Topic: Medicaid Managed Care
While many states now require Medicaid MCOs to address social determinants of health, federal law doesn't provide much flexibility to do so.
CMS has failed to recover more than half of the nearly $3 billion in Medicaid overpayments identified by auditors over an 11-year period.
AHIP is pushing back on a proposed "public charge" rule that it says could have huge health and economic consequences.
The Medicaid Transformation Project, which AVIA and Andy Slavitt launched earlier this year, has gained seven new members.
Federal auditors uncovered 19 security vulnerabilities at two Medicaid MCOs in Arizona along with broader concerns about oversight.
Less than six months after a court forced the agency to reconsider Medicaid work requirements in Kentucky, CMS has reapproved the program.
A newly unsealed whistleblower lawsuit claims Molina violated the False Claims Act by failing to implement a "SNFist" program.
HealthTech4Medicaid teaches health tech companies why they should bring their solutions to beneficiaries and then helps them do so.
Improper payments reached an eight-year low of 8.12% in the Medicare fee-for-service program this year.
Michigan becomes the second state to allow value-based drug payments in its Medicaid program.