Illinois Gov. Bruce Rauner today outlined his reboot of the state Medicaid managed care program, which he said now operates "in name only."
Illinois Gov. Bruce Rauner is overhauling a key Medicaid program that's intended to rein in costs, but hasn't saved enough money and has drawn the ire of doctors and hospitals alike.
As congressional Republicans prepare to repeal and replace Obamacare, worried governors from across the country are scheduled to meet Monday with President Donald Trump to discuss healthcare reform and other issues.
A provision of the Affordable Care Act that requires providers to revalidate or recertify their Medicaid reimbursement eligibility has caused 65,000 providers to be stripped from the federal program, according to a Modern Healthcare analysis.
At a rally in Bronx, N.Y., Wednesday, Gov. Andrew Cuomo defended the Affordable Care Act and warned that Washington, D.C., is abandoning the middle class.
The CMS may cut Alabama's Medicaid funding after warning state officials they can't reject people eligible for Medicaid coverage if they are found to have engaged in fraud or abuse but were never convicted of any criminal act.
Seema Verma, the nominee to lead the CMS, may claw back parts of a rule that overhauled managed Medicaid programs. She also opposes turning Medicare into a voucher program and thinks rural providers shouldn't participate in alternative payment models.
Health expenditures are projected to grow 5.6% a year over the next decade. The numbers affirm previous predictions that spending growth would accelerate because of the ACA's coverage expansions, an aging population and expensive new drugs.
Hospitals in central Illinois are rejecting managed Medicaid plans at such a troubling rate that lawmakers are calling it a “crisis.”
Seema Verma will need clearance from the HHS office of ethics before she can weigh in on any decisions involving states that paid her to help tweak their Medicaid programs.
This may be the week Republicans start putting policy details behind their rhetoric on repeal and replacement of the Affordable Care Act.
Health plans could lose money if the CMS doesn't increase its oversight over managed long-term supports and services programs, according to a report by the Government Accountability Office.