It's widely expected that if HHS gives Iowa and Oklahoma the green light on their ambitious redesigns for Medicaid and the Affordable Care Act's insurance exchanges, other states soon would follow with similar proposals.
UMass Memorial, one of six provider groups in Massachusetts' Medicaid ACO pilot, will not continue with the upcoming larger initiative.
The Illinois General Assembly quietly passed a bill that would essentially scuttle what could be the state's largest procurement ever, even though Gov. Bruce Rauner has already started awarding Medicaid managed-care contracts.
Mylan allegedly misclassified EpiPens as a generic drug, which may have cost the government up to $1.27 billion in lost Medicaid rebates, according to federal estimates.
Women who have to travel longer distances to receive abortions are more than twice as likely to end up getting follow-up care within their local emergency departments, according to a new study, which researchers say raises the cost of such services.
Jon Cotton has taken a step up the executive ranks with his promotion to corporate president of Meridian, a Detroit-based health plan that is Michigan's largest Medicaid HMO. The promotion is effective Sept. 4.
The CMS is warning states that using voluntary donations from hospitals to fund their share of Medicaid expansion could violate federal law. New Hampshire's expansion program could end next year because it relies on such donations.
The Rauner administration has awarded bids to six insurers in his quest to overhaul a major Medicaid cost-saving initiative, cutting in half the number of participating carriers.
The move puts Montana providers in the difficult position of determining if they will continue working with Medicaid enrollees, as BCBS held their rate contracts. The change comes as the state seeks to reduce Medicaid rates for doctors.
Deloitte recently surveyed 20 CEOs from large health systems across the country to uncover what's top of mind and how they are moving forward in an uncertain—and sometimes challenging—market.
North Carolina's model will control costs and improve health outcomes for the roughly 2 million people in the state who qualify for Medicaid, according to supporters. The state is expected to spend $3.7 billion this fiscal year on Medicaid.
Iowa's plan to cut nearly $37 million annually in Medicaid spending and slow down enrollment puts the financial stability of the state's hospitals at risk, according to the state's hospital association.