States with waivers for Medicaid expansionJulie MillerManaged Healthcare Executive E-News
citizens would be forced to go without coverage, while legal immigrants residing in the same state could still get it. It’s an unintended consequence of how last year’s Supreme Court decision changed the Medicaid provisions of President Barack Obama’s health care law. The overhaul...
Various states are still implementing their ACO-like Medicaid changes but are expected to complete their plans soon. The Cambridge Health Alliance, Massachusetts, already considers itself an ACO and has begun moving some of its Medicaid patients into a global payment model through the...
An effort aimed at blocking President Trump's "Liberation Day" tariffs in the Senate fell short Wednesday, with Senate Republicans largely united in opposition. 11H ago Great white shark stranded in shallow water rescued by locals Three local men managed to return the distressed animal from a san...
In a few cases (such asMedicaid reform), the changes would take several years. In all cases, however, the ultimate goal should be toget Washington out of the businessof subsidizing activities that should be solely the responsibility of state and local government (or, in most cases, activities...
This cross-sectional study examines the prevalence of and sociodemographic characteristics associated with reporting attempted self-managed abortion among
Policymakers promised a season of plenty by shifting Medicaid recipients to managed care--enough to expand coverage to the uninsured. But many states have sliced their rates severely. Big HMOs bolted from some markets and threaten to leave others. That leaves managed care rollout plans in trouble...
which is managed by Deloitte under a $354.4 million contract that lasts until 2027.A recent KFF Health News investigationof eligibility systems managed by Deloitte found widespread problems. In Colorado, astate-commissioned auditin 2020 found that many Medicaid beneficiaries were...
For risk-based managed care to meet these goals, a delicate balance is required. Medicaid’s risk-based rate-setting methodology has been developed over an extended period. It combines the requirement that payments to plans be actuarially sound with the protection of an 85% medical loss ratio ...
Role of the Funder/Sponsor: The US Centers for Disease Control and Prevention designed and conducted the study; collected, managed, analyzed, and interpreted the data; prepared, reviewed, and approved the manuscript; had a role in the decision to submit the manuscript for publication and journal...