Indiana underestimated Medicaid cost by nearly $1 billion, report says
The flawed forecast was based on data that did not reflect the latest needs of enrollees, state agencies said.
Medicaid
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Families say autism therapy helped their kids, but Indiana’s Medicaid cuts could put it out of reach
Providers of the therapy say the new rates are not enough to keep them running and are far below the previous statewide average of $97 per hour.
Statehouse committee provides updates on Medicaid program changes
An estimated 130,000 Hoosiers over the age of 60 using Medicaid will receive notices in early 2024 advising them to choose a Managed Care Entity to coordinate their health coverage.
Advocates say White House slow to act as millions booted off Medicaid
If trends continue, as many as 30 million people could end up being dropped from Medicaid. The numbers dwarf the Biden administration’s initial projections.
Breach exposes information of 200K-plus Hoosier Medicaid members
The exposed information includes names, addresses, Social Security numbers, dates of birth, gender, medical conditions, diagnoses, medications, allergies, health conditions and more.
More than 744k Hoosiers on Medicaid affected in software breach
Their names, addresses, case numbers and Medicaid numbers were exposed in a contractor’s late May security breach, Indiana’s Family and Social Services Administration announced.
Almost 36K Hoosiers lost Medicaid coverage under ‘unwinding’ last month
The number of Hoosiers who lost Medicaid coverage due to an “unwinding” of COVID-19 protections decreased significantly in June
Indiana attorney general part of $2.5B Medicaid fraud action
Indiana Attorney General Todd Rokita’s office, through its Medicaid Fraud Control Unit, joined more than a dozen states and the federal government Wednesday in a nationwide enforcement action against 78 individuals charged with Medicaid fraud.
Indiana Medicaid director Taylor set to resign
Allison Taylor is set to resign “later this summer” after eight years with the Indiana Family and Social Services Administration and six years as Medicaid director—and as the program makes drastic post-pandemic adjustments.
More than 1M people dropped from Medicaid as states start purge of rolls
Some states are moving swiftly to make Medicaid eligibility determinations following the end of the coronavirus pandemic.
Local podiatry office manager charged with Medicaid fraud
According to a federal complaint, the woman submitted $556,797 in false claims to Medicaid for portable medical devices known as oximeters and wired the money to her personal bank account.
Federal judge triples damages to $183M against Lilly in whistleblower suit
A judge ruled that Indianapolis-based Lilly was liable for higher payments due to its behavior in making false statements to the Centers for Medicare and Medicaid Services about the prices it charged distributors for its drugs.
What GOP’s plan for Medicaid work requirements would mean
More than a half million of the poorest Americans could be left without health insurance under legislation passed by House Republicans that would require people to work in exchange for health care coverage through Medicaid.
Health care bills aim to reform insurance, Medicaid reimbursement rates
A slew of health care bills moving through the legislature target high prices for Hoosiers by encouraging competition and restructuring how the state pays for services under Medicaid.
Millions who rely on Medicaid might be booted from program
As states begin checking everyone’s eligibility for Medicaid for the first time in three years, as many as 14 million people could lose access to that coverage.
Federal omnibus bill sets end date for continuous Medicaid coverage
During the pandemic, anyone who qualified for Medicaid at any point would keep their coverage, even if their financial circumstances changed for the better.
Activists, mayor, councillors push HHC to drop Medicaid suit
The Health and Hospital Corp. of Marion County is a defendant in a lawsuit that some worry would impact any Medicaid beneficiary receiving care in a government-owned facility.
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.
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.