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.

Private Plans

Rush, Cigna hatch deal to improve patient care

It's a tough feat keeping track of people unnecessarily racking up mileage in the ER or making sure they take their medications on time. But if Rush Health in Chicago can hit certain quality measures and cut medical costs while doing so, they can essentially get a financial bonus from Cigna.


CMS grants Texas' short-term Medicaid waiver extension

The CMS has awarded Texas a 15-month extension waiver that would help cover the unpaid bills of Medicaid-eligible and uninsured patients in the state. The extension prolongs a standoff between Texas and the White House, which was hoping to instead see the state expand Medicaid.

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