The CMS and Tennessee remain at an impasse over the future of an uncompensated care fund that pays hospitals when patients can't pay for care.
Industry leaders say the proposed version of the patient relationship codes, which were mandated by the Medicare Access and CHIP Reauthorization Act (MACRA) of 2015, would be a burden and wouldn't accomplish the goal of effectively measuring resource use, a major performance category under the...
The Pennsylvania Department of Human Services awarded a massive Medicaid bid Tuesday to AmeriHealth Caritas, Centene Corp. and UPMC after delaying the decision for several months.
Improper Medicaid payments hit $30 billion last year, according to the CMS. Now, the agency wants to educate states on how they can address the issue.
With the hourglass running out for his administration, President Barack Obama's healthcare law is struggling in many parts of the country. Double-digit premium increases and exits by big-name insurers have caused some to wonder whether "Obamacare" will go down as a failed experiment.
With more reports of non-travel related Zika cases popping up in the U.S., state Medicaid agencies are preparing to spend millions to prevent spread of the virus.
Kentucky's Medicaid plan is modeled after Indiana's waiver in that it requires a monthly premium and uses health savings accounts. The requirement for job training or community service for most adults, however, is new.
Federal spending for major healthcare programs are estimated to increase by $55 billion, or 6%, in 2016 after a technical adjustment for payment timing shifts, according to a report from the Congressional Budget Office.
The state agency overseeing Iowa's transition to a privatized Medicaid program waived any possible sanctions against three insurance companies during the first two months of the new system, and it didn't inform health advocates or lawmakers about the plans.
The CMS is asking the public for information about providers and organizations that may be steering Medicare- or Medicaid-eligible patients toward the Affordable Care Act's insurance exchanges in order to receive higher reimbursement rates.
This week, Pennsylvania's Department of Human Services expects to award contracts worth more than $7 billion annually that cover almost 421,000 low-income, disabled adults. But the contracts were scheduled to be awarded in June.
Clinicians in Medicaid are turning to quality-reporting services to help them track managed-care plans' rising demand for patient data, which is driving some physicians from the program.