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WellCare promotes Burdick to CEO

WellCare promotes Burdick to CEO

By Bob Herman  |  December 15, 2014

Kenneth Burdick has been named CEO of WellCare Health Plans, a Tampa, Fla.-based managed-care company that has suffered smaller margins and upheaval in its executive ranks this year.

Tenn. Medicaid expansion plan includes vouchers, deal with hospitals

Tenn. Medicaid expansion plan includes vouchers, deal with hospitals

By Virgil Dickson  |  December 15, 2014

Republican Tennessee Gov. Bill Haslam has announced his alternative pathway to expand Medicaid in the state with a unique voucher program for low-income employed individuals. He also announced a surprising partnership with hospitals to help fund the expansion.

Q&A: Truman Medical Centers CEO Charlie Shields

Q&A: Truman Medical Centers CEO Charlie Shields

By Modern Healthcare  |  December 13, 2014

Charlie Shields is a former Republican leader in the state Senate. Now, as CEO of the Kansas City safety net system, he’s trying to persuade his old legislative colleagues that expanding Medicaid is a “rational decision.”

Sources: Va. gov. to include Medicaid expansion in budget

By Associated Press  |  December 13, 2014

When Virginia Gov. Terry McAuliffe unveils his budget proposal next week it will include a top but elusive goal: expanding Medicaid eligibility for low-income Virginians, according to two sources.

New House budget chairman to follow Ryan framework

By Associated Press  |  December 13, 2014

The incoming Republican chairman of the House Budget panel says he's going to follow outgoing chairman Paul Ryan's lead by drafting a fiscal blueprint that would balance the budget in 10 years and call for transforming Medicare into a system that places future retirees in private health insurance...

Truman Medical Centers CEO Charlie Shields on expanding Medicaid in Missouri

Truman Medical Centers CEO Charlie Shields on expanding Medicaid in Missouri

By Modern Healthcare  |  December 13, 2014

Charlie Shields, who has served as CEO of the two-hospital Truman Medical Centers in Kansas City, Mo., since July, discusses his efforts to persuade his former GOP colleagues in the Missouri state Senate to expand Medicaid and what would happen at Truman if they don't. He spoke with Modern...

Pricey 'breakthrough' drugs confound Medicaid rate-setting

By Virgil Dickson  |  December 12, 2014

Actuaries say it's getting increasingly difficult to advise states on sound rates for Medicaid managed-care plans because high-priced specialty drugs like Sovaldi continue to hit the market at a rapid clip.

Medicaid pay cut looms for primary-care docs

By Andis Robeznieks  |  December 11, 2014

Most physicians expect Congress will once again deliver an 11th-hour legislative “patch” around March 31 to override a 21% Medicare pay cut under the sustainable growth-rate formula. No such heroics are expected to block a 42.8% Medicaid pay cut that primary-care physicians face Jan. 1.

Tennessee governor says decision on Medicaid expansion close

By Associated Press  |  December 06, 2014

Gov. Bill Haslam said Friday that he's talked with nine Republican governors who have expanded Medicaid for low-income people in their states, and he plans to announce what he will do by the end of the month.

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