To celebrate Medicaid's 50th birthday, the Government Accountability Office is taking a look at all the ways it has told the CMS to improve the program, but the agency has yet to act on.
Patient advocates are praising a section of the CMS' proposed Medicaid managed-care rule related to long-term care. But health plans and states are sharply critical of provisions imposing new credentialing requirements on long-term care providers and allowing beneficiaries to opt out of managed...
As expected, the CMS' sweeping rule to modernize the regulation of Medicaid managed-care plans is drawing flak from state Medicaid directors and insurers who say it would impose heavy-handed federal control and could hurt patient care.
The 96-hour rule and a possible direct-supervision policy are a danger to critical-access hospitals, rural health leaders said at a congressional hearing Tuesday. They also suggested graduate medical education slots be more fairly allocated to help rural areas recruit providers.
The CMS has taken steps to ensure transparency and timely renewal of Medicaid demonstration waivers via new guidance. This comes weeks after facing congressional criticism and scrutiny over its oversight of the program. The agency also announced it's creating new ways for states to use 1115 waivers...
Fifty years ago this week, President Lyndon B. Johnson signed into law the Social Security Act of 1965 establishing the Medicare and Medicaid programs. Much has been written about the future of Medicare; but Medicaid, now our largest public insurance program, has become a lightning rod for debate.
Lured by the potential for big paydays, nearly 30 states have passed or expanded their own false claims laws to pursue questionable Medicaid billings by drugmakers, healthcare providers and suppliers.
The United States finances healthcare through a confusing hodgepodge of payment programs that send distorted signals to employers, insurers, providers and the general public.
There are new talks between Utah's Republican governor, Gary Herbert, and GOP lawmakers about expanding Medicaid, but political observers are skeptical about the prospects for legislative approval.
Data Points for the week of July 27, 2015, covered the following topics: Patient safety, medical homes, health insurance exchanges, Medicaid, readmissions
In an effort to bring down the cost of enrollees with disabilities in Medicaid, Kansas and Tennessee officials are seeking waivers from the CMS that would allow them to take advantage of a little-known federal policy called the Medicaid Buy-In program.
A federal judge says payments to Medicaid providers in Cook County, Ill., must continue even without a state budget. U.S. District Judge Joan Lefkow ordered the payments Thursday after advocates for Medicaid recipients brought the matter to court.