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In an otherwise normal preterm pregnancy, is oligohydramnios a reason to deliver? This question has popped up repeatedly, and an article in the September issue of the American Journal of Obstetrics and Gynecology addressed this conundrum.
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The author informs us that the winner of the 2010 Tour de France was Alberto Contador, riding a Specialized SL3 racing bike. The U.S. rider Chris Horner finished 12 minutes behind riding a Trek, Madone. The best rookie finisher, Daniel Loyd, rode a Cervelo S3, and finished more than 4 hours behind the leaders.
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Delaware Medicaid's long-term care population is still primarily fee-for-service, and this population is very high-cost because many individuals are in facility-based care, says Rita M. Landgraf, secretary of Delaware's Department of Health and Social Services. In April 2012, this group will switch to a managed care organization, she reports.
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When Delaware Medicaid attempted to implement co-pays, "we didn't get very far with our legislative branch on that," reports Rita M. Landgraf, secretary of Delaware's Department of Health and Social Services.
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California has appealed a 9th U.S. Circuit Court of Appeals decision stopping a 10% provider rate reduction from going forward, with an anticipated decision by the Supreme Court by spring 2012, notes Stan Rosenstein, MPA, principal advisor at Health Management Associates in Sacramento, CA, and former California Medicaid director.
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An estimated 23 million non-elderly Americans will remain uninsured after 2014, including 15 million eligible for Medicaid coverage, according to a March 2011 Congressional Budget Office report.
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Interestingly, the Patient Protection and Affordable Care Act (PPACA) takes some steps toward federalization of Medicaid from both a philosophical and a financial perspective, says Nicole Huberfeld, an associate professor at the University of Kentucky's College of Law in Lexington.
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Six state Medicaid programs are currently coming up with strategies to maximize the benefits of the mandated primary care rate increase, as participants in Leveraging the Medicaid Primary Care Rate Increase, an initiative from the Hamilton, NJ-based Center for Health Care Strategies (CHCS).
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Medicaid beneficiaries who receive care for mental health or substance abuse have greater physical health needs and higher overall costs than other beneficiaries, indicating the need for better integration of physical and behavioral health care under Medicaid, according to Providing Care to Medicaid Beneficiaries with Behavioral Health Conditions: Challenges for New York, a February 2011 report from the Medicaid Institute at United Hospital Fund in New York City.