Medicare Advantage insurers missing enrolling dual-eligible
According to Change Healthcare, Medicare Advantage insurers are missing an opportunity to enroll dual-eligibles. Artificial intelligence helps insurers identify Medicare
Read moreMedicaid
CMS proposes changes to managed Medicaid, CHIP: 7 things to know
(By Morgan Haefner for Becker’s Hospital Review) CMS issued a proposed rule Nov. 8 aimed at overhauling its 2016 managed care regulations
Read moreBillions In ‘Questionable Payments’ Went To California’s Medicaid Insurers And Providers
(By Chad Terhune for California Healthline produced by Kaiser Health News) California’s Medicaid program made at least $4 billion in
Read moreBooming Economy Helps Flatten Medicaid Enrollment And Limit Costs, States Report
(By Phil Galewitz for Kaiser Health News) Medicaid enrollment fell by 0.6 percent in 2018 — its first drop since
Read moreStates Explore Paths To Pay Their Share For Medicaid Expansion — Using Political GPS
(By Shefali Luthra for Kaiser Health News) Last year, nearly 60 percent of Maine residents voted to expand the state’s
Read moreDo private Medicaid plans boost quality, cost savings? Evidence is shaky, report says
(By Morgan Haefner for Becker’s Hospital Review) Private health insurers now manage Medicaid programs in 38 states, according to Kaiser
Read moreAs Billions In Tax Dollars Flow To Private Medicaid Plans, Who’s Minding The Store?
(By Chad Terhune for CaliforniaHealthline produced by Kaiser Health News) With no insurance through his job, Jose Nuñez relied on
Read moreAs States Try To Rein In Drug Spending, Feds Slap Down One Bold Medicaid Move
(By Martha Bebinger, WBUR for Kaiser Health News) States serve as “laboratories of democracy,” as U.S. Supreme Court Justice Louis
Read moreCMS names 6 Medicaid advanced APMs for 2019
(By Morgan Haefner for Becker’s Hospital Review) For the 2019 performance year, CMS said six Medicaid payment arrangements will qualify as Advanced
Read moreDual eligible care models provide highly coordinated healthcare services
According to a new AHIP report, Medicare and Medicaid dual-eligible care models provide extensive care coordination to ensure beneficiaries with
Read more