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 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.
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.
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.
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.
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.
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.
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.
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.
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.