Latest Headlines

Latest Headlines

GAO: Require states to show cost benefits of anti-fraud systems

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.

As Medicaid enrollment grows, participating doctors decreases

As Medicaid enrollment continues to rise--it now covers as many as 1 in 5 Americans--the number of primary care physicians accepting Medicaid is dropping. Just 34 percent of PCPs now accept Medicaid, which is a 9-point drop from two years ago.

Could comprehensive primary care decrease ER use in Medicaid population?

Although almost 25 state programs employ higher copays for emergency department visits in an effort to decrease ED use, charging more when Medicaid recipients go to the ED may not be effective.

How correctional systems are taking advantage of health IT

Correctional systems are looking to technology to improve care and reduce costs, but complex IT projects are not necessarily required to achieve good outcomes, according to a draft report from Community Oriented Correctional Health Services.

Obama's 2016 budget seeks lower drug prices, higher costs for wealthy Medicare patients

The Obama administration's proposed $4 trillion budget for Fiscal Year 2016 includes a provision that would allow the federal government to negotiate prices for costly drugs covered under the Medicare Part D program. High-income Medicare beneficiaries would dish out more for coverage and have higher deductibles for doctor visits. 

Medicaid expansion helps Anthem, UnitedHealth boost earnings

As insurers' stocks are hitting all-time highs, the nation's two largest insurers--UnitedHealth and Anthem--ended last year on a high note financially, with both reporting better-than-expected earnings for the fourth quarter last year.

How states can help control healthcare spending

Despite a recent report from the Congressional Budget Office projecting that healthcare spending will be a major contributor to the federal budget deficit in the next few years, states can take the lead in reducing care costs, according to an opinion piece in the Wall Street Journal.

Glitch leaves thousands of Pennsylvania Medicaid beneficiaries without substance abuse treatment

Thousands of Pennsylvania residents are unable to receive treatment for addiction and mental health-related issues thanks to a glitch that occurred back in December.

CBO: Healthcare to drive spending increases over next decade

Healthcare expenditures will contribute to an increase in federal spending over the next few years, according to a new report from the Congressional Budget Office.

AHA says uncompensated care rose slightly in 2013

Uncompensated care expenditures by hospitals increased for the 13th consecutive year in 2013, although the increase was relatively modest and was outstripped by moderations in total hospital operating expenses.