaid and SCHIP. States should provide education and ... Pediatrician participation in Medicaid and non-Medicaid SCHIP programs varies substantially among states. The reasons cited by ... Children who are eligible for SCHIP (Medicaid expansions and non-Medicaid state programs) are more likely to have parents who ... Sixteen states created a non-Medicaid SCHIP program only, and 17 created a state program in combination with a Medicaid ...
  http://pediatrics.aappublications.org/content/107/5/1214
*  Medicare Hospital Prospective Payment System How DRG Rates Are Calculated and Updated - PDF
MEDICAID DRGS GET READY, CUZ HERE THEY COME! MEDICAID DRGS GET READY, CUZ HERE THEY COME! TODAY S PROGRAM All about Medicaid ... 2009 Medicaid Transformation Program Review Out-of-State Services 2009 Medicaid Transformation Program Review Out-of-State ... Selection of a DRG Grouper for a Medicaid Population Selection of a DRG Grouper for a Medicaid Population Introduction The goal ... Florida Medicaid Inpatient Prospective Payment System Florida Medicaid Inpatient Prospective Payment System Justin Senior ...
  http://docplayer.net/12714973-Medicare-hospital-prospective-payment-system-how-drg-rates-are-calculated-and-updated.html
*  Centers for Medicare & Medicaid Services Releases 2016 Medicare Physician Fee Schedule: Impact on Radiation Oncology - The ASCO...
Centers for Medicare & Medicaid Services Releases 2016 Medicare Physician Fee Schedule: Impact on Radiation Oncology. By The ... Centers for Medicare & Medicaid Services Releases 2016 Medicare Physician Fee Schedule: Impact on Radiation Oncology ... The final 2016 Medicare Physician Fee Schedule released October 30, 2015, by the Centers for Medicare & Medicaid Services (CMS ...
  http://www.ascopost.com/issues/november-25-2015/centers-for-medicare-medicaid-services-releases-2016-medicare-physician-fee-schedule-impact-on-radiation-oncology/
*  Who Supports the Medicare Part B Drug Payment Model? | ManagedCareBiz
As the comment period closes on a Centers for Medicare & Medicaid Services (CMS) proposal to test new payment strategies for ...
  https://managedcarebiz.org/2016/05/03/who-supports-medicare-part-b-drug-payment-model/
*  U.S. GAO - Internal Revenue Service, Pension and Welfare Benefits Administration, and Health Care Financing Administration:...
Medicare and Medicaid: CMS Needs to Fully Align Its Antifraud Efforts with the Fraud Risk Framework. GAO-18-88: Published: Dec ... Medicaid: Further Action Needed to Expedite Use of National Data for Program Oversight. GAO-18-70: Published: Dec 8, 2017. ... Medicaid: CMS Should Take Additional Steps to Improve Assessments of Individuals' Needs for Home- and Community-Based Services ...
  https://www.gao.gov/products/OGC-97-39
*  Help protect yourself and Medicare from fraud and identity theft
Medicaid, Medicare, Medicare abuse, Medicare fraud, Medicare identity theft, Politics, Prescription drug, Senior Medicare ...
  https://knittingdoc.wordpress.com/2011/07/30/help-protect-yourself-and-medicare-from-fraud-and-identity-theft/
*  Sources of Health Insurance and Characteristics of the Uninsured: Analysis of the March 2000 Current Population Survey | EBRI
Some of the decline can be attributed to expansions in Medicaid and S-CHIP, but it appears that expansions in employment-based ... Twenty-five million Americans participated in the Medicaid program, and 6.5 million received their health insurance through the ... The percentage of nonelderly Americans covered by Medicaid and other government-sponsored health insurance coverage did not ...
  https://www.ebri.org/publications/ib/index.cfm?fa=ibDisp&content_id=143
*  42 CFR 422.608 - Medicare Appeals Council (Council) review. | US Law | LII / Legal Information Institute
DEPARTMENT OF HEALTH AND HUMAN SERVICES, Centers for Medicare & Medicaid Services. Final rule with comment period; correction. ... DEPARTMENT OF HEALTH AND HUMAN SERVICES, Office of the Secretary, Centers for Medicare & Medicaid Services, Administration for ... 1302 - Rules and regulations; impact analyses of Medicare and Medicaid rules and regulations on small rural hospitals ... 80 FR 9629 - Medicare and Medicaid Programs: Hospital Outpatient Prospective Payment and Ambulatory Surgical Center Payment ...
  https://www.law.cornell.edu/cfr/text/42/422.608
*  ObamaCare Spurs Medicaid Sign-Ups Across The Country
Since then, Medicaid sign-ups have continued at a brisk pace. California, which did expand its Medicaid program, said 140,000 ... New Medicaid enrollment totaled 396,261 from Oct. 1 to Nov. 2. Of that, 102,277, or 26%, came in states that chose not to ... Medicaid sign-ups in those 25 states topped the number of people selecting an ObamaCareplan in all 36 states using the federal ... Total new Medicaid enrollment has now topped 700,000, according to the latest available federal and state data. ...
  https://finance.yahoo.com/news/obamacare-spurs-medicaid-sign-ups-234300732.html
*  Report: Medicaid overspent buying brand-name drugs - SFGate
State rules requiring generics may be a way to reduce Medicaid's drug costs, said the report from the public policy group that ... The top-20 list of drugs Medicaid overspent on in 2009 includes five anticonvulsants, which are under Food and Drug ... Pharmacies may substitute drug copies for brand-name treatments for Medicaid patients without a doctor's directive in 49 states ... Medicaid, the joint federal-state health program for the poor, spent $329 million extra in 2009 to buy 20 brand-name drugs ...
  http://www.sfgate.com/news/article/Report-Medicaid-overspent-buying-brand-name-drugs-2377295.php
*  Wasserman Schultz decries Medicaid coverage gap - Sun Sentinel
A million Floridians will be left without health care coverage because of Florida's decision to put its Medicaid patients on ... Attempts to expand Medicaid under the new Affordable Care Act stalled in the Florida Legislature this spring, leaving a big gap ... A million Floridians will be left without health care coverage because of Florida's decision to put its Medicaid patients on ... She took encouragement by signs that federal officials from the Centers for Medicare and Medicaid Services will keep an eye on ...
  http://www.sun-sentinel.com/news/politics/florida-politics-blog/sfl-wasserman-schultz-decries-medicaid-coverage-gap-20130614-story.html
*  Enrolling More Kids in Medicaid and CHIP - RWJF
... despite being eligible for enrollment in Medicaid or the Children's Health Insurance Program. ... Enrolling More Kids in Medicaid and CHIP. * *January 27, 2011. * Publisher: Project HOPE: The People-to-People Health ... Both Medicaid and the Children's Health Insurance Program (CHIP) offer health insurance coverage to children in low- and ... Medicaid offers a comprehensive benefits package to the lowest income children, while CHIP covers children at moderate income ...
  https://www.rwjf.org/en/library/research/2011/01/enrolling-more-kids-in-medicaid-and-chip.html
*  Reforming the Medicaid Disproportionate-Share Hospital Program
Aaron McKethan, S. Lawrence Kocot and other experts discuss linking Medicaid DSH spending to state-level Medicaid enrollment or ... Congress is considering redirecting federal spending on the Medicaid disproportionate-share hospital (DSH) program to help pay ... In this paper, we propose linking federal Medicaid DSH funding to state-level Medicaid enrollment or uninsured populations, or ... Reforming the Medicaid Disproportionate-Share Hospital Program. S. Lawrence Kocot, Aaron McKethan, Nadia Nguyen, and Benjamin E ...
  https://www.brookings.edu/articles/reforming-the-medicaid-disproportionate-share-hospital-program/
*  Glitches delay Medicaid for 84,000 in Michigan
The issue also is expected to affect low-income adults who will start qualifying for Medicaid next month under the federal ... Department spokeswoman Angela Minicuci says the state is trying to contact people who may have applied for Medicaid online to ... The Detroit News reported Monday that Medicaid applications on the healthcare.gov website since Oct. 1 haven't been getting ...
  http://www.theoaklandpress.com/health/20140317/glitches-delay-medicaid-for-84000-in-michigan
*  AmeriHealth Caritas is leaving Iowa managed Medicaid market
... had the largest number of Medicaid enrollees in that state, with 213,000. - Harold Brubaker, Philadelphia Inquirer and Daily ... AmeriHealth Caritas is leaving Iowa managed Medicaid market Updated: November 1, 2017 - 10:25 AM EDT * ... AmeriHealth Caritas is leaving the Iowa managed Medicaid market because it was unable to negotiate rates with the state. ... had the largest number of Medicaid enrollees in that state, with 213,000, ahead of Amerigroup and UnitedHealthcare, according ...
  http://www.philly.com/philly/business/amerihealth-caritas-is-leaving-iowa-managed-medicaid-market-20171101.html
*  Medicaid saves lives -- is that enough?
Medicaid came through, and so did I. One year out of chemo and I'm alive. All I can say is "Thank You MEDICAID". I'm sure my ... Expanding Medicaid could save dozens of lives each year in many states, according to a definitive report that will serve as a ... I feel medicaid should cover dentures and implants so people wont have to live in the fear of dying or going completely ... I think medicaid should cover either dentures or dental implants. I would not be fearing for my life with severe dental ...
  http://blogs.denverpost.com/health/2012/07/27/medicaid-saves-lives-save-money/1405/
*  GOP Charging Hospitals With Medicaid Expansion's Future
... t expanded Medicaid -- most of which are controlled by Republicans -- many lawmakers will only agree to it if hospitals pay the ... GOP Charging Hospitals With Medicaid Expansion's Future In the 22 states that haven't expanded Medicaid -- most of which are ... GOP States Push Medicaid Expansion's Boundaries Despite Threats to Hospital Funding, Texas Governor Still Won't Expand Medicaid ... Kansas state Republican representatives Tom Sloan, left, and Larry Campbell listening to testimony on expanding Medicaid. (AP/ ...
  http://www.governing.com/topics/health-human-services/gov-hospitals-medicaid-expansion-pay.html
*  Will Corbett try Arkansas route and privatize Medicaid?
Mike Beebe, a Democrat, is trying a novel route on Medicaid expansion in the hopes of winning over the Affordable Care Act's ... Will Corbett try Arkansas route and privatize Medicaid? Updated: April 8, 2013 - 3:06 PM EDT * ... Mike Beebe, a Democrat, is trying a novel route on Medicaid expansion in the hopes of winning over the Affordable Care Act's ... He wants to offer coverage through private companies - in other words, privatize Medicaid. ...
  http://www.philly.com/philly/blogs/harrisburg_politics/Will-Corbett-try-Arkansas-route-and-privatize-Medicaid.html
*  Medicaid - Wikipedia
CMS, Medicaid and Medicare Summaries CMS, Medicaid General Information CMS. "A Profile of Medicaid: Chartbook 2000" (PDF). ... Reports regarding Medicaid "Medicaid Research" and "Medicaid Primer" from Georgetown University Center for Children and ... Medicaid is a program that is not solely funded at the federal level. States provide up to half of the funding for the Medicaid ... 9,032). Medicaid super-utilizers were more likely than other Medicaid patients to be male and to be aged 45-64 years. Common ...
  https://en.wikipedia.org/wiki/Medicaid
*  Medicaid waiver - Wikipedia
Medicaid Waiver programs help provide services to people who would otherwise be in an institution, nursing home, or hospital to ... Prior to 1991, the Federal Medicaid program paid for services only if a person lived in an institution. The approval of Federal ... "Waivers". Medicaid.gov. Centers for Medicare & Medicaid Services. Retrieved January 10, 2014. http://medicaidwaiver.org/. ... States can apply for program flexibility to test new or existing approaches to financing and delivering Medicaid and CHIP. ...
  https://en.wikipedia.org/wiki/Medicaid_waiver
*  Medicaid coverage gap - Wikipedia
In states that have not expanded Medicaid, eligibility requirements for Medicaid are limited to parents making 44% or less of ... In the United States, the Medicaid coverage gap refers to the group of uninsured people (in states that have opted out of the ... On November 1, 2015, an episode of Last Week Tonight with John Oliver dedicated its main segment to discussing the Medicaid ... "Status of State Action on the Medicaid Expansion Decision, as of July 7, 2016". Kaiser Family Foundation. August 3, 2016. Gunn ...
  https://en.wikipedia.org/wiki/Medicaid_coverage_gap
*  Florida Medicaid waiver - Wikipedia
The HCBS/DD medicaid waiver program helps cover the cost for things that regular medicaid does not pay for. The HCBS Waiver ... Florida has several Medicaid Waiver Programs. Medicaid Waiver Programs allow recipients to 'waive' institutionalization and ... Florida Medicaid is "The Payer of Last Resort". The rate for support coordination was reduced in 2011. The highest rate paid ... Prior to Medicaid Waiver Programs,{1991} many people who had disabilities were served in nursing homes or institutions. The ...
  https://en.wikipedia.org/wiki/Florida_Medicaid_waiver