The majority of state Medicaid agencies are planning to issue raises next year for providers thanks to the stronger economy. States are also seeing the first drop in Medicaid enrollment in a decade.
While the CMS approved North Carolina's Medicaid waiver to transition to managed care and offer federal funding to address social determinants of health, it rejected a proposal to use federal funds to pay doctors' debt.
Starting Aug. 1, Iowa Medicaid no longer allowed emergency departments to submit claims for treating some conditions that turn out to be non-emergent.
In a dramatic overhaul of the current 1332 waiver process, the CMS said state legislatures will no longer have to approve waiver plans. Instead, governors will be able to take action on their own. The agency also changed how it will evaluate waivers.
Medicaid enrollment is dropping as Americans find more job opportunities and higher pay, according to a new report.
For Tracy Carter, vice president of government relations at Cleveland-based MetroHealth System, protecting Medicaid is intertwined with the public health system's overall mission. In recent budget battles, her team fought off cuts that would have cost MetroHealth nearly $25 million.
Offering doctors incentive payments for increasing their preventive screening rates doesn't violate federal kickback laws, according to HHS' Office of Inspector General.
For states that haven't expanded Medicaid, the push to do so isn't just about leaving money on the table. It's also about no longer subsidizing other states without benefit, according to Democratic Gov. Ralph Northam of Virginia.
Echoing industry concerns over "Medicare for all," providers warn that Medicaid buy-in proposals may drive more cost-shifting in the healthcare system.
Maine Gov. Paul LePage's top health official and vocal Medicaid expansion critic Mary Mayhew has been named as director of Medicaid and CHIP at the CMS.
More than 4,100 Medicaid expansion enrollees in Arkansas will lose coverage for the rest of 2018 because they did not comply with the state's work requirement. That's on top of the 4,353 people who were dropped last month.
Colorado's and Mississippi's Medicaid programs have ordered hospitals to report which medications they receive 340B discounts for, marking the latest effort to curb state drug spending.