Medicaid

14 charged
6:26 pm
Thu June 5, 2014

Illinois Cracks Down On Medicaid Fraud

U.S. Attorney Stephen Wigginton with Bradley Hart (Illinois inspector general for health care and family services) and Stephen Swofford (Illinois attorney general's office).
Credit Jess Jiang / St. Louis Public Radio

The Department of Justice is charging 14 people with Medicaid fraud in Illinois.

The U.S. attorney for the Southern District of Illinois, Stephen Wigginton, said over the past few years, dozens of people have fleeced a Medicaid program that pays personal assistants to help disabled or sick Medicaid recipients live at home. The intention is to save the state money by keeping people in their homes and out of costly institutions such as hospitals or nursing homes.

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$26.4 billion
9:48 pm
Thu May 8, 2014

Legislature Sends FY2015 Budget To Gov. Nixon, Touts Education Spending

Credit Marshall Griffin/St. Louis Public Radio

House and Senate members have sent the remainder of the bills that make up Missouri's state budget to Gov. Jay Nixon.

The roughly $26.4 billion spending plan increases higher education spending by 5 percent and adds $114.8 million for K-12 schools, which House Republicans called "historic."

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Politically Speaking
5:14 pm
Wed April 16, 2014

Politically Speaking: Sen. Silvey Discusses His Vision For Medicaid

Marshall Griffin, St. Louis Public Radio

After cruising on the Rhine in Germany for the past couple of weeks, Jo Mannies rejoins Jason Rosenbaum and Chris McDaniel for the podcast.

Note: You can subscribe to us on iTunes now.

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Economy & Innovation
1:44 pm
Fri March 28, 2014

Missouri Businesses Push For Medicaid Expansion

Missouri businesses are pushing for expanding Medicaid to cover people earning up to 138 percent of the federal poverty level.
Credit (Flick/Mark Coggins)

Missouri’s business community is getting more vocal in pushing the state’s legislators to expand Medicaid.

The St. Louis Regional Chamber held a panel Friday with business leaders who expressed frustration that the state is not capturing federal dollars to provide Medicaid coverage to more low-income residents.

This year, the state will pass up $2 billion dollars in federal funds.

After the panel discussion, St. Louis Regional Chamber President and CEO Joe Reagan said that Jefferson City needs to get the message.

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Affordable Care Act
9:02 pm
Wed March 26, 2014

Illinois Expanded Its Medicaid Program. Missouri Didn’t. How Are Those Choices Working Out?

In his hospital room at Touchette Regional Hospital in Centerville, patient Steven Glispie finishes signing the paperwork to enroll in Medicaid.
Credit Véronique LaCapra, St. Louis Public Radio

For years in most states, Medicaid eligibility had been limited to disabled adults, seniors needing long-term care and very low-income parents with their children.

Then along came the Affordable Care Act. It was designed to grow health insurance coverage across the board. One of its tenets was to expand Medicaid coverage beyond the extremely poor and disabled to include all adults earning up to 138 percent of federal poverty levels.

But in 2012, the Supreme Court gave states the chance to opt out Medicaid expansion.

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Affordable Care Act
11:11 am
Wed March 26, 2014

Obama Administration Will Allow More Time For Health Insurance Sign-Ups

Credit Flickr Creative Commons Users/Compiled By Kelsey Proud, St. Louis Public Radio

The Obama administration says it will give people more time to sign up for health insurance through the federal online marketplace.

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Medical Care Shortage.
11:56 pm
Sun March 16, 2014

Is There A Doctor — Or Nurse Practitioner — In The House? Not In Rural Missouri

Missouri's shortage of doctors in rural areas causes physical and financial hardship for thousands of people.
Credit (Credit: Wikimedia Commons/Steve Morgan)

Part one of a three part series:

He woke up in the middle of the night late last year, one hand swollen and the rest of his body was shaking all over.

John Redford realized the symptoms were the consequences of several bites and scratches the day before from his struggle to put the family's 40-pound cat into a cage. He managed to calm himself enough that night and drive an old Mustang 50 miles to a hospital emergency room  in Jefferson City. There doctors began weeks of  treatment  and ultimately saved Redford from losing a finger.

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Medicaid expansion
8:55 pm
Tue February 25, 2014

Bond Pushes Medicaid Expansion In Jefferson City

Former U.S. Sen. Kit Bond, R, speaks in support of expanding Medicaid at a Mo. Chamber event in Jefferson City on Feb. 25, 2014.
Marshall Griffin/St. Louis Public Radio

Former U.S. Sen.Kit Bond paid a visit to Jefferson City Tuesday, hoping to persuade his fellow Republicans in the Missouri House and Senate to expand Medicaid coverage to more people.

Bond told a gathering of Missouri Chamber of Commerce and Industry members that he doesn't like Obamacare, and he called its rollout a "disaster."  But he also said that accepting federal dollars to expand Medicaid could enable Missouri to craft its own health-care solution.

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Healthcare and Medicaid
3:59 pm
Fri January 31, 2014

Sebelius Puts A Price And Face On Health Insurance Coverage In Missouri

Secretary of Health and Human Services Kathleen Sebelius holds a press conference with St. Louis Mayor Francis Slay in north St. Louis. Law student Nathaniel Carroll spoke about the benefit of having health insurance.
Credit Jason Rosenbaum, St. Louis Public Radio and the Beacon

U.S. Health and Human Services Secretary Kathleen Sebelius tried to put a price tag and a face on the government’s health reform push in Missouri when she visited the Grace Hill Water Tower Health Center on Friday. 

The price tag: $5 million a day. That’s how much she says Missouri is losing by refusing to expand its Medicaid program under the Affordable Care Act.

The face: a local resident who praised the law for the help it is providing his family while he attends law school.

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Medicaid Fraud
5:23 pm
Wed January 15, 2014

Mo. Medicaid Fraud Unit Recovers $47 Million In 2013

An extreme closeup of U.S. currency.
(via Flickr/kevindooley)

The state of Missouri recovered more than $47 million in fraudulent claims made by Medicaid providers in 2013.

That's about an average year for Attorney General Chris Koster's Medicaid Fraud Unit. The office has recovered as much as $100 million, and as little as $20 million, in a year.

Koster, a Democrat, says those wide variations are triggered by how much money Missouri receives from national settlements. But even though more national settlements means more money for the state's coffers, he says the fraud that concerns him the most is conducted by the smaller providers.

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