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As King v. Burwell decision approaches, CDC details sharp drop in uninsured

As King v. Burwell decision approaches, CDC details sharp drop in uninsured

By Beth Kutscher  |  May 28, 2015

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.

New Medicaid medical-loss ratio won't strip insurer profits

By Bob Herman  |  May 27, 2015

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.

New Medicaid rules put states in tough position

By Virgil Dickson  |  May 27, 2015

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.

From the publisher: Happy anniversary, Medicare and Medicaid

From the publisher: Happy anniversary, Medicare and Medicaid

By Fawn Lopez  |  May 23, 2015

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.

Demands of an aging population will have Medicare, Medicaid fighting for dollars

By Merrill Goozner  |  May 23, 2015

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.

Uncapped programs fuel vast expansion of healthcare sector

Uncapped programs fuel vast expansion of healthcare sector

By Steven Ross Johnson  |  May 23, 2015

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.

Commentary: Defined-contribution model would improve care

Commentary: Defined-contribution model would improve care

By Douglas Holtz-Eakin  |  May 23, 2015

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.

Commentary: Medicare, Medicaid protect us from healthcare risks

Commentary: Medicare, Medicaid protect us from healthcare risks

By Judy Feder  |  May 23, 2015

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.

Medicaid a lifeline for the poor and disabled

Medicaid a lifeline for the poor and disabled

By Virgil Dickson  |  May 23, 2015

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.

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