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Medicaid coverage for substance abuse treatment improved substantially since 2014: study

Fierce Healthcare

Access to care for Medicaid fee-for-service beneficiaries with substance use disorder has improved from 2014 until 2021, but much more can be done to improve it further, researchers say. Nonetheless, there’s room for yet more improvement.

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Medical Debt in the U.S. Greater in States That Did Not Expand Medicaid

Health Populi

Furthermore, the flow of medical debt was greater among health citizens living in states that did not expand Medicaid as part of the Affordable Care Act, compared with patients who reside in Medicaid expansion states, according to an original research essay, Medical Debt in the US, 2009-2020 published in JAMA on 20 July 2021.

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Physician Indicted for Medicaid Fraud and Invasive and Medically Unnecessary Testing

Med-Net Compliance

New York Attorney General Letitia James announced the indictment of a physician and his company for defrauding Medicaid by forcing patients to get unnecessary and invasive medical tests. He then directed his staff to submit claims for payment to Medicaid for those medically unnecessary tests. ?.

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Monthly Round-Up of What to Read on Pharma Law and Policy

Bill of Health

Market dynamics of authorized generics in Medicaid from 2014 to 2020. Insulin products and patents in the USA in 2004, 2014, and 2020: a cross-sectional study. Assessment of FDA-Approved Drugs Not Recommended for Use or Reimbursement in Other Countries, 2017-2020. JAMA Intern Med. 2023 Feb 13:e226787. Epub ahead of print.

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Bonus Features – February 26, 2023 – Accenture says more adequate Medicaid networks could save $912 million annually, InterSystems named data partner of NCQA, and more

Healthcare IT Today

million at-risk patients access preventative services – and stronger standards for Medicaid network adequacy – which could give nearly 300,000 additional Black children access to specialty hospitals and drive $912 million annual Medicaid savings due to reduced avoidable admissions. billion total transactions since 2014.

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Dental Fraud Schemes Uncovered

Compliancy Group

We also covered two Medicaid fraud schemes , one resulting in billions of dollars in billing for medical supplies that were never received. for Medicaid Fraud In March 2014, the Maryland Board of Dental Examiners received complaints against Seyed Hamid Tofigh, DDS, claiming the dentist posed a risk of harm, and suspended his license.

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Monthly Round-Up of What to Read on Pharma Law and Policy 

Bill of Health

Trends in Medicare Spending on Oral Drugs for Chronic Lymphocytic Leukemia From 2014 to 2020. Trends in Spending and Claims for P2Y12 Inhibitors by Medicare and Medicaid From 2015 to 2020. JAMA Netw Open. 2023 Apr 3;6(4):e238835. PMID: 37115553). Cliff ERS, Kesselheim AS, Rome BN, Feldman WB. JAMA Netw Open. 2023 Apr 3;6(4):e237467.