Indiana case at U.S. Supreme Court could affect millions of Americans
Advocates for the elderly, poor and people with disabilities say the legal challenge could severely threaten federal benefit programs, like Medicaid.
Medicaid
Articles
Jury orders Lilly to pay $61M in whistleblower Medicaid fraud case
The cost to Indianapolis-based Eli Lilly and Co. would reach more than $183 million because cases brought under the False Claims Act triple the final judgment. Lilly said it plans to appeal and is confident that it will prevail.
Hospitals face big fines for frequent readmissions
For the 10th straight year, the Centers for Medicare & Medicaid Services is using the pressure of lower reimbursements to get hospitals to improve their numbers and cut down on the revolving door of readmissions.
Federal agency blocks Indiana’s Medicaid work requirements
Indiana’s plan aimed to require those who don’t qualify for exemptions to report 20 hours a month of work or related activity, or face coverage loss.
Medicaid enrollment swells during pandemic, reaching new high
From February 2020 through January, Medicaid enrollment climbed nationwide by 9.7 million, according to a report based on the most recent available data.
Study: Walmart, McDonald’s have most workers on food stamps, Medicaid
A sizable number of the recipients of federal aid programs such as Medicaid and food stamps are employed by some of the biggest and more profitable companies in the United States.
Dem report says Medicare chief Verma used fed money to bolster image
A Health and Human Services Department official called the report on Seema Verma a “political smear” by “far left politicians.” Before she headed to Washington, Verma was a consultant to former Gov. Mike Pence and designed the Healthy Indiana Plan.
Indiana spent more than $1 million on dead Medicaid patients, feds say
Indiana’s Medicaid director said the state will recover the payments and return the federal share of more than $800,000. The feds say the problem occurred because Indiana did not enter dead beneficiaries’ information in a federal data bank.
Trump’s $4.8 trillion budget proposal revisits rejected cuts
The president unveiled an election year budget plan on Monday that recycles previously rejected cuts to domestic programs like food stamps and Medicaid to promise a balanced budget in 15 years—while leaving Social Security and Medicare benefits untouched.
Medicaid changes could have big state impact
The Trump administration has announced it would allow states to add eligibility requirements, benefit changes and drug-coverage limits, which could limit what the government will spend for certain enrollees.
Indiana suspends work requirement for Medicaid until lawsuit is resolved
Starting in July, Indiana began requiring people to work, volunteer or participate in other qualifying activities as a condition for receiving medical benefits under the Healthy Indiana Plan, the state’s biggest Medicaid program.
Trump, Pelosi still working on drug-pricing deal despite impeachment drama
President Donald Trump and House Speaker Nancy Pelosi could hardly be more at odds—but behind the scenes, they’re still grasping at a bipartisan deal to lower the cost of prescription drugs.
Indiana creates Medicaid work rules for low-income Hoosiers
Indiana has become the latest state to implement work requirements for low-income residents who receive their health insurance through Medicaid— a change that opponents warn will cost some under-resourced Hoosiers their health coverage.
State wants to offer $1,000 ‘bridge’ for low-income Hoosiers leaving Medicaid
The Indiana Family & Social Services Administration says the plan is designed to help bridge the transition from the Healthy Indiana Plan to private health insurance, and help pay for premiums, deductibles, co-pays and other costs.
Medicare chief Verma uses forecast as warning for expand-it-to-all plans
The Trump administration’s top Medicare official used an annual report on the program’s fiscal outlook to attack proposals by some Democrats to expand government health-care coverage to all Americans.
Ruling creates uncertainty for states’ Medicaid work rules
Arkansas Gov. Asa Hutchinson urged the federal government to appeal a ruling against his state’s requirement that certain people covered by its Medicaid expansion work or lose their coverage. States with similar rules, like Indiana, are closely watching the case.
Hospitals get socked for safety concerns
In Indiana, the Centers for Medicare & Medicaid Services is docking 22 hospitals for high rates of infection and patient injuries.
Hospitals hit with fines over patient readmissions
Indiana hospitals are racking up millions of dollars in penalties for having too many patients return for care within a month of discharge.
Debate rages over Medicaid work rules as state rollout nears
An estimated 85,000 low-income Hoosiers who receive Medicaid benefits will soon need to find a job, volunteer, get job training, or go to school—or risk losing health care for a few months.
Dental care out of reach for many poor Indy residents
In Indianapolis’ 10 poorest census tracts, 60 percent of residents had not visited a dentist within 12 months, according to an IBJ analysis of CDC and Census Bureau research. But in the 10 tracts with the lowest poverty rates, just 25 percent hadn’t.