Hospitals in states that have expanded Medicaid are seeing a sharp drop in charity care and an increase in admissions. But hospitals in general are seeing higher-acuity patients and losing out to lower-cost providers for less-complex care.
Utah Gov. Gary Herbert's trimmed-down plan for expanding Medicaid appears to have hit a dead end at the state Capitol.
The CMS has either identified or prevented more than $210.7 million in healthcare fraud in one year using predictive analytics. But critics want to see the agency do much more with its new digital tools.
Two health insurers already operating in Iowa have indicated they will bid on Iowa's new proposal to outsource its $4.2 billion Medicaid program to managed-care companies. It's the latest state move to privatize the health insurance program for low-income Americans.
CMS interim leader Andy Slavitt apparently is putting together his senior team as the departure of Administrator Marilyn Tavenner draws closer.
Oregon is again suing the technology company that built its failed insurance exchange because the contractor now wants to bow out of running Oregon's Medicaid enrollment system before the state is ready to switch to a new one.
The CMS will not renew a Medicaid waiver in Florida expiring at the end of June that provides more than $1 billion a year to help the state's hospitals with uncompensated-care costs for low-income and uninsured patients. That may put additional pressure on Florida Republican leaders to consider...
Illinois Republican Governor Bruce Rauner Wednesday proposed cuts of $1.5 billion to his state's Medicaid program, saying the state will become more aggressive in ferreting out current Medicaid recipients who do not actually qualify for the program.
Oregon Gov. John Kitzhaber, a former emergency medicine physician, has resigned amid allegations he steered consulting contracts toward his fiancee. Kitzhaber has steadfastly denied those allegations.
Both the House and Senate have introduced bills to extend the Children's Health Insurance Program (CHIP), now scheduled to expire Sept. 30 and at least two major political voices have joined the chorus asking for the program's extension.
Kentucky added 12,000 jobs last year, including more than 5,400 in healthcare, as a result of the Affordable Care Act, Gov. Steve Beshear reported.
A primary emphasis for outreach workers across the country in these closing days of open enrollment is Spanish-speaking households.