Archive for the 'Medicare / Medicaid / SCHIP' Category


Aetna Launches Program To Improve Asthma Outcomes Of African American And Hispanic Medicaid Members In Delaware

Aetna (NYSE: AET) announced a pilot program for its Medicaid members in Delaware. This program aims to improve health outcomes of Hispanic and African American patients who struggle with asthma. The pilot is a year-long initiative that adds new health care interventions to better control asthma and help reduce the need for emergency room visits…


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Research Roundup: Expanding Medicaid; More Spending Doesn’t Reduce Mortality; Colonoscopy Cost Effectiveness; Kids, Asthma And Access To Care

Health Affairs: Little Evidence Of Correlation Between Growth In Health Care Spending And Reduced Mortality -This study examines differences in hospital mortality and cost between 2000 and 2004 for patients at 122 U.S...
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New Medicare Rules On Home-Oxygen Affect Patients, Businesses

The Wall Street Journal: "New Medicare rules designed to reduce waste and fraud in medical-equipment reimbursements are driving some home-oxygen suppliers out of business and leaving patients scrambling to find new providers.
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Home Oxygen Leaders Applaud Introduction Of Medicare Home Oxygen Therapy Act In The U.S. House; Urge Congress To Include Legislation In Health Reform

The Council for Quality Respiratory Care (CQRC), a coalition of leading home oxygen therapy providers and manufacturers who provide care and services to chronically ill home oxygen patients, expressed strong support for the Medicare Home Oxygen Therapy Act of 2009 (H.R. 3220), legislation that offers a thoughtful, comprehensive approach to reforming the Medicare home oxygen benefit and protects the care needs of the nation's home oxygen beneficiaries.
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New Medicare Rules On Oxygen Suppliers Worry Patients

Complex new Medicare rules that seek to cut costs of home-oxygen therapy are confusing the more than one million people who rely on the federal insurer to pay for the coverage. The
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BlueCross BlueShield Association Calls For Changes To Proposed Medicare Advantage Cuts, Rep Boehner Criticizes Proposed Limits On Home Oxygen Supplies

CQ HealthBeat recently published two articles about Medicare developments. Summaries appear below: Medicare Advantage: The BlueCross BlueShield Association on Monday said that MA plan beneficiaries could face significant premium increases next year if President Obama follows through with his proposed cuts to MA plans,
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House Republican Leader Boehner Says CMS Policies On Home Oxygen Therapy Will ‘Potentially Harm’ Care Available To Medicare Beneficiaries

In a letter to the Centers for Medicare and Medicaid Services (CMS), House Republican Leader John Boehner (R-OH) urged CMS to reconsider policies governing Medicare's payment of emergency services, supplies, and other obligations after 36 months of service. The Boehner letter comes on the heels of a letter signed by 123 members of the House expressing concern over the same policies. Citing lack of payments for maintenance and services post-36 months, Rep.
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Medicare Beneficiaries Worried New CMS Rule Will Eliminate Medicare Coverage For Oxygen Supplies

Many Medicare beneficiaries who use portable oxygen have expressed concerns that they will lose Medicare coverage of their oxygen supplies when a new CMS rule change takes effect on Jan. 1, 2009, Scripps Howard/Detroit News reports (Rauda, Scripps Howard/Detroit News, 12/19).
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Link Between Interruptions In Medicaid Coverage And Increased Hospitalization

Interruptions in Medicaid coverage are associated with a higher rate of hospitalization for conditions that can often be treated in an ambulatory care setting, including asthma, diabetes, and hypertension, according to a new study in today's issue of the Annals of Internal Medicine.
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