Latest Headlines

Latest Headlines

Millions of mentally ill Americans lack insurance

Almost 4 million people with severe mental illness will remain uninsured because 24 states have refused to expand Medicaid, according to a report from the American Mental Health Counselors Association (AMHCA).

10 states drive Medicaid enrollment

Although 26 states have agreed to expand their Medicaid programs, allowing 3 million new consumers to obtain coverage so far, 10 states drove 80 percent of that enrollment, finds a new analysis from Avalere Health.

New patient appointment availability depends on insurance coverage

Although patients may now have insurance through health insurance exchanges, the coverage doesn't guarantee that physicians will accept it, according to a new study from  JAMA New Medicine.

Physician availability depends on coverage type

Despite coverage expansion under the Affordable Care Act, the law does not guarantee physicians' availability or willingness to accept a patient's form of insurance, a new study from JAMA New Medicine finds.

How to improve enrollment for 2015

Only one day after enrollment for the health insurance exchanges unofficially ended at midnight Monday, healthcare advocacy group Families USA outlined 10 ways to improve the exchange enrollment process next year.

Yachting with Medicaid recipients

I'd like to share with you one the most egregious cases of alleged enrollment fraud I've seen. It started in Minnesota. The special investigations unit at Medica received intelligence in...

Kentucky insurance exchange tech expert shares HIE's secrets to success

While states such as Oregon and Nevada continue to struggle with technology glitches in their state-run health insurance exchanges, Kentucky's Kynect exchange ranks among those hailed as...

Healthcare reform sends uninsured rate falling

Roughly 9.5 million people have gained health insurance coverage through healthcare reform's Medicaid expansion, health insurance exchanges and private plans, according to national surveys and enrollment data.

Overbilling case prompts access, payment hold questions

The Texas Health and Human Services Commission Office of Inspector General announced a $3.75 million settlement with Carousel Pediatrics, a primary care provider for over 25,000 children, for "a pattern of billing errors." But for some providers treating Texas Medicaid patients, the case raised concerns about how the government distinguishes fraud from human error, according to The New York Times.

LA hospital may have to repay CMS for CEO's misdeeds

The CEO of Madison Parish Hospital in Tallulah, La., is in prison for healthcare fraud, but the facility he ran may have to foot the bill for his misdeeds, the  Monroe   News-Star  reported.