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Arizona joins rest of nation with children's health plan

By Associated Press  |  May 14, 2016

Arizona has joined the 49 other states that offer a federal health insurance program for low-income children after backers of the plan pushed it through the state Legislature earlier this month and Republican Gov. Doug Ducey signed it into law.

Slavitt promises flexibility, mindfulness during MACRA implementation

By Shannon Muchmore  |  May 11, 2016

CMS Acting Administrator Andy Slavitt emphasized a commitment to working with providers as the new Medicare reimbursement system is implemented. House lawmakers said small-group and solo practitioners are concerned the model will push them out of business or into larger groups.

CMS preps Medicaid agencies on MACRA ID change

By Virgil Dickson  |  May 06, 2016

The CMS has started making biweekly calls to state Medicaid agencies to ensure that their information technology systems are ready to handle the 60 million new identification cards the agency is preparing to send out to Medicare beneficiaries, including those dually eligible for both Medicaid and...

Docs face stark choices under new Medicare pay proposal

Docs face stark choices under new Medicare pay proposal

By Beth Kutscher  |  April 30, 2016

The new draft regulations designed to change how Medicare pays clinicians represent the most sweeping overhaul the CMS has made in a long time to the business of running a physician practice.

Blog: Revisiting Hillary Clinton's record on healthcare

Blog: Revisiting Hillary Clinton's record on healthcare

By Harris Meyer  |  April 19, 2016

Two people with first-hand knowledge of Hillary Clinton's history on healthcare say she has done outstanding work in expanding coverage and research funding, and that the Clinton they know is nothing like the self-serving politician described by her critics.

CMS unveils Primary Care Plus

CMS unveils Primary Care Plus

By Virgil Dickson  |  April 16, 2016

With less than a year to go in the Obama administration's public-private push for better care management among primary-care providers, the CMS has rolled out a souped-up care-delivery model.

States, plans get no flexibility under final mental health parity rule

By Virgil Dickson  |  March 29, 2016

The CMS has finalized a rule that requires Medicaid and CHIP managed-care plans to provide the same level of benefits for mental health or substance-abuse treatment that they provide for medical and surgical care. The final rule largely dismisses criticism and suggestions made by plans and states.

Forward from 40: The top healthcare milestones of the past 40 years

By Modern Healthcare  |  March 26, 2016

In celebration of Modern Healthcare's 40th anniversary, we have created a list of the 40 most important healthcare milestones of the past 40 years, as chosen by our readers. Find out what events and breakthroughs made our Top 40.

Blog: Why consumerism is no panacea for our healthcare problems

By Harris Meyer  |  March 08, 2016

Politicians and policymakers often tout price transparency, comparison shopping, high-deductible health plans and other consumer-based approaches as answers to the nation's healthcare cost and access problems. But recent evidence suggests such solutions have severe limits.

White House backs bill to track blacklisted providers

By Virgil Dickson  |  March 02, 2016

The Obama administration supports a bipartisan bill that boosts states' ability to identify providers that have been banned from participating in Medicare or in another state's Medicaid program or the Children's Health Insurance Program.

States may have to do more frequent reporting on Medicaid enrollees

By Virgil Dickson  |  February 24, 2016

States will have to file information about who is on their Medicaid and Children's Health Insurance Program rolls every month instead of quarterly under an extension of a plan to collect data. The goal is to better identify inadequate care as well as fraud, waste and abuse in order to increase...

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