Latest Headlines

Latest Headlines

Indiana's Medicaid program paves way for other states

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.

Medicare Part D plans cover majority of drugs used by dual-eligible consumers

Medicare Part D covers the bulk of medications commonly used by both Medicare and Medicaid beneficiaries, according to a new report from the Office of the Inspector General (OIG).

Former senior New York fraud investigator allegedly took gifts from a state contractor

A former senior official with the Office of Medicaid Inspector General is accused of accepting gifts in the form of meals, travel, and a job offer from Health Management Systems, which had a $120 million contract with the state.

Medicaid enrollment increases access to, quality of care

While debate still rages in many states about the prospect of expanding Medicaid, a new study indicates that the program improves the healthcare experience for many Americans.

Republican AGs: CMS must stop 'coercive efforts' to expand Medicaid

Ten Republican state attorneys general are asking Republican lawmakers to prevent the Obama administration from taking what they call "coercive efforts" to compel them into expanding their state Medicaid programs under the Affordable Care Act.

Massachusetts audit uncovers $500 million in improper Medicaid payments

A state audit revealed Massachusetts' Medicaid program paid more than $500 million in improper or unnecessary payments over the course of five years, most of which came from duplicative claims or services that insurers were supposed to cover through managed care plans.

Full ACA repeal would cost insurers 19M members, grow national deficit as much as $350B

Insurers stand to lose up to 19 million members if the U.S. Supreme Court rules that subsidies are illegal and lawmakers repeal the Affordable Care Act, according to a new report from the Congressional Budget Office, which also estimates the economic damange.

Anthem tops Medicaid insurer list

Health insurer Anthem was the country's top Medicaid insurer as of the first quarter of 2015, according to a forthcoming market intelligence report. Two California plans had the most Medicaid enrollees.

10 new 'breakthrough' drugs to cost $50B for Medicare, Medicaid over next decade

Medicare and Medicaid will have to spend almost $50 billion to cover just 10 new specialty medications in the next 10 years, according to a new report from Avalere Health.

Unnecessary orthodontic payments reach $191 million in Texas

The Texas Health and Human Services Commission is under fire again, this time for unallowed Medicaid payments for orthodontic services totaling at least $191.4 million over a four year period, according to an Office of Inspector General report.