The number of people who were uninsured for at least part of last year dropped to a low not seen in decades. When the Centers for Disease Control and Prevention surveyed the insurance landscape in the first nine months of 2014, only 11.9% of respondents said they were uninsured.
The federal government is loosely capping the profits of Medicaid managed-care insurers. But many large companies already live within the proposed ratio, raising questions about the regulation's influence.
A slew of new quality standards outlined in the 653-page proposed CMS rules are meant to modernize Medicaid managed-care regulation and improve quality of care. But cash-strapped state agencies might not be able to manage the load, experts say.
The first update in more than a decade to Medicaid managed-care rules seeks to fill a funding gap left by Congress in promoting the use of electronic health-record systems by long-term care, behavioral health and other providers.
The CMS issued a wide-ranging proposed rule intended to modernize the regulation of Medicaid managed-care plans. The Medicaid managed-care population is growing rapidly, but the last regulation governing such plans was issued in 2002.
The number of uninsured people showing up in New Hampshire emergency rooms continues to drop, a trend hospital officials attribute to the state's expanded Medicaid program.
Modern Healthcare has documented every Medicare and Medicaid milestone and challenge since Crain Communications purchased the magazine in 1976. This section commemorates the programs' 50th anniversary by providing some history and an overview of their challenges.
Medicare and Medicaid evolved in dramatically different ways. Medicare, which provided health coverage for seniors, became the third rail of American politics. Medicaid, a state-based program that provided health coverage for the poor, existed in a political netherworld. All that is about to change.
Medicare and Medicaid have precipitated the vast expansion—and even the creation—of many profitable industry sectors including hospitals, physician groups, managed-care insurers, home health, drug manufacturers, devicemakers and others.
Douglas Holtz-Eakin, president of the American Action Forum and a former Congressional Budget Office director, writes that Medicare and Medicaid have an obligation to provide high-quality care to America's seniors and low-income beneficiaries, and they must be made financially sustainable.
Georgetown University professor and former HHS official Judy Feder writes that the 50th anniversary of Medicare and Medicaid enactment calls for a celebration. Medicare provides health insurance protection to virtually all older Americans and many workers who become disabled.
Before Medicaid was established, low-income Americans had limited access to healthcare, relying heavily on charity care and public hospitals. "To be old and poor and sick was to suffer and to die prematurely,” said Trish Riley of the National Academy for State Health Policy.