Latest Headlines

Latest Headlines

BCBS members were sicker and more expensive following ACA expansion

Blue Cross Blue Shield health plans saw higher rates of chronic illness and access to medical care after provisions of the ACA expanded coverage to more Americans.    

In Senate testimony, GAO warns of Affordable Care Act fraud risks

A top watchdog official told the Senate Finance Committee that the federal government needs to do more to strengthen Affordable Care Act enrollment controls and prevent fraud involving ACA subsidies, reinforcing key points of a report released last month.     

Supreme Court contraception case hinges on decades-old religious freedom law

Religious leaders are preparing to face off against the Obama administration in a Supreme Court hearing next week that will determine whether or not government exemptions surrounding the Affordable Care Act's contraception mandate have left enough room for religiously affiliated employers to exercise religious freedom, according to the  Wall Street Journal.  

Report: Eliminating improper payments is critical to sustaining Medicaid

With a growing budget, higher enrollment numbers, and a rising improper payment rate, Medicaid sustainability depends on better fraud prevention and more accountability from states, according to a report from the American Action Forum.  

Experts say Donald Trump's health plan lacks substance

Left- and right-leaning healthcare policy experts are speaking out against leading Republican presidential candidate Donald Trump's recently released healthcare plan that that they say is full of contradictions and unrealistic policy changes.  

Industry leaders weigh in on the state of the ACA

Some of the top healthcare policy experts in the country tackled the current state of the industry and the impact of the Affordable Care Act--both positive and negative--in a series of viewpoints published by the  Journal of the American Medical Association.

Proposed rule clamps down on providers with a history of fraud

A proposed rule released by the Centers for Medicare and Medicaid Services would expand the power of government officials to deny or revoke billing privileges for providers that pose a risk to federal healthcare programs.

A passive approach to healthcare fraud? That's nothing new

Last week's report from the Government Accountability Office made waves after the agency characterized enrollment fraud detection within the federal Affordable Care Act marketplace as "passive," a word that many latched on to as way of denouncing the president's landmark healthcare legislation. Although the GAO pointed out some valid criticisms of ACA fraud detection, this submissive approach to fraud prevention seems to reflect a widespread systemic issue among government-run programs dating back to the inception of Medicare and Medicaid.

GAO: Verification gaps leaves ACA enrollment susceptible to fraud

Federal officials' failure to appropriately verify consumers enrolling in Affordable Care marketplace plans underscores the agency's "passive approach to fraud" that compromises billions in federal spending, according to a review by the Government Accountability Office.  

Six states file suit over Health Insurance Providers Fee

Six states--Texas, Wisconsin, Kansas, Louisiana, Indiana and Nebraska--filed a new lawsuit this week against the Obama administration over the Affordable Care Act, the Associated Press reports.