State officials have come to view a Medicaid hospital-improvement initiative primarily as a source of supplemental payments for the providers, according to the Medicaid and CHIP Payment and Access Commission.
UnitedHealth Group saw an upsurge in its government business as it topped Modern Healthcare's list of the largest publicly traded health insurance companies in 2014. Nearly all of insurers on the list enjoyed an increase in total revenue in 2014 compared with the previous year.
States and major insurance companies say they need more time to implement new rules meant to offer better coverage of mental-health and substance-abuse treatment to those in Medicaid managed-care plans. The implications are huge for a population that struggles to get care, especially for...
It's not yet clear whether a sweeping proposed rule governing Medicaid managed care will resolve coverage and access problems for the growing number of low-income adults and children in private Medicaid plans. But it's likely that there will be political jockeying over many of its provisions.
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.
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.