Latest Headlines

Latest Headlines

Stark differences in hospital finances by state

The decisions by individual states to expand Medicaid eligibility under the Affordable Care Act has created decidely different financial pressures on hospitals.

Medicaid payments for primary care physicians set to drop dramatically

The Medicaid program has gone through a lot of growing pains as it dramatically expanded as part of the Affordable Care Act. But it may face its toughest challenge in 2015, when payments to primary care physicians are slated to drop an average of more than 40 percent,  Kaiser Health News  re ported.

Medicaid set to drop payments for primary care physicians

The Medicaid program may face its toughest challenge in 2015, when payments to primary care physicians are slated to drop an average of more than 40 percent, Kaiser Health News reported.

States still experiencing problems with Medicaid IT system upgrades

States spent $1.8 billion in Medicaid 90/10 funds to upgrade their eligibility information technology systems over the past three fiscal years, but still face implementation challenges, according to a new report from the Government Accountability Office.

Medical groups decry missed opportunity to repeal SGR

Medical professionals blasted last week's fe deral budget deal  for failing to address the controversial sustainable growth rate payment formula,  MedPageToday  repo rts.

OIG: Insurers' Medicaid provider directories are inaccurate

Medicaid insurers' provider directories include doctors who are unavailable, not accepting new patients or could not be found, says a report from the Office of the Inspector General.       

Medicaid pays for 160,000 pre-term births every year

About 160,000 births covered by Medicaid were electively induced before 39 weeks, likely raising the risk of developmental issues in those newborn children and driving up their healthcare costs in the long term, Kaiser Health News reported.

Medicaid addresses 'super-utilizers' in health home programs to cut costs

Many Medicaid programs are creating new or expanding existing home health projects to help cut costs and prevent so-called "super-utilizers" from obtaining unnecessary healthcare services.

Medicaid expansion update: Two states step forward, two step in place

Several states are making news with their plans to expand Medicaid under the Affordabe Care Act. Here's a roundup of the goings on in Wyoming, Pennsylvania, Alaska and Montana.

CMS: Healthcare spending growth continues at historic low rate

Healthcare spending in the United States rose 3.6 percent in 2013, according to data from the Centers for Medicare & Medicaid Services (CMS) and p ublished  in the journal  Health Affairs.