Law enforcement agents arrested 25 people in the Washington, D.C., region after investigations into Medicaid home healthcare billings. The arrests marked the largest healthcare fraud bust in D.C. history, with losses estimated at tens of millions of dollars, the FBI's Washington Field Office announced Thursday.
Policymakers need more time to determine how best to handle health coverage for low-income children in the post-healthcare reform market, MedPageToday reported. So Congress should extend funding for Children's Health Insurance Program (CHIP) before it ends next year.
In October, Arkansas became the first state to implement the private option to expand Medicaid, but this week state lawmakers rejected legislation that would continue the public-private program.
The Massachusetts Hospital Association wants state officials to let member hospitals temporarily determine Medicaid eligibility, the Boston Business Journal reported.
How can insurers grow their membership and boost revenues? They should consider expanding into international markets, competing in the Medicaid marketplace, developing private exchanges and producing technological applications, according to Mark Farrah Associates (MFA).
Many states are using the cost-cutting impetus of the Affordable Care Act to combine their Medicare and Medicaid programs, thus saving money on the care provided for enrollees, StateLine reports.
Hospitals in Texas, hurting from the state's decision not to pursue additional Medicaid funds, are now exploring how to distribute current funds more equitably.
A new collaborative in New Jersey aims to close the loop for high-risk patients in the state by integrating physical, behavioral, and addiction treatments and services, NJSpotlight reports.
Medicaid providers in Alaska state a faulty claims processing system has put them on shaky financial ground as they await payments held up for months, reported the Alaska Dispatch.
Growth in healthcare spending by state and local governments doubled the overall growth of healthcare spending nationwide in 2012, illustrating the pressures such entities are under to meet obligations in that arena.