Considerable action on health bills puts cap on interrupted session
State Rep. David Knight had a triumphant look Friday when talking about his quest for more oversight and restrictions on the PBM industry. Pharmacy Benefit Managers are basically corporate middlemen between health insurers or large employers and drugmakers in handling pharmaceutical benefits. The Georgia General Assembly approved a group... Read more
Piedmont agrees to pay $16 million to settle billing lawsuit by feds
Atlanta-based Piedmont Healthcare has agreed to pay $16 million to settle allegations it violated the False Claims Act by improperly billing Medicare and Medicaid. The U.S. Attorney’s Office said Thursday that Piedmont billed the government insurance programs for procedures at the more expensive inpatient rates instead of the less... Read more
Medicaid enrollment climbs as pandemic brings hardship
The economic downturn triggered by COVID-19 is producing the expected result in Georgia’s Medicaid program: A surge in enrollment. State figures show Georgia’s Medicaid enrollment increased by 42,000 in May. That rise followed an enrollment spike of 91,000 in April. During those two months, the pandemic devastated the economies... Read more
Financial pain from COVID hits state health agencies, hospitals
Besides its deepening medical toll, COVID-19 is taking sizable chunks out of the budgets of hospital systems and government health programs in Georgia. Hospitals have lost surgical, diagnostic and outpatient revenue during the pandemic, and industry leaders say recent federal grant funding has not been enough to offset those losses.... Read more
Pandemic could swell Georgia’s Medicaid rolls, numbers of uninsured
Even before COVID-19 struck, Georgia had a high rate of people with no health insurance. Now, with job losses piling up amid the pandemic, the number of Georgians without coverage is expected to spike. A new analysis from consulting firm Health Management Associates (HMA) gives estimates for Georgia that... Read more

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