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Data Points for July 6, 2015

Data Points for July 6, 2015

July 04, 2015

Last month, the U.S. Supreme Court upheld the ACA's premium subsidies, most likely saving the law from major changes in the immediate future. But GOP critics still argue that the law is a failure. Here we examine how insurance coverage rates and readmission rates have changed since it took effect.

Medicaid plans struggle to provide mental health services

Medicaid plans struggle to provide mental health services

By Virgil Dickson  |  July 04, 2015

As low state reimbursement rates drive mental health providers away from Medicaid, managed-care plans taking over some state programs are looking for creative ways to deliver a service that many see as key to holding down overall costs.

More healthy, young people enrolling in exchange plans

More healthy, young people enrolling in exchange plans

By Steven Ross Johnson  |  July 02, 2015

Drug spending among new health exchange plan enrollees dropped during the first quarter of 2015 compared with the same period in 2014, according to a new report that seems to reject concerns that healthcare reform would drive up costs because of mandatory coverage of older, sicker Americans.

CMS skips congressional hearing criticizing how Medicaid demos are run

By Virgil Dickson  |  June 24, 2015

The CMS needs to be more transparent in its evaluation and approval of Medicaid demonstrations, the GAO says. It asked Congress to step in because billions are being overspent and says CMS' lack of oversight endangers the Medicaid program. The CMS didn't show up to the hearing.

Hospital cost of uninsured: $900 per patient, per year

By Melanie Evans  |  June 23, 2015

New research suggests the financial strain on hospitals and households will be immediate and significant if a U.S. Supreme Court decision ends subsidies for health insurance in 36 states. As many as 6.4 million Americans who bought insurance may drop it and become a financial burden to providers.

CMS rattles Medicaid directors with guidelines for managed-care rates

By Virgil Dickson  |  June 22, 2015

New CMS guidelines intended to ensure Medicaid managed care plans are adequately reimbursed will frustrate state agencies and create paperwork the CMS might not have the staff to handle, according to the National Association of Medicaid Directors.

Health plan bolts dual-eligible demo in Massachusetts

By Virgil Dickson  |  June 18, 2015

A troubled Massachusetts managed-care program for low-income people who are dually eligible for Medicaid and Medicare will continue despite one of its leading plans dropping out.

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