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IL practice settles antitrust suit over Medicaid refusals

A large Illinois medical practice has finalized an antitrust suit filed by the state's Attorney General that accused it of denying primary care to Medicaid patients. A judge has released Carle from... Read more...

Study: Gaps in Medicaid coverage make hospitalization 3.6 times more likely

Apparently, not having continuous Medicaid coverage can land you in the hospital, according to a new study. The study, which looked at nearly five million Californians in a retrospective five-year... Read more...

Governors call for healthcare stimulus plan

Three governors have said that it's time for an economic stimulus plan for healthcare. The governors, including Jon Corzine (D-NJ) and Jim Douglas (R-VT), say that states need federal aid to keep... Read more...

Los Angeles hospital exec pleads guilty to defrauding Medicare, Medicaid

Former City of Angels hospital exec Rudra Sabaratnam has pleaded guilty to a scam to defraud Medicare and Medicaid. The scam involved Sabaratnam paying kickbacks for homeless people recruited as... Read more...

New CMS administrator be warned: Difficult challenges ahead

Several former agency administrators and HHS secretaries are warning the next CMS administrator in advance: Whoever it is that next takes the position will have a hard job from the very beginning.... Read more...

Cost-shifting increases family spending by almost $1,800 annually

Most of the time, you hear about how hospitals are struggling lately, many of them because they are getting more uninsured patients, which doesn't help them close the gap on the Medicare and Medicaid... Read more...

Blagojevich's alleged corruption related often to healthcare industry

By now you've probably heard that Governor Rod Blagojevich (D-IL) was arrested yesterday on a wide variety of charges related to corruption in office. What you may not know is that much of the fraud... Read more...

IL medical practice reaches antitrust settlement with state

Illinois medical group Carle Clinic Association has cut a deal to settle an antitrust lawsuit alleging that it had conspired with the area's other dominant practice to avoid Medicaid business. In the... Read more...

State governors ask Obama for Medicaid help

With unemployment increasing, state budgets are being hit with a double whammy: increasing costs for Medicaid but a decreasing tax base to pay for the benefits. So when President-elect Obama asked... Read more...

Study: Medicaid paid $198 million for unapproved drugs

By analyzing federal data, the Associated Press has discovered that in three years, Medicaid paid almost $198 million for prescription drugs that haven't been approved by the FDA. More than 100 drugs... Read more...