Latest Headlines

Latest Headlines

Illinois Medicaid lowered costs with enhanced fee-for-service model

As insurers continue the shift toward value-based reimbursement, two Medicaid health plans improved members' health outcomes and lowered costs by combining value-based payments with a fee-for-service approach.

Is resistance to Medicaid expansion crumbling?

The lost dollars are whispering ever louder in the ears of Medicaid naysayers. Two years ago, the U.S. Supreme Court ruled it was up to states to expand Medicaid eligibility under the Affordable...

Indiana will expand Medicaid if members pay premiums

Indiana will expand its Medicaid program to an additional 350,000 consumers--if the federal government approves Gov. Mike Pence's proposal that certain beneficiaries must pay premiums or lose coverage, the Wall Street Journal reported.

Will New York's Medicaid revamp lead to hospital closures?

As New York begins an ambitious plan to remake its Medicaid program, some hospitals throughout the state may close their doors, although few are expected to go without a fight.

Managed-care guide directs state rate-setting for new Medicaid populations

The Centers for Medicare & Medicaid Services' just-released  2015 Managed Care Rate Setting Consultation Guide  as guidance this year for states that expanded Medicaid.

More states pressured to expand Medicaid

Leaders in states hostile to the Affordable Care Act are under increasing pressure to expand Medicaid coverage.

Fraud probe blocks access to medical records

Patients serviced at 10 diagnostic imaging facilities in New Jersey had trouble accessing their medical records after authorities closed Diagnostic Imaging Affiliates in a Medicaid fraud investigation.

How states can lower insurers' premiums

Policy experts and lawmakers say that state officials can take certain steps to help drive insurers to lower their premium rates, including reviewing proposed rates and expanding Medicaid, reported  Governing.

Community programs help cut healthcare "super-users"

Programs focused on healthcare "super-users"--the small percentage of Medicaid patients who make up most of the program's spending--are making progress reducing spending and hospitalizations, according to USA Today.

Coverage, reimbursement remain barriers to telehealth use, health industry leaders testify

Coverage and reimbursement of telehealth, especially for Medicaid and Medicare, was the topic of choice during a roundtable discussion held by the U.S. Senate Special Commission on Aging on Tuesday.