medicaid
RSS medicaidMedicaid's Reimbursements to Pharmacies for Prescription Drugs
White Paper Between fiscal years 1997 and 2002, Medicaid's expenditures on prescription drugs in the fee-for-service part of the program increased from $10.2 billion to $23.4 billion. This paper examines recent trends in that "markup" - or the difference... [05 Jul 2005]
NASBO Analysis: Medicaid to Stress State Budgets Severely Into Fiscal 2003
White Paper Even as states struggle to close budget gaps and confront revenues growth that will lag a national economic recovery, Medicaid costs continue to grow at a remarkable rate. Based on NASBO's just completed preliminary review of fiscal 2001 and 2002... [07 Jul 2005]
HP Case Study: Medicaid Fraud Control Unit
White Paper With billions of dollars spent yearly on Medicaid and a sea of paper accompanying each case, detecting and investigating fraudulent providers was a lengthy and complex task. With the HP and Oracle data warehousing solution the Medicaid Fraud... [12 Jan 2005]
Medicaid Financial Management: Better Oversight of State Claims for Federal Reimbursement Needed
White Paper While CMS is taking steps to improve its financial oversight of the Medicaid program, the increasing size and complexity of the program, coupled with diminishing oversight resources, requires a new approach to address these challenges. [25 May 2005]
Medicaid Budget Proposals Would Shift Costs to States and Be Likely to Cause Reductions in Health Coverage: Administration's Proposal Also Implies Cap on Federal Funding
White Paper The President's budget for fiscal year 2006 includes major proposals relating to Medicaid, the health care and long-term care program for low-income Americans that is jointly funded by the federal government and the states. [20 May 2005]
Medicaid Financial Management: Better Oversight of State Claims for Federal Reimbursement Needed
While CMS is taking steps to improve its financial oversight of the Medicaid program, the increasing size and complexity of the program, coupled with diminishing oversight resources, requires a new approach to address these challenges. [25 May 2005]
Future Medicaid Growth Is Not Due to Flaws in the Program's Design, But to Demographic Trends and General Increases in Health Care Costs
White Paper New Health and Human Services Secretary Mike Leavitt has begun discussing plans for $60 billion in Medicaid cuts over the next ten years as part of the Administration's federal budget proposal for fiscal year 2006. [20 May 2005]
Health Centers and Rural Clinics: State and Federal Implementation Issues for Medicaid's New Payment System
White Paper The Medicare, Medicaid, and SCHIP Benefits Improvement and Protection Act of 2000 (BIPA) established a prospective payment system (PPS) for Medicaid payments to Federally Qualified Health Centers (FQHC) and Rural Health Clinics (RHC), giving... [07 Jul 2005]
Standardized Component-Based Medicaid Management Information System
White Paper Section 1171(5)(E) of the Social Security Act, as enacted by HIPAA, identifies the State Medicaid programs as health plans, which therefore must be capable of receiving, processing, and sending standard transactions electronically. [03 Jul 2008]
The Senate's Cuts in Medicaid and SCHIP Substantially Exceed Those the Administration Proposed
White Paper The Senate's proposed cut in federal funding for Medicaid and SCHIP is substantially larger than the savings that would be achieved by enacting all of the Administration's Medicaid and SCHIP proposals, according to Congressional Budget Office... [20 May 2005]
States Respond to Fiscal Stress: Implications for Elderly Women on Medicaid
White Paper Women make up the vast majority of elderly Medicaid beneficiaries because they are more likely to be poorer and sicker, and, thus, to meet Medicaid's eligibility criteria. More than 70 percent of elderly Medicaid beneficiaries are women. [07 Jul 2005]
The Effects of Copayments on the Use of Medical Services and Prescription Drugs in Utah's Medicaid Program
White Paper This paper presents findings from an analysis of data about changes in the use of medical services and prescription drugs that occurred after "nominal" copayments were instituted in Utah's Medicaid program in the 2001-2002 period, based on data... [20 May 2005]
The House Budget Committee's Proposed Medicaid and SCHIP Cuts Are Larger Than Those the Administration Proposed
White Paper The House Energy and Commerce Committee has jurisdiction over some mandatory programs, including Medicaid, SCHIP, part of Medicare, and a number of smaller programs. The House Committee budget plan would require the House Energy and Commerce... [20 May 2005]
Qualcomm Case Study: Florida Medicaid Pharmacy Services
White Paper The Florida Agency for Health Care Administration, Florida Medicaid Pharmacy Services, serves 1.6 million patients statewide, supporting 36 million transactions per year. Florida Medicaid Pharmacy Services wanted to streamline the prescription... [21 Jul 2005]
The Potential Impact of Eliminating TennCare and Reverting to Medicaid: A Preliminary Analysis
White Paper This paper analyzes the potential effect of the proposed coverage elimination on Tennessee's budget, the state economy, and health care providers in the state. Providers would incur increased costs for uncompensated care if coverage is terminated... [20 May 2005]
