Latest Headlines

Latest Headlines

Georgia could be next state to expand Medicaid private option

With the second-highest uninsured rate in the country, Georgia lawmakers are currently considering expanding Medicaid to more than 500,000 state residents using the private option that Arkansas pioneered, reported the Atlanta Journal-Constitution.

Is Medicaid expansion truly destroying America?

The Heritage Foundation--the conservative think tank that unwittingly brought us the Affordable Care Act--wants to let you know that Medicaid expansion under the healthcare reform law is destroying America.

How insurers can help lessen financial blow of coverage churn

Churning remains a challenge for consumers who move between subsidized private marketplace plans and Medicaid coverage, but  research by the Commonwealth Fund suggested that insurers can help offset the inevitable complication by offering complementary health plans while using a common provider network for both marketplace and Medicaid plans.

New Hampshire becomes latest state to expand Medicaid

New Hampshire became the sixth state to expand its own version of Medicaid Friday, reported  The Hill. 

How states can craft the right Medicaid managed care contract

As Medicaid revenue continues to grow--revenue to risk-based  Medicaid managed care plans grew from $48.1 billion in 2009 to $83.7 billion in 2013--so does the number of individuals covered. Due to this increase in growth, it's important for states to take an active role in choosing how to contract with managed care plans.

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.