Author archive for lhigashi

By Nicholas NehamasThe last of four Florida insurers blasted by AIDs activists for the high cost of their HIV drugs relented last week, saying it would cap what patients pay every month for four types of medication."We will voluntarily agree to set an out-of-pocket limitation of $200 per month…

By Susan AbramCalifornia residents whose Medi-Cal applications have been stuck in limbo for months have won a legal victory over the state after a superior court judge ruled that they were entitled to receive medical care until their eligibility was decided.Alameda Court Judge Evilio M. Grillo said in his…

By Bob EgelkoWith thousands of low-income Californians waiting for health care, a judge has ordered the state's Medi-Cal system to meet its 45-day legal deadline for determining eligibility and, if that's not possible, enroll applicants immediately if they seem likely to be found eligible.The ruling Tuesday by Alameda County…

By Phil GalewitzThe U.S. Supreme Court heard arguments Tuesday in a case that could block hospitals, doctors — or anyone else — from suing states over inadequate payment rates for providers who participate in the Medicaid program for low-income Americans.Federal law requires Medicaid, which covers 70 million people, to…

Physicians across the country will see some key issues play out in their home states over the next year, as outlined by about 200 medical association leaders who last week came together to discuss strategy around these legislative and regulatory priorities. Four issues came out at the top of…

By Lisa SchenckerThe U.S. Supreme Court will hear a case Tuesday centering on the question of whether private healthcare providers may sue state Medicaid agencies over low reimbursement rates....The NGA argued that giving courts the ability to decide such conflicts between state and federal law "is a recipe for…