Medicare, Medicaid, CHIP

Latest Headlines

Latest Headlines

Managed-care guide directs state rate-setting for new Medicaid populations

The Centers for Medicare & Medicaid Services' just-released  2015 Managed Care Rate Setting Consultation Guide  as guidance this year for states that expanded Medicaid.

Report: Medicaid enrollees experience limited access to care

State standards for access to care for those enrolled in Medicaid managed care programs varies greatly, according to a new  report from the Office of the Inspector General.

How states can lower insurers' premiums

Policy experts and lawmakers say that state officials can take certain steps to help drive insurers to lower their premium rates, including reviewing proposed rates and expanding Medicaid, reported  Governing.

Reimbursement system is broken, insurance CEO says

The health insurance payment system is broken and the Affordable Care Act, which was supposed to lower costs, is actually contributing to the problem, MVP Health Care CEO Denise Gonick, told the  Albany Business Review. 

Medicare Advantage roundup: UnitedHealth, Humana, MVP Health Care make changes

There have been a lot of changes to Medicare Advantage plans of late--UnitedHealth dropped providers in Alabama, Humana lost a big provider contract and MVP Health Care is discontinuing two of its plans.

State-by-state look at impact of ACA

Individuals in states that ceded all enforcement of the Affordable Care Act were worse off by approximately $245 per participant on an annualized basis,  according to a recent study from Amanda Kowalski, published by the Brookings Institution.

The benefits of expanding Medicaid

Medicaid: to expand or not to expand? That is the question for the 24 states who opted out of the 2012 ruling under the Affordable Care Act. But for the 26 states, and the District of Columbia, who chose to extend the option to lower-income residents, the uninsured rate has dropped, while hospital admissions has increased, finds a new  report from PwC's Health Research Institute.

State roundup: Exchange, Medicaid expansion updates

There's been a lot of action throughout the states ahead of the next open enrollment period for health insurance exchanges. Meanwhile, some state officials are still considering whether to expand their Medicaid programs. Here's a roundup of the recent news across states.

Study: Higher Medicaid reimbursement leads to more cancer screenings

When Medicaid programs provide higher reimbursements for doctors' office visits, Medicaid members are more likely to receive cancer screenings for breast, cervical and colorectal cancers, according to a  study  published in the journal,  Cancer.

Medicaid insurers struggle to pay for pricey drugs

Medicaid insurers are struggling to pay for pricey drugs, leading some to request states to increase payments so they can run their plans. Meanwhile, some states are deciding restrict the expensive medications.