Medicaid plans are falling behind with electronic claims management adoption
According to a new Council for Affordable Quality Healthcare, Inc. (CAQH) report, state Medicaid programs are significantly lagging with the
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Medicaid
States Question Costs Of Middlemen That Manage Medicaid Drug Benefits
(By Alison Kodjak for NPR) Several states are questioning the cost of using pharmacy middlemen to manage their prescription drug
Read MorePhysician Medicaid participation not linked to fee bump, study finds
(By Morgan Haefner for Becker’s Hospital Review) A Medicaid fee bump implemented in 2013-14 was not associated with an uptick
Read MoreMedicaid Under The Influence: How Drugmakers Sway Medication Options For Patients
(By Liz Essley Whyte, Joe Yerardi and Alison Kodjak for NPR and The Center for Public Integrity) Eight months pregnant,
Read MoreInsurers Fall Short In Catching And Reporting Medicaid Fraud, Inspectors Find
(By Chad Terhune for California Healthline produced by Kaiser Health News) Despite receiving billions of dollars in taxpayer money, Medicaid
Read MoreProviding Medicare and Medicaid home health benefits stabilize care costs for older beneficiaries
According to a new analysis from the Commonwealth Fund providing extended home health benefits for dual-eligible Medicare and Medicaid beneficiaries
Read MoreDespite U.S. Court’s Ruling, Medicaid Work Requirements Advance In Other States
(By Phil Galewitz for Kaiser Health News) The fallout from Friday’s federal court ruling that struck down the Medicaid work requirement in
Read MoreJudge Blocks Kentucky Medicaid Work Requirement
(By Phil Galewitz for Kaiser Health News) A federal judge on Friday struck down a Trump administration decision allowing states to
Read More340B hospitals, contract pharmacies need more
The Government Accountability Office (GAO) said that HHS’ Health Resources and Services Administration (HRSA) should take new steps to ensure
Read MoreCMS boosting Medicaid audits, oversight to ‘strengthen safety net’
(By Kelly Gooch for Becker’s Hospital Review) CMS is increasing Medicaid audits and oversight of the program, according to a
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