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.
Maternal care has the makings of the next frontier for bundled payments—except there's no national regulatory vehicle to help the industry get there.
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.
A federal appeals court on Friday upheld the convictions of four ex-WellCare executives for defrauding Florida's Medicaid program. Three of them have been sentenced to prison, while one will serve probation.
The CMS is hoping to increase use of a decades-old program meant to care for people who are dually eligible for Medicare and Medicaid by making a few policy tweaks to the program.
Republican presidential candidate Donald Trump claimed in an economic speech Monday that his proposal to repeal the Affordable Care Act would “save” 2 million American jobs. But there are serious problems with that statement.
The Treasury Department's and HHS' rules governing Section 1332 waiver approvals may dissuade states from applying for the program, according to a government watchdog report.
The CMS is stepping up enforcement action against Medicaid consumers who received tax credits to purchase insurance through the Affordable Care Act marketplace—a move that could mean lost coverage for some.
A budget impasse in Alabama is beginning to delay healthcare for children and Medicaid beneficiaries in the state. It also jeopardizes the state's Medicaid waiver to move the state from the traditional fee-for-service delivery model to a managed-care model involving regional care organizations.
The CMS has announced rural hospitals that will participate in a new demonstration known as the Frontier Community Health Integration Project. Hospitals involved in the demonstration will receive additional Medicare reimbursement for new services that make getting healthcare more convenient.
The CMS has released guidance that encourages states to use Medicaid funds to keep elderly and physically and mentally disabled beneficiaries at home and in community-based settings instead of nursing homes.
The CMS has a denied a request from Indiana to lock people out of Medicaid coverage for six months if they fail to complete a renewal process. The move would have caused approximately 18,850 people to lose coverage every year. Indiana state officials say they'll try again.