KHN Morning Briefing

Summaries of health policy coverage from major news organizations

full issue

N.C. Legislative Panel To Get Briefing On New Managed Care Medicaid System

The lawmakers will hear about how the initiative is being rolled out. Also in the news, a Chicago woman is sentenced for Medicaid fraud.

Winston-Salem (N.C.) Journal: Legislators To Get Update On Medicaid Reform, Fed Settlement
Legislators and the health-care industry will today get their first update on the roll out of the state’s controversial Medicaid reform initiative. ... The reform plan coordinates Medicaid physical, behavioral, dental, pharmacy and long-term-health services. Under the plan, three insurers would contract to run statewide managed care organizations (MCOs), and up to 10 provider-led entities, or groups of doctors and hospitals, would enroll patients in regional networks. (Craver, 1/11)

The Chicago Sun-Times: Chicago Woman Gets Six Years For Medicaid Fraud
A Chicago woman was sentenced to six years in prison last week for stealing more than $250,000 in Medicaid funds over three years. Debra Gaines, 55, was convicted of theft of state property and vendor fraud in July for a scheme to collect Medicaid funds for mental health services that were not provided by a doctor, according to the state’s attorney general’s office. Gaines billed Medicaid for $276,000 between 2007 and 2010 for services provided by Dr. Ernest Mensah under her business called Heavenly Interventions, the attorney general’s office said. (1/11)

This is part of the KHN Morning Briefing, a summary of health policy coverage from major news organizations. Sign up for an email subscription.