Latest Headlines

Latest Headlines

A look at states' efforts to coordinate care for Medicare, Medicaid populations

Currently 13 states are working to align Medicare and Medicaid financing as well as integrate primary and acute care, behavioral health services and long-term services and supports through a variety of innovative methods, according to a new report from the Center for Healthcare Strategies.  

CMS proposes rise in 2017 Medicare Advantage payments

In addition to proposing changes aimed at improving the precision of payments to health plans, the federal government said it wants to raise Medicare Advantage payments by an average of 1.35 percent next year.

Obama's 2017 budget proposal: What it means for payers

President Barack Obama unveiled his 2017 fiscal year budget Tuesday, including a host of provisions set to impact both public and private payers.  

Dual-eligible pilot program shows promising early results

A pilot project aimed at better aligning care for dual-eligible Medicare and Medicaid beneficiaries has shown promising preliminary results, according to a new government report.

Pilot programs for dual-eligibles struggle with enrollment

The federal government is having trouble reaching its enrollment goals for a program aimed at improving care and lowering costs for those eligible for both Medicare and Medicaid,  The Wall Street Journal  reports.

Opportunities for Medicare Advantage plans amid rate cut proposal

The Centers for Medicare & Medicaid Services raised eyebrows when it proposed lower Medicare Advantage reimbursement rates for 2016, but the proposal isn't all bad news for Medicare Advantage plans.

Medicare Advantage ratings hurt insurers with dual-eligible members

WellCare is calling out the Centers for Medicare & Medicaid Services for creating unfair Medicare Advantage ratings that put insurers with a high proportion of dual-eligible members at a disadvantage.

Michigan joins Medicare-Medicaid integration trend

The Centers for Medicare & Medicaid Services has partnered with Michigan to test efforts to improve care and contain costs for Medicare-Medicaid enrollees.

Dual-eligible programs need stronger quality-of-life measures

Test care models that coordinate benefits for dual-eligibles are lacking in quality-of-life measures, which are essential to identifying effective innovations, concludes a new policy brief from The Commonwealth Fund.

States look to cut costs for treating dual-eligibles

Many states are using the cost-cutting impetus of the Affordable Care Act to combine their Medicare and Medicaid programs, thus saving money on the care provided for enrollees, StateLine reports.