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Reform helps spur more Medicaid fraud busts

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There’s good and bad news for the health care reforms passed last year (and which Republicans hope to decimate this year). First the good: Thanks to the law, a record amount of money was recovered from fraudulent Medicare claims last year. The Department of Health and Human Services recovered a total of $4 billion last… Continue Reading Reform helps spur more Medicaid fraud busts

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Public split on cuts to Medicaid, health reform

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Americans don’t want Washington to cut Medicaid, according to a survey by the Kaiser Family Foundation and the Harvard School of Public Health. While most Americans want to cut the trillion-dollar deficit by cutting spending, they don’t want to cut funding for Medicare, Social Security or Medicaid – the most expensive entitlement programs. The fact… Continue Reading Public split on cuts to Medicaid, health reform

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Gov. John Hickenlooper’s new executive team includes the people who will be shaping Colorado’s health care policy for the next four years. Those people will be responsible, in part, for helping create the new health insurance exchanges required by federal law, as well as guiding the state’s efforts at implementing other parts of the health… Continue Reading Hickenlooper names team that will guide state’s care

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Colorado receives $210,000 from drug settlement

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Colorado will receive more than $210,000 as part of a settlement with Elan Corp. to resolve allegations the company improperly marketed its anti-epileptic drug Zonegran for off-label uses, said Attorney General John Suthers. Colorado’s share is part of a $101 million settlement that resolves allegations that Ireland-based Elan promoted the sale and use of the… Continue Reading Colorado receives $210,000 from drug settlement

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Fewer uninsured, but Medicaid rolls grow

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Fewer people were uninsured in 2009, according to information from the U.S. Census Bureau. But a close look at the numbers shows that’s because more people were enrolled in government health care programs. Colorado uninsured numbers decreased from 16.8 percent in 2007 to 15.6 percent in 2009 while government coverage increased from 21 percent in… Continue Reading Fewer uninsured, but Medicaid rolls grow

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Colo. delays Medicaid payments

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Payments to doctors and clinics taking care of the state’s neediest patients are being delayed. Physicians treating patients with the health-insurance plan for the poor will not receive normally scheduled payments on June 25 or July 2. Those providers say it’s a hardship for safety-net clinics in particular that rely on public funds. State officials… Continue Reading Colo. delays Medicaid payments

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Colorado state budget might face more cuts

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Colorado might face still more budget cuts if the federal government doesn’t come through with additional money for Medicaid. The state was so sure Congress would pass a six-month extension of Medicaid help to the states, the $211 million was included in the budget. But now, political fortunes have changed and congressional Democrats are hesitant… Continue Reading Colorado state budget might face more cuts

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Drug company pays state to settle lawsuit

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Alpharma will pay Colorado more than $79,000 as its part of a multi-state settlement against the pharmaceutical company for fraudulent Medicaid claims. The total settlement equals $19.2 million for states involved in the suit and the federal government. The allegations are that the company submitted false claims for the drug Kadian, a painkiller intended for… Continue Reading Drug company pays state to settle lawsuit

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Medicaid patients with disabilities also have other problems that lead to higher drug and medical costs. A Kaiser Permanente study, built on an earlier analysis of one year of national Medicaid diagnostic data, found that when prescription drugs were added to the study, more problems were associated with people with disabilities, making them both the highest-need and the highest… Continue Reading People with disabilities are the highest-cost Medicaid group

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Hospitals oppose deal to cut $155 billion

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At least one local hospital executive says the nation’s hospitals cannot afford a $155-billion-cut to Medicare and Medicaid.
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