Providers are pushing hard to have Kentucky throw out a long-standing policy that limits reimbursement for desperately needed chronic-care visits for Medicaid beneficiaries.
Former Democratic Gov. Steve Beshear has launched "Save Kentucky Healthcare," a tax-exempt organization that will pay for an online campaign to "educate voters about what is happening to healthcare in Kentucky."
The White House's fiscal 2017 budget proposal would allow the HHS secretary to negotiate prices for biologics and other exceptionally expensive drugs for Medicare patients, and would more quickly close the "doughnut hole" coverage gap.
WellCare executives are getting “formal M&A training” this month and will eventually scour the marketplace for promising Medicaid and Medicare Advantage plans. The insurer has been storing surplus cash and now has $1.25 billion of “dry powder” to spend on transactions.
The Medicaid and CHIP Payment and Access Commission is increasing its effort to present offset options when it advises Congress on funding and policy changes to the federal healthcare programs serving low-income people and children.
The health plan, a subsidiary of Northwell Health, signed up 91,193 members. Last year, it had 26,567 members. Much of that bump was likely the result of the demise of startup insurer Health Republic, which left 200,000 members without coverage when regulators shut it down.
Stephen Miller, a former vice president of finance for the Kentucky Hospital Association, will oversee the program, which serves 1.3 million low-income people in the Bluegrass State. Gov. Matt Bevin says he wants to revamp the program.
The fiscal 2017 budget includes a request for $1.1 billion to increase access to medication-assisted treatment options. The bulk of the money would fund state programs in an effort to make treatment more available and easier to afford.
As the CMS seeks to simplify the application process for exchange plans and Medicaid, payers want to make it harder for individuals to sign up after open enrollment ends. Meanwhile, advocates and providers want to reduce barriers and have the CMS learn more about who is signing up, including their...
Some believe a federal appeals court decision over hospital classifications could lead to millions of dollars in savings for hospitals across the country. The court Thursday invalidated a Medicare regulation that says certain hospitals can't be classified as both rural and urban.
Congress wonders whether the composition of the Medicaid and CHIP Payment and Access Commission renders it a biased and therefore unreliable source of recommendations.
Virginia has submitted a waiver to the CMS to transform its Medicaid program and move the state's most vulnerable populations into managed care.