Sociodemographic factors are a major driver of adverse health outcomes for patients who qualify for both Medicare and Medicaid, or "dual eligibles," according to a new study from healthcare analytics firm Inovalon.
States weighing their Medicaid-expansion options may need to place their plans on the back burner.
New York state Medicaid officials are investing more than $1 billion in an innovative five-year program that aims to transform how providers coordinate to take a more active role in caring for members' health while also compelling patients to improve their health.
Despite opposition from its start five years ago, some fears related to the Affordable Care Act have failed to materialize. For example, the 16.4 million Americans who gained private health insurance over the past years did not flood physician office waiting rooms nearly to the extent anticipated.
With the second-highest uninsured rate in the country, Georgia lawmakers are currently considering expanding Medicaid to more than 500,000 state residents using the private option that Arkansas pioneered, reported the Atlanta Journal-Constitution.
The Heritage Foundation--the conservative think tank that unwittingly brought us the Affordable Care Act--wants to let you know that Medicaid expansion under the healthcare reform law is destroying America.
Churning remains a challenge for consumers who move between subsidized private marketplace plans and Medicaid coverage, but research by the Commonwealth Fund suggested that insurers can help offset the inevitable complication by offering complementary health plans while using a common provider network for both marketplace and Medicaid plans.
New Hampshire became the sixth state to expand its own version of Medicaid Friday, reported The Hill.
As Medicaid revenue continues to grow--revenue to risk-based Medicaid managed care plans grew from $48.1 billion in 2009 to $83.7 billion in 2013--so does the number of individuals covered. Due to this increase in growth, it's important for states to take an active role in choosing how to contract with managed care plans.
While the Centers for Medicare & Medicaid Services supports states' efforts to use technology to root out improper payments, its failure to require states to document the effectiveness of these systems means no one knows whether they really work, a Government Accountability Office report finds.