Preventing improper payments, which comprised $17.5 billion of Medicaid spending in 2014, represents a specific concern for the long-term health of the government-run health program, according to a report released last week by the Government Accountability Office.
While 48 states and the District of Columbia all have definitions of telehealth or telemedicine written into law or their Medicaid program, differences in those definitions are creating "confusing environments" for end users, according to a new report by the Center for Connected Health Policy.
Florida Gov. Rick Scott (R) claims that insurers participating in the state's Medicaid program are negotiating hospital rates that are too high, a reason as to why the program is not generating enough savings.
Virginia, one of the most populous states that has not expanded Medicaid eligibility under the Affordable Care Act, is investigating other ways to obtain and use federal funding.
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.
Private health insurance companies are playing a bigger role than previously anticipated when it comes to covering Medicare and Medicaid beneficiaries.
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.
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.
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 experimental Medicaid program, Healthy Indiana Plan, may pique the interests of Republican governors nationwide who remain on the fence about expanding the program.