Latest Headlines

Latest Headlines

Technology, innovation powers payers' efforts to engage with members

Just as Medicaid has helped expand health coverage and affordability to millions of Americans, private insurers also strive to expand healthcare access through innovation, according to executives who spoke at an event to celebrate Medicaid's 50 th  anniversary.

In modern versions of Medicare and Medicaid, private insurers play major role

Private health insurance companies are playing a bigger role than previously anticipated when it comes to covering Medicare and Medicaid beneficiaries.

Despite political wrangling, the public likes Medicaid and Medicare programs

In a turmultuous political landscape, Medicare and Medicaid have experienced both heartbreak and success, from the  drama between Florida Gov. Rick Scott (R) and the Obama administration over Medicaid expansion to Alaska Gov. Bill Walker's (I) latest announcement that he'll expand the program over legislative objections. The public, on the other hand, is generally upbeat about the programs, according to a survey from the Kaiser Family Foundation. 

Lessons learned from two Oregon Coordinated Care Organizations

Two of Oregon's Coordinated Care Organizations are coming into their own in their second year of operation, but personnel say that they struggle to meet some state requirements, according to a  Health Affairs  blog post. The do-or-die process that helped them assemble the institutions on a tight schedule has ended up creating a high turnover and burnout rate, which could jeopardize the institutions' long-term goals. 

Molina CEO: ACA still must address health costs

Although the Affordable Care Act has helped decrease the uninsured rate, it hasn't addressed the underlying problem of healthcare costs, J. Mario Molina, CEO of Molina Healthcare, one of the nation's largest managed care companies. 

Indiana's Medicaid program paves way for other states

Indiana's experimental Medicaid program, Healthy Indiana Plan, may pique the interests of Republican governors nationwide who remain on the fence about expanding the program.

Medicare Part D plans cover majority of drugs used by dual-eligible consumers

Medicare Part D covers the bulk of medications commonly used by both Medicare and Medicaid beneficiaries, according to a new report from the Office of the Inspector General (OIG).

Former senior New York fraud investigator allegedly took gifts from a state contractor

A former senior official with the Office of Medicaid Inspector General is accused of accepting gifts in the form of meals, travel, and a job offer from Health Management Systems, which had a $120 million contract with the state.

Medicaid enrollment increases access to, quality of care

While debate still rages in many states about the prospect of expanding Medicaid, a new study indicates that the program improves the healthcare experience for many Americans.

Republican AGs: CMS must stop 'coercive efforts' to expand Medicaid

Ten Republican state attorneys general are asking Republican lawmakers to prevent the Obama administration from taking what they call "coercive efforts" to compel them into expanding their state Medicaid programs under the Affordable Care Act.