$12 Million of Illinois Medicaid Dollars Paid for Services Rendered to the...
Who would want state Medicaid dollars paying for services that are not medically necessary? What about services getting paid out for services rendered to dead people? I mean, I am no doctor, but I...
View ArticlePersonal Care Services: Will the Fear of the “F” Word (Medicaid Fraud) Cause...
In my career, I call it the “F” word: Fraud. Its existence and fear of existence drives Medicare and Medicaid policies. It is without question that Medicare and Medicaid fraud needs to be eliminated....
View ArticleThe Future of Medicaid, a POPPED Balloon, and Proposals
There are more people on Medicaid than Medicare. Think about that. There are more people in America who qualify for Medicaid than Medicare. Yet, as a nation, we spend more on Medicare than Medicaid....
View ArticleAs NC Morphs to ACOs, the Brains (The Mental Side of Medicaid) Remain With...
ACOs could be the answer to Medicaid budget problems. At least for physical services for the neck down. The brain, for now, will continue with the MCOs. I understand that Medicaid services for physical...
View ArticleMedicaid, Medicare, Nursing Facilities, and Death and Taxes: Our Uncertain...
There are few “knowns” in life. In 1789, Benjamin franklin penned a correspondence to Jean-Baptiste Leroy, in which he wrote, “Our new Constitution is now established, and has an appearance that...
View ArticleGeneral Assembly in Full Swing: What Medicaid Bills Are On the Agenda??
It’s that time of year again. The legislators are back in town. Moral Mondays resume. And all eyes are on the General Assembly. But, this is the short session, and the General Statutes limit the powers...
View ArticleKnicole Emanuel to Appear on UNC-TV Tonight! Tune In at 7:30pm!
Heather Burgiss, a UNC-TV journalist, created a 3-part television series called, “Mental Health Services in NC.” Part 1 will air tonight on UNC-TC at 7:30, and I will be discussing the important topic...
View ArticleMedicaid Expansion, Polarization, and Diving Head-First Into the Unknown
I have always believed in the concept to think first, act second. I rarely react; I try to act. In politics, generally, this mantra is not followed. If a public poll states that the public is in favor...
View ArticleMass Medicare and Medicaid Payment Suspensions Increase Based on “Credible...
One way in which President Obama pushed the Affordable Care Act (ACA) through Congress was the promise that the ACA would, basically, fund itself by the increase in recoupments from providers for...
View ArticleThe Great and Powerful Affordable Care Act: Are High, Inflated Premiums...
A lawsuit that could come out as early as tomorrow could be catastrophic for the Affordable Care Act (ACA) in as many as 36 states and impact approximately 5.4 million Americans. In so many ways, in...
View ArticleHaven’t Fixed Medicaid Yet…But I Haven’t Gotten Bucked Off Yet
There are a number of federal regulations that, if I were in charge, would be immediately amended. Obviously, I am not in charge, so despite my best blogging efforts, my blogs do not change federal...
View ArticleDHHS reviews options for Medicaid expansion
From the News & Observer: RALEIGH, N.C. — North Carolina’s health secretary said Wednesday her agency is collecting information for Gov. Pat McCrory to offer him possible ways to expand Medicaid...
View ArticleWilliams Mullen Hosts “The State of the State of Health Care” Panel Discussion
Williams Mullen is hosting a free panel discussion on “The State of the State of Health Care.” Please see below! The panelists will be Rep. Nelson Dollar, Steven Keene, General Counsel to the NC...
View ArticleWilliams Mullen Hosts Its First Annual Healthcare Panel Discussion: Summary...
I am currently sitting in a hotel in New Mexico. I testified this morning before the New Mexico Behavioral Health Care Subcommittee regarding due process for health care providers upon “credible...
View ArticleKnicole Emanuel Speaks About CSC Fraud Investigation on ABC
I was interviewed by Heather Waliga, ABC News, last Friday about the U.S. Attorney’s lawsuit against Computer Sciences Corporation (CSC) accusing CSC of hundreds of millions of dollars of Medicaid...
View ArticleSource: [New Mexico] Human Services Secretary Squier Resigns!
“Gov. Susana Martinez’s controversial Human Services Department Secretary Sidonie Squier resigned on Thursday, sources inside the department confirmed,” according to the Santa Fe New Mexican. Patsy...
View ArticleSupreme Court Will Decide Whether Citizens in NC and 26 Other States Can...
With a decision that, I can only imagine, ricocheted against the White House walls, the Supreme Court granted certiorari to hear King v. Burwell this past Friday, November 7, 2014, despite Obama’s...
View ArticleObama’s Executive Order, Its Impact on Health Care Costs, and the...
Pres. Barack Obama will address the nation tonight at 8 pm (Thursday, November, 20, 2014). He is expected to discuss his executive order that will delay deportations of up to 5 million migrants. What...
View ArticleOIG Report: MCOs Cause Limited Access to Primary Care for Medicaid Enrollees!
With flu season well under way, access to care to primary care physicians for Medicaid recipients is (as it is always) extremely important. During flu season, in particular, emergency rooms (ERs) are...
View ArticleArgument analysis: Working out the broader implications of a Medicaid suit
This is a copy of an article written by William Baude on SCOTUSblog. In the article, William analyzes the oral arguments for Armstrong v. Exceptional Child Center, a very important Supreme Court case...
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