Ohio's Medicaid department is directing its managed-care organizations to quit their contracts with pharmacy benefit managers because of opaque pricing practices and strike up new arrangements with transparent vendors.
The Trump administration reportedly is nearing completion of a new immigration rule that healthcare providers and plans fear will harm public health and their ability to serve millions of low-income children and families.
Advocacy groups sued to block Arkansas' Medicaid work requirement in federal court, two months after they won a federal ruling halting Kentucky's similar waiver program.
There's no shortage of webinars focused on public health issues this week, including Zika, preparing for infectious disease outbreaks on public transit, and better explaining genomics to patients.
The North Carolina Department of Health and Human Services will award four statewide Medicaid managed-care contracts and up to 12 regional contracts worth a total $6 billion per year.
HHS Secretary Alex Azar hinted the agency will overhaul certificate-of-need regulations and force drugmakers to pay full rebates to state Medicaid programs for new formulations of existing drugs.
The individual market is stable but expensive. As the government bears more of the cost, some industry and policy analysts question its long-term role in expanding coverage.
The shift toward value-based payment in healthcare that countless advocates say will cut costs and improve the quality of care isn't without its downsides. This week's earnings show the evolution is weighing on some providers' bottom lines.
Most, if not all, of Montana's restored health funding will likely go to the hard-hit Department of Public Health and Human Services, which cut more than $49 million in Medicaid reimbursement rates and left hundreds of jobs unfilled.
The CMS isn't doing enough to ensure that states are adequately paying managed Medicaid companies and that the plans are making correct payments to providers, according to the GAO.
South Carolina wants to bar abortion providers and facilities that can't offer care in various specialized areas such as diabetes, hypertension, heart disease, depression and substance abuse from its family-planning program.
The CMS plans to open a new 30-day federal public comment period on Kentucky's Medicaid work requirement demonstration as a way to overcome a federal judge's objections to how the waiver was approved.