Illinois Medicaid

Health Desk
6:27 am
Thu July 31, 2014

Illinois Medicaid Restricts Use of Hepatitis Drug

Credit University of Wisconsin

Illinois is placing tight restrictions on a new hepatitis C drug that costs $1,000 per pill. Medicaid patients must meet 25 criteria and get prior approval before the government health care program will pay for Sovaldi.

The drug can stop the liver-damaging virus, but it comes with a budget-straining price tag.  

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Regional
6:56 am
Fri June 6, 2014

Three Locals Among Those Charged With Medicaid Fraud

Credit ago.mo.gov

Three area residents are among more than two dozen Illinois residents who have been charged with health care fraud stemming from federal investigations.

Federal prosecutors Thursday announced charges against 29 people who allegedly abused a health care program funded by Medicaid. 

The program pays for personal assistants to help Medicaid recipients stay in their homes.   The Feds says the defendants allegedly submitted false claims for hours worked when they had other full time jobs, were in jail or the client was hospitalized.

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Statehouse
7:24 am
Mon April 21, 2014

Illinois Medicaid Paying For The Dead

Credit Ill. Atty General

Gov. Pat Quinn is promising tighter controls after a review found that the Illinois Medicaid program paid an estimated $12 million for medical services for people who were dead.  

Quinn told reporters Saturday he's not happy with the findings and the state is on track to recoup all of the money.  

The Associated Press learned of the mistakes from an internal state government memo it obtained Friday through the Freedom of Information Act.  

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Illinois Issues
12:00 am
Mon October 1, 2012

The Human Cost: Medicaid Reform Has Left Many With Hard Choices

Under the new Medicaid eligibility requirements, Oliver Wellman’s parents make too much money to qualify for the 24-7 nursing care he needs because of his tracheostomy, but not enough to be able to afford to pay for the care themselves.
Credit WUIS/Illinois Issues

Maria, the mother in a family of four living in Willowbrook, doesn’t want her real name or that of her family made public. A private, proud woman, Maria would rather keep her problems to herself and solve them herself.

But Maria is in a Catch-22 that might force her to quit her job. Her daughter needs expensive medical care, and Maria and her husband don’t make enough money to cover the costs but make too much to get help. Out of frustration, she shares her story.

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Illinois Issues
12:00 am
Sun July 1, 2012

Editor's Note: Desperate Times Take Democrats Two Steps to the Right

Dana Heupel
Credit WUIS/Illinois Issues

One political party in Illinois is bound and determined to slash health care for poor people and retirees while waging attacks on organized labor and teachers — at the same time giving tax breaks to huge corporations like Sears and CME Group, which operates interests, such as the Chicago Mercantile Exchange and the Chicago Board of Trade.

 

And then there’s the other political party, the Republicans …

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Illinois Issues
12:00 am
Fri June 1, 2012

Guest Column: Medicaid, in Fact, is an Important Asset to Illinois

Dr. Edward Pont
Credit WUIS/Illinois Issues

Because of the controversies surrounding expected cuts to Illinois’ Medicaid program during this year’s legislative session, Illinois Issues is publishing this guest column by Dr. Edward Pont, a pediatrician who is a member of Gov. Pat Quinn’s Medicaid Advisory Committee. The magazine’s publication of this column does not indicate either endorsement or rejection of Dr. Pont’s ideas. Executive Editor Dana Heupel’s Editor’s Note column will return in the July-August issue.

  Change.

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Illinois Issues
12:00 am
Sun April 1, 2012

Medicaid's Cost: The Illinois Health Care System is Under Examination as Budget Woes Loom

House Speaker Michael Madigan, a Chicago Democrat, spoke about Medicaid on public television’s Illinois Lawmakers: “Boiling it down in more simple terms … who are the people that are eligible? How much of it will they get? How often will they get it? And what will be the rate of reimbursement paid to the providers of the service? That’s the whole spectrum of the health care system, and it’s all under examination.”
Credit WUIS/Illinois Issues

The thought of this spring’s legislative session going into summer overtime was greeted by groans from members of the General Assembly. During his budget address in February, Gov. Pat Quinn told lawmakers they can’t go home until they pass comprehensive Medicaid reform. Now, they face the daunting task of cutting $2.7 billion in Medicaid spending growth from the Fiscal Year 2013 budget. 

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