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5 things to know about reshaping Medicaid

5 things to know about reshaping Medicaid

By Virgil Dickson  |  November 11, 2017

CMS​ Administrator​ Seema​ Verma​ last​ week​ left​ no​ doubt: she wants to give states the keys to their Medicaid programs. But​ change​ won't​ come​ easily.

Top heart hospitals zero in on continuum of care

Top heart hospitals zero in on continuum of care

By Maria Castellucci  |  November 04, 2017

In the movement to value-based care, top-rated hospitals for heart care are investing in strategies that aim to address every aspect of the care continuum, inside and outside the inpatient setting.

State Medicaid directors hoping to get some clarity

State Medicaid directors hoping to get some clarity

By Virgil Dickson  |  November 04, 2017

Medicaid directors from around the country are eagerly waiting to hear CMS Administrator Seema Verma speak about her agency's willingness to give them more flexibility in how their programs are run.

CMS loses money as Medicare ACOs remain risk-averse

CMS loses money as Medicare ACOs remain risk-averse

By Maria Castellucci  |  October 31, 2017

Although Medicare accountable care organizations generated $652 million in savings last year, the CMS still took a loss on the program as most ACOs were unprepared to take on riskier contracts.

CMS to allow states to define essential health benefits

CMS to allow states to define essential health benefits

By Harris Meyer , Shelby Livingston and Virgil Dickson  |  October 27, 2017

The CMS proposed a rule late Friday aimed at giving states more flexibility in stabilizing the Affordable Care Act exchanges and interpreting the law's essential health benefits.

Medicare Advantage star ratings show insurers' performance hasn't improved

Medicare Advantage star ratings show insurers' performance hasn't improved

By Maria Castellucci  |  October 11, 2017

Data released Wednesday reveal that the number of 2018 Medicare Advantage plans that performed well in the CMS' star-ratings program dropped slightly from 2017. At the same time, the amount of insurers that receive certain ratings hasn't changed significantly in recent years.

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