The CMS issued a wide-ranging proposed rule intended to modernize the regulation of Medicaid managed-care plans. The Medicaid managed-care population is growing rapidly, but the last regulation governing such plans was issued in 2002.
The CMS is appearing to blink in its stare-down with Florida over Medicaid expansion. The agency informed state officials last week that it tentatively plans to renew a waiver that has provided Florida billions in supplemental Medicaid funding to help hospitals with uncompensated-care costs.
Before Medicaid was established, low-income Americans had limited access to healthcare, relying heavily on charity care and public hospitals. "To be old and poor and sick was to suffer and to die prematurely,” said Trish Riley of the National Academy for State Health Policy.
The CMS is appearing to blink in its stare down with Florida over Medicaid expansion. The agency informed state officials that it tentatively plans to renew a waiver that has provided Florida billions in supplemental Medicaid funding to help hospitals with uncompensated-care costs.
Replacing Medicare’s sustainable growth-rate formula for paying doctors will top the agenda when Congress returns from spring break this week.
The "doc fix" before Congress might not be so permanent after all. The new payment system would actually result in lower Medicare payments to doctors after 2049 than under the widely loathed sustainable growth-rate formula.
Draft regulations issued Monday would extend federal mental health parity protections to Medicaid beneficiaries enrolled in managed-care plans.
Congress may be on spring break, but supporters of the legislation repealing and replacing Medicare's sustainable growth-rate formula for paying doctors aren't taking it easy.
The fix isn't in yet, but it's close. The Senate adjourned for its spring break Friday without taking action on legislation permanently repealing and replacing Medicare's sustainable growth-rate physician-payment formula.
If the Children's Health Insurance Program ended, children affected would still be able to get most, but not all, of the coverage options they have with CHIP if they buy a plan from an insurance exchange.
The House still plans to vote Thursday on a repeal of Medicare's loathed sustainable growth-rate formula. The bill unveiled Tuesday also further delays the "two-midnight rule" and details provider cuts that will partially offset the cost of the SGR fix.
The chairs of the House Energy and Commerce and Ways and Means Committees introduced legislation late Friday filling in the details of the $200 billion-plus deal to repeal Medicare's sustainable growth-rate formula.