Tag: Medicaid

Liberal Supreme Court Justices Show Weak Grasp of Basic COVID-19 Facts

Admin

The liberal justices on the Supreme Court demonstrated a stunningly weak grasp of basic facts concerning the COVID-19 pandemic Friday, as they defended the Biden regime’s policies during oral arguments over vaccine mandates in the workplace.

The court heard separate oral arguments over federal vaccine mandates for employers with more than 100 employees, and for health care workers at facilities receiving Medicaid and Medicare funding.

Justice Stephen Breyer at one point seemed to suggest outrageously that the OSHA mandate would prevent 100 percent of daily US COVID cases. It is common knowledge now that the vaccinated people can still spread the disease.

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Biden Administration Labels Georgia’s Medicaid Work Requirements ‘Harmful,’ Abolishes Them

Chris Butler

Centers for Medicare & Medicaid Services (CMS) officials this week described Georgia’s Medicaid work requirements as “harmful” and announced that Peach State officials may no longer impose them as a condition of Medicaid eligibility. CMS officials also announced that Georgia officials no longer have the authority to charge premiums beyond those allowed under the Medicaid statute in its Georgia “Pathways to Coverage” demonstration.

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Circuit Court Not Taking Up ‘Medically Fragile’ Children Ruling

Grant Holcomb

The 11th U.S. Circuit Court of Appeals decided on Wednesday to not hear a case relating to “medically fragile” children being placed in nursing homes. A three-panel judge in 2019 ruled in favor of a U.S. Department of Justice’s (DOJ) authority to pursue a lawsuit against the State of Florida.

The issue originally began after the DOJ found Florida was institutionalizing children with severe medical conditions in nursing homes in 2012 and that Florida’s Medicaid program put more children at risk of being put into a home.

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Shelbyville Doctor Who Allegedly Overcharged TennCare Blasts State’s ‘Intricate Reporting Requirements’

Chris Butler

TennCare reportedly overpaid nearly $300,000 of taxpayer money to a Shelbyville physician, according to a report that Tennessee Comptrollers released Thursday. The reported cited Joseph Howard Rupard for failing to accurately report TennCare visits and payments submitted to the state of Tennessee.

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Facing Labor Shortages, Several Large Hospital Systems Drop Vaccine Mandates

Admin

Several large U.S. hospital systems have dropped their COVID-19 vaccine requirements for employees in the wake of a U.S. district court’s temporary halt of the Biden regime’s vaccine mandate for healthcare workers.

After months of protests, the mandate forced thousands of hospital employees to either resign, or be terminated because of their refusal to get vaccinated.

Louisiana-based federal Judge Terry Doughty issued a preliminary injunction on November 30, blocking the federal government from mandating the experimental injections for workers at Medicare or Medicaid-funded healthcare facilities in 40 states.

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Florida Lawmakers Looking to Expand Health Insurance for Children

Grant Holcomb

Florida’s lawmakers are considering expanding state-funded health insurance for children. The idea has gained traction among Republicans and Democrats, and two competing proposals would increase the amount of money beneficiaries can make.

Currently, families making less than 200 percent of the federal poverty level are eligible for the state’s program, KidCare. However, the same families do not qualify for Medicaid.

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Lawsuits Challenging Biden’s Vaccine Mandates Mount, Likely Heading to U.S. Supreme Court

The Center Square

Multiple lawsuits have been filed against the Biden administration over three different vaccine mandates targeting private employees, federal employees and healthcare workers serving Medicare and Medicaid patients.

But lawsuits filed by 27 states over the private sector mandate is setting the stage for the U.S. Supreme Court to weigh in because they were filed directly in five federal courts of appeals.

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Minnesota Rep. Tom Emmer Introduces Bipartisan Legislation to Reduce Opioid-Related Deaths

Hayley Feland
Ann McLane Kuster and Tim Emmer

Minnesota Representative Tom Emmer (R-MN-06) introduced legislation to try and reduce opioid related deaths. Emmer, along with Representative Annie Kuster (R-NH-02), wrote the Inpatient Opioid Safety Act of 2021, which is “legislation to improve patient safety, simplify care, and reduce preventable opioid-induced injury and death under the Medicare and Medicaid programs.”

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Gov. Whitmer Asks Michigan Catastrophic Claims Association to Refund $5 Billion to Ratepayers

The Center Square

Gov. Gretchen Whitmer is calling for the Michigan Catastrophic Claims Association to refund $5 billion in surplus funds to Michigan automotive insurance customers.

“My office recently reviewed the Annual Report of the Michigan Catastrophic Claims Association (MCCA) to the Legislature issued in September 2021,” the governor wrote in a Nov. 1 letter addressed to R. Kevin Clinton, MCCA executive director. “The report stated that the MCCA had a surplus of $2.4 billion at the end of 2020. In your annual statement issued on June 30, 2021, the surplus is now $5 billion. I am calling on you today to refund money to Michiganders.”

The governor attributes the surplus to the bipartisan Senate Bill 1 insurance reform bill she signed in May 2019. Provisions of the bill include:

Guaranteeing lower rates for drivers for eight years;    
Giving people the choice to pick their own Personal Injury Protection (PIP) options with coinciding PIP rate reductions, offering unlimited coverage (at least 10% PIP reduction), $500,000 coverage (at least 20% PIP reduction), $250K coverage (at least 35% PIP reduction), $50,000 coverage for Medicaid eligible recipients (at least 45% PIP reduction), or a complete opt out for seniors or anyone with sufficient private insurance (100% PIP reduction).  
Increasing consumer protections by banning companies from using the following non-driving factors to set rates: ZIP code, credit score, gender, marital status, occupation, educational attainment, and homeownership.  
Setting fee schedules for hospitals and providers to prevent overcharging for auto-related injuries.   

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Florida Will Lose Millions over 2020 Census Undercount

Grant Holcomb

As a result of an undercount in the 2020 census, Florida is projected to lose millions of dollars, and as much as $88 million in Medicaid payments alone. Florida is set to gain a seat in Congress as the population count indicates a substantial enough growth, but the undercounting will not affect congressional seats, just funding.

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Tennessee Clinic Overcharged TennCare Nearly $5 Million, New Audit Reveals

Chris Butler

A west Tennessee primary care clinic overcharged TennCare — and, by extension, taxpayers — more than $4.7 million, according to an audit that Tennessee Comptrollers published late last week.

Officials who oversaw that company, the Grove Primary Care Clinic, closed all three of their facilities in 2019. They did this one day after state auditors announced they would examine the company’s finances.

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Commentary: After Disastrous September and 2022 Midterms Looming, Biden May Have Lost His Mandate to Govern

Admin

Following a catastrophic U.S. military withdrawal from Afghanistan, the highest inflation since 2008,pushing unpopular COVID vaccine mandates, rationing COVID treatments to red states and finally, watching his domestic legislative agenda falter in Congress, President Joe Biden is already upside down on his job approval ratings, according to the latest average of polls compiled by RealClearPolitics.com.

Reuters/Ipsos on Sept. 29-30 had Biden’s approval at 46 percent and disapproval at 50 percent.

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More Than 180 Minnesota Health Care Workers Sue over Vaccine Mandate

The Center Square

More than 180 Minnesota health care workers spanning statewide hospital systems filed a federal lawsuit over the COVID-19 vaccine mandate, seeking an injunction to block the upcoming rule.

The lawsuit follows weeks after President Joe Biden announced a vaccine mandate for employers with more than 100 employees and facilities that receive Medicaid or Medicare. Defendants named include St. Mary’s Duluth, University Of Minnesota Physicians; Mayo Clinic; North Memorial Health Care; Park Nicollet Methodist Hospital; St. Luke’s Hospital Of Duluth; and Minneapolis Radiation Oncology.

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Two Tennessee Women Convicted of TennCare Fraud Ordered by the Office of Inspector General to Repay State

Kaitlin Housler

According to the Tennessee Department of Finance & Administration, two convicted Tennessee women have been ordered by the Office of Inspector General (OIG) to repay the State of Tennessee on charges involving TennCare fraud.

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Commentary: House Abortion Bill Would Repeal Existing Laws, Prohibit Future Pro-Life Laws

Admin

In response to pro-life policy victories like the Texas Heartbeat Act and an upcoming Supreme Court case asking the justices to provide a constitutional course correction to America’s arbitrary and unworkable abortion jurisprudence, pro-abortion legislators in Congress are advancing a deceptively named piece of legislation called the Women’s Health Protection Act. The radical, far-reaching proposal would entrench unfettered access to abortion in federal law.

House Speaker Nancy Pelosi and her congressional allies—as well as the media —have characterized the Women’s Health Protection Act as simply “codifying Roe v. Wade.”

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Georgia Psychologist Indicted for Medicaid Fraud

The Center Square
Doctor with arms folded, holding stethescope

A Georgia man is facing a fraud charge after law enforcement officials said he stole more than $99,000 from the state’s Medicaid program.

The Georgia attorney general’s office said Gainesville psychologist Dr. Guy Jordan filed claims for therapy sessions that never happened. Jordan was indicted on Medicaid fraud and false statements charges by a Hall County Grand Jury.

“We will not stop protecting taxpayer dollars, and we thank the Hall County Grand Jury for their work on this case,” Attorney General Chris Carr said in a statement. “We hope this indictment sends a clear message that tax dollars will not be abused.”

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President Biden Announces Vaccine Requirement for Nursing Home Employees

Casey Owens

The Biden Administration announced Wednesday its plan to require nursing home employees across the country to receive the vaccination for COVID-19 in order to receive federal Medicaid and Medicare funding.

Given the fact that Florida is a common retirement destination for people across the country, it is responsible for almost 700 nursing homes out of more than 15,000 nursing homes in the U.S. that will be affected by the mandate.

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Florida Medicaid Enrollment Tops 4.8 Million, Surpassing Forecasted Growth

The Center Square
Florida State Capitol

Florida’s Medicaid enrollment increased by 1% in June with 48,468 low-income residents qualifying for subsidized health care, according to the state’s Agency for Health Care Administration (AHCA).

As of June 30, there were 4,846,412 low-income, elderly and disabled Floridians enrolled in Medicaid, an increase of more than 730,000 since June 2020, AHCA documents in its June enrollment report.

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SCOTUS to Take Up Florida Medicaid Case

Grant Holcomb
United States Supreme Court

The Supreme Court of the United States has announced they will be taking up a legal battle over a decade in the making regarding how much money a state can recoup after a legal settlement.
The issue revolves around Gianinna Gallardo, who was struck by a bus in 2008 and suffered drastic injuries. Gallardo’s parents reached an $800,000 legal settlement, and the accident left Gallardo in a vegetative state.

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DeSantis Seeks Approval of Importation of Canadian Prescription Drugs

Peter D'Abrosca

Gov. Ron DeSantis (R) is asking the Biden administration to approve a plan that would allow for the importation of FDA-approved Canadian drugs to the Sunshine State, which would lower costs, according to the governor. 

“Today, Governor Ron DeSantis called on the Biden Administration and leadership at the U.S. Department of Health and Human Services (HHS) to approve Florida’s Section 804 Importation Proposal (SIP) for Florida’s Canadian Prescription Drug Importation Program,” a Friday press release said

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Commentary: Don’t Expect Any State Flexibility Under Obama 2.0

RealClearWire

The “circle back” meme in the Biden White House isn’t limited to Jen Psaki’s avoidance of tough questions at press briefings. The Biden administration demonstrated that it also intends to circle back to the way things were under the Obama years when it comes to managing Medicaid. Rather than taking a cooperative approach to the state and federal partnership, Obama 2.0 is committed to running the program by decree and eliminating flexibilities that improve the program. Unfortunately, states hoping for true flexibility will be disappointed, as Medicaid flexibility has departed for Mar-a-Lago.

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Lieutenant Governor Entertains Possibility of Expanding Medicaid

Corinne Murdock

Lieutenant Governor Randy McNally (R-Oak Ridge) appears to have a change of heart on the possibility of expanding Medicaid in Tennessee. According to reports, the White House’s latest plan to expand subsidized coverage caught McNally’s fancy.

Via the American Rescue Plan, President Joe Biden promised that if states expanded their Medicaid programs they’d receive more federal dollars to cover the program. McNally’s spokespersons have indicated that he is open to this option.

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Feds Threaten to Remove Work Requirement from Georgia’s Partial Medicaid Expansion

The Center Square

The federal Centers for Medicare & Medicaid Services (CMS) could decide in a matter of weeks whether it will remove the work or activity requirement in Georgia’s partial Medicaid expansion plan.

The CMS said the plan, which was approved by former President Donald Trump’s administration in October, does not “promote the objectives of the Medicaid program” and would be impossible to accomplish because of the COVID-19 pandemic.

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Tennessee Legislature Approves Modified Block Grant for State’s Medicaid Program

Corinne Murdock

Tennessee’s General Assembly approved the Medicaid waiver, granting the state to apply federal healthcare funding to an aggregate gap model of spending. The legislature filed the bill when it first convened on Tuesday. Just three days after the bill’s introduction, legislators took their final votes on Thursday and Friday. The six subcommittees who reviewed the waiver all recommended its passage over the course of a few days.

The waiver allows the state to establish a self-imposed, fixed budget to last over a ten-year period, known as TennCareIII. It also allows the state to reserve a portion of the unused funds and apply them to other government programs, with potential for those savings to be matched with additional federal funds for healthcare programs.

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Representative Cooper Submits Letter to Biden Requesting Revocation of Modified Medicaid Block Grant

Corinne Murdock

Representative Jim Cooper (D-TN-05) submitted a letter to President-elect Joe Biden requesting the revocation of the recently-approved TennCareIII. In his concluding remarks, Cooper claimed that the agreement was unethical and accompanied by potentially criminal affairs.

“There is still information surfacing about this unprecedented waiver, including secret side agreements that are unprecedented and probably illegal,” wrote Cooper. “As we learn more, enabling us to further evaluate our state’s cruelty to its deserving poor and its vulnerable hospitals, I will be back in touch with you.”

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Federal Government Approves Tennessee’s Medicaid Proposal, Swapping a Block Grant for an Aggregate Cap

Corinne Murdock

The federal government approved Tennessee’s proposed Medicaid aggregate cap, granting a lump sum for a self-imposed, fixed budget. The ten-year agreement, referred to as “TennCare III,” is the first of its kind nationwide. It also allows for the state to reserve any unused funds and apply them to other government programs, with up to 55 percent of those savings potentially matched by additional federal funds for state health programs.

The Centers for Medicare and Medicaid Services (CMS) described the measure as an “innovative financing approach.” Unlike what various reports claimed, federal officials explicitly stated that this agreement wasn’t a block grant. This agreement allows the state government to be flexible with its spending cap under certain circumstances – like last year’s pandemic and related unemployment crisis. 

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Trump Administration to Announce Medicare, Medicaid Will Cover Eventual COVID-19 Vaccine According to Report

Admin

The Trump administration is expected to announce that the eventual coronavirus vaccine will be covered by Medicare and Medicaid, Politico reported late Monday.

The administration is expected to change a rule that previously prevented Medicare and Medicaid from covering vaccines that received emergency use authorization from the FDA. The official announcement is expected from the Center for Medicare and Medicaid Services (CMS) Tuesday or Wednesday, according to Politico.

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Congressional Debate: Candidates Scott Taylor and Incumbent Elaine Luria Spar Over Stimulus Packages and Gun Control

Corinne Murdock

Republican challenger Scott Taylor and incumbent Representative Elaine Luria (D-Virginia Beach) faced off Tuesday night in their first televised debate. The 2nd Congressional District race is currently a toss-up.
Political reporter Joe St. George served as the moderator. Questions featured were presented in three segments: from the moderator first, then viewers, and lastly from Taylor and Luria.

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Obamacare Loophole Allows Medicaid Fraud, Costs Taxpayers, Report Says

Admin

The Affordable Care Act mandated that states accept a hospitals’ decision on the eligibility of all able-bodied adults who verbally report their income to be below the Medicaid level, which has led to many fraudulent eligibility claims, according to a report published Monday.

The Foundation for Government Accountability (FGA) report examined recently released data from state Medicaid agencies. It specifically looked at the government Medicaid funds that were wasted through false hospitals’ presumptive eligibility (HPE) determinations.

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Commentary: Lowering the Cost of Prescription Medicines for Seniors Is Not Impossible

Admin

Earlier this year James Payne, a 73-year-old retired attorney in Utah, was so fed up with the high cost of a blood thinner medication he takes, he researched prices in Canada, where he found it was cheaper.

“Under Medicare, I am now paying $225 for a three-month supply,” Payne explained. “That’s $25 more than I was paying last year. Under my employer’s insurance I was only paying $20.” Payne says he is not sure why the costs are so much higher and continue to climb under Medicare, but he thinks there must be ways to make life-saving medications more affordable.

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FACT CHECK: Ohio GOP Chairwoman Timken Spreads Falsehoods on Refugees in Letter to Party Members

Jason M. Reynolds

Ohio Republican Party Chairwoman Jane Timken wrote an error-riddled apologetics letter sent by email on Thursday to party members defending Gov. Mike DeWine’s refugee resettlement policy.

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House TennCare Subcommittee Holds Summer Study on Controversial Medicaid Block Grant Proposal

Laura Baigert

The House TennCare Subcommittee took on the controversial topic of the block grant proposal, hearing from key stakeholders in a two-hour summer study conducted last Thursday.

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Tennessee Leads the Way by Being the First State to Propose Receiving Federal Medicaid Funding Through a Block Grant

Laura Baigert

Tennessee became the first state in the nation Tuesday to propose that $7.9 billion in federal funding for the state’s Medicaid program, known as TennCare, would be provided through a block grant.

The release of the 34-page proposal, TennCare II Demonstration Amendment 42, begins a 30-day public comment period, which will end on October 18, 2019.

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Tennessee’s Legal Counsel Asks Entire Sixth Circuit Court of Appeals to Reconsider Dismissal of Challenge to Refugee Resettlement Program

Jason M. Reynolds

The Thomas More Law Center (TMLC) and Bursch Law PLLC filed a petition for rehearing by the entire Sixth Circuit Court of Appeals bench of a two-judge panel opinion dismissing Tennessee’s challenge to the constitutionality of the federal refugee resettlement program for lack of standing.

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Audit: Tennessee Taxpayers Lose Huge Sum After Nursing Home Inflates Expenses

Chris Butler

  Tennessee taxpayers lost more than $3 million after a corporate-run nursing facility billed the state that much money for expenses not covered under Medicaid. This, according to a new audit Tennessee Comptrollers released this week. That corporation, AltaCare, is based out of Alpharetta, Georgia, according to Comptrollers. “The audit…

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