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Delaware's Medicaid program dumps Aetna for Highmark
By Bob Herman | October 17, 2014 | Basic Web Basic Web Subscription Details
Aetna will shut down its Medicaid plan in Delaware by the end of this year because the publicly traded insurer and the state couldn't agree on new managed-care rates.
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News
Surge in Medicaid costs won't last, researchers say
By Virgil Dickson | October 15, 2014 | Basic Web Basic Web Subscription Details
A new UCLA study suggests that the Medicaid expansion under the healthcare reform law will not necessarily lead to a long-term increase in emergency room or hospital utilization.
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News
Reform Update: Tennessee, Virginia Medicaid expansion battles continue
By Virgil Dickson | October 14, 2014 | Basic Web Basic Web Subscription Details
Medicaid directors from Tennessee and Virginia say they're continuing the fight to expand their programs in ways that will appease both the CMS and state legislators.
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News
GOP questions Medicaid oversight in Mass., Puerto Rico
By Virgil Dickson | October 13, 2014 | Basic Web Basic Web Subscription Details
Senior congressional Republicans have given CMS Administrator Marilyn Tavenner until Nov. 24 to answer questions about whether her agency is applying proper oversight of Medicaid spending in Massachusetts and Puerto Rico.
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Magazine
State Medicaid rates must factor in Obamacare tax
By Virgil Dickson | October 11, 2014 | Print Magazine Print Magazine Subscription Details
States will have to pay Medicaid managed-care plans higher rates to cover the cost of the Obamacare health insurance tax, the CMS said last week.
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Magazine
Hostile ballot initiatives confront health insurers
By Bob Herman | October 11, 2014 | Print Magazine Print Magazine Subscription Details
Insurance industry officials will gather in Washington this week to discuss the biggest political, legal, legislative and regulatory issues their companies face at the local level.
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Magazine
Pa. Medicaid expansion plans struggle to sign up providers
By Virgil Dickson | October 11, 2014 | Print Magazine Print Magazine Subscription Details
Medicaid managed-care plans providing coverage under Pennsylvania's Medicaid expansion are struggling to find enough hospitals and physicians for their networks.
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Magazine
Pay rule enforcement delayed
By Virgil Dickson | October 11, 2014 | Print Magazine Print Magazine Subscription Details
Defying pressure from business groups, the Obama administration is moving forward with a rule requiring that the nation's estimated 2 million home health workers be paid at least the federal minimum wage as well as overtime.
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News
Extendicare to pay $38 million in largest failure-of-care settlement
By Adam Rubenfire | October 10, 2014 | Basic Web Basic Web Subscription Details
Extendicare Health Services, a long-term care provider, and subsidiary Progressive Step Corp., a rehabilitation services company, will pay $38 million to the federal government and eight states to resolve allegations that it billed Medicare and Medicaid for substandard services and unreasonable...
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News
Florida amends WellCare's Medicaid contract
By Bob Herman | October 10, 2014 | Basic Web Basic Web Subscription Details
Florida's Medicaid program has altered some rates within its managed-care contract with WellCare Health Plans, which WellCare said will likely decrease its Florida program revenue by about 4%.
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