The federal government will soon propose new regulations to Medicaid managed care rules for the first time since 2002. The Centers for Medicare & Medicaid Services--which has been working on updating the regulations for more than a year--plans to address beneficiary information, provider network requirements and how plans spend money they receive from the program.
Iowa, New Mexico and nearly a dozen other states have begun offering incentives to Medicaid beneficiaries to help them make healthier decisions and, in turn, save the program money, reported Kaiser Health News.
For the past few years, skeptics have questioned whether accountable care organizations actually meet their goal of creating long-term savings. Early results from Medicaid ACO programs in Colorado, Oregon and Minnesota may prove them wrong.
States looking to integrate health and social services, especially for Medicaid beneficiaries, can establish a system that would coordinate and finance a variety of services that affect health, including social supports and economic opportunities, according to a recent report from the Commonwealth Fund.
Although patients may now have insurance through health insurance exchanges, the coverage doesn't guarantee that physicians will accept it, according to a new study from JAMA New Medicine.
Despite coverage expansion under the Affordable Care Act, the law does not guarantee physicians' availability or willingness to accept a patient's form of insurance, a new study from JAMA New Medicine finds.
Many foreign-educated doctors don't have the time, money or language skills to compete for and complete a residency. But they can use their knowledge and skills to become nurse practitioners, bringing diversity to the workforce and serving minority pop ulations, the National Journal re ported
Hospitals can cut costs and improve patient care by setting up care delivery models that target Medicaid patients who have complex, unaddressed health issues and a history of frequent encounters with healthcare providers, according to The Center for Medicaid and CHIP Services (CMCS).
Medicaid managed care providers are employing individuals who are ineligible to serve Medicaid patients, according to an Office of Inspector General report released this weekend.
Two fraudsters responsible for a multi-million fraud ring to steal the identities of Medicaid beneficiaries, were sentenced this week to face more than 25 years in prison and to pay back the Internal