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Medicaid's unmanaged managed care

By Bob Herman  |  April 30, 2016

A new federal rule will encourage states to ramp up auditing of Medicaid managed-care insurers, many of which keep their medical spending hidden from public view.

Georgia governor OKs funds for anti-abortion centers

By Aurora Aguilar  |  April 30, 2016

Georgia Gov. Nathan Deal has signed legislation that allows the state to provide funds to centers that offer medical and other services to pregnant women while discouraging them from getting abortions.

Security flaws found in three state health insurance websites

By Associated Press  |  April 08, 2016

Federal investigators found significant cybersecurity weaknesses in the health insurance websites of California, Kentucky and Vermont that could enable hackers to get their hands on sensitive personal information about hundreds of thousands of people. And some of those flaws have yet to be fixed.

Are dual-eligible demos succeeding? GAO says it will be hard to tell

By Virgil Dickson  |  January 19, 2016

The CMS needs to do a better job overseeing the 12 state-administered demonstration programs intended to improve care of people who are eligible for both Medicare and Medicaid, according to the U.S. Government Accountability Office.

MedPAC backs slashing drug payments to 340B hospitals

MedPAC backs slashing drug payments to 340B hospitals

By Virgil Dickson  |  January 16, 2016

The Medicare Payment Advisory Commission has backed a proposal to reduce Part B drug payment rates for hospitals participating in the 340B Drug Pricing Program, though members had signaled they would oppose it.

GAO: Many gaps in FDA's oversight of drug safety

By Associated Press  |  January 14, 2016

The Food and Drug Administration is speeding up its review of new drugs, yet often fails to keep track of safety issues with those medicines once they reach patients, according to government investigators.

Experts are skeptical value-based purchasing program is helping boost quality

Experts are skeptical value-based purchasing program is helping boost quality

By Melanie Evans  |  October 31, 2015

Four years into Medicare's value-based purchasing program, more hospitals than ever are earning bonuses, and the top-performing ones are getting bigger rewards. But policy experts and hospitals themselves remain dubious that the program has much influence over healthcare quality.

Study by non-partisan GAO on ACA eligibility flaws draws fire

By Shannon Muchmore  |  October 23, 2015

After a report from the government watchdog said few people were exploiting vulnerabilities in the enrollment process that could allow them to receive insurance subsidies while still enrolled in Medicaid, Democrats in the House called the GAO report just another effort by Republicans to derail the...

Cuts to Planned Parenthood have troubling impact on states

Cuts to Planned Parenthood have troubling impact on states

By Shannon Muchmore  |  September 12, 2015

The political fight over the funding of Planned Parenthood could be felt in rural Scott County, Ind., where this year there was a rush to get HIV tests after 180 people tested positive. But there was no place to get testing services.

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