10.20.16
The healthcare system is undergoing massive transformation, including new insurance marketplaces, expanded public and commercial coverage, rapid digitalization and emerging value-based regulatory and payment reforms.
10.11.16
Kentucky receives final approval from CMS to transition its Marketplace to the HealthCare.gov platform; Ohio puts a price ceiling on prescription drugs purchased by the State on its November 2017 ballot; and a new study links Medicaid expansion to lower risk scores for Marketplace enrollees.
10.04.16
Vermont moves closer to launching the country’s first all-payer ACO; CMS approves Arizona’s 1115 waiver extension but rejects the State’s proposed work requirement and premiums for those earning below the FPL; and CMS issues a final rule prohibiting “hospital dumping” ...
09.29.16
Medicaid expansion was not likely a “major driving force” behind the record high drug spending growth in 2014, despite its association with an increase in the number of Medicaid drug prescriptions that year, according to a study published in Health Affairs.
09.27.16
Marylanders can shop for coverage through the Marketplace’s new mobile app; Michigan expansion enrollees report increased access to care and improved health; and survey finds states’ eligibility and enrollment systems performed well during the third open enrollment period.
09.22.16
Election 2016 will have a major impact on federal and state healthcare policy. To be prepared for all the possibilities, it’s critical to understand the political dynamics that will be in play under each potential scenario—and what they will mean for healthcare stakeholders.
09.20.16
Study finds that Marketplace premiums are lower than employer-based premiums, even without federal subsidies; New York regulators move to shield insurers from outsized federal risk adjustment payments; and Missouri will seek CMS approval to charge Medicaid enrollees for missed appointments.
09.13.16
CMS denies Ohio’s Medicaid 1115 waiver request citing the State’s premium proposal; HHS will use 2015 risk corridors collections for remaining 2014 payments; and Alabama closes its Medicaid budget shortfall.
09.07.16
The national uninsurance rate hits a record low; Georgia’s Chamber of Commerce outlines three Medicaid expansion proposals; and California legislation targets surprise medical bills.
08.30.16
A federal report finds that Marketplace premiums are lower in expansion states; Massachusetts and Pennsylvania launch prescription drug monitoring systems; and Kentucky submits a slightly modified Medicaid expansion waiver to CMS.