The CMS Innovation Center announced on Thursday two new care delivery models intended to improve patient engagement and decision-making.
Cancer patients with Medicaid coverage receive poorer quality and less healthcare than those with employer-sponsored, Medicare or other private insurance. Medicaid benefits vary from state by state and experts say that inequality will likely grow under the Trump administration.
Potential passage of the 21st Century Cures Act legislation circling Capitol Hill could enhance state and federal efforts to reduce fraud in the Medicaid program.
Verma has supported charging premiums to individuals above and below the poverty line and freezing beneficiaries out of coverage if they don't pay. But she could prove to be a knowledgeable ally to states looking to better control their Medicaid dollars.
The CMS has renewed conservative Medicaid waiver proposals from Indiana and Iowa that will extend into President-elect Donald Trump's incoming administration.
Managed-care plans increasingly taking over Medicaid long-term care. Not everyone is happy about it.
States are increasingly turning to private firms to provide managed long-term supports and services (MLTSS). Their goal is to rein in costs and increase budget predictability, but some advocates are claiming that they are seeing care suffer under the model.
New Hampshire is looking for help on implementing a managed long-term services and supports (MLTSS) program.
The CMS wants to end billions in supplemental funding that helped safety net and Medicaid providers care for the poorest people.
Nebraska lawmakers who have fought for years to expand Medicaid coverage under the federal health care law are backing off their effort now that Donald Trump has won the presidential race and Republicans held their majority in Congress.
Kentucky's dentists and optometrists asked Gov. Matt Bevin's administration not to remove dental and vision coverage from basic Medicaid benefits. But the state is allowing benefits for only the first three months of Medicaid coverage.
The CMS next year will ask Medicare beneficiaries how their providers are doing under new payment models aimed at improving the quality of care while lowering cost. But critics say it's not likely to help consumers.
WellCare Health Plans has entered agreements that cap costly legal expenses for two former top executives convicted of defrauding Medicaid in a case that started nearly a decade ago. The settlements also allow the executives to cash in stock.