State Medicaid programs continue to balance serving eligible beneficiaries and controlling costs.
Over the past year, federal and state policy makers have advanced proposals that would permit people above Medicaid eligibility levels to “buy in” to Medicaid or would leverage the Medicaid program to offer more affordable and accessible coverage.
A recently proposed rule issued by the Department of Homeland Security (DHS) seeks to change how DHS determines whether immigrants are “likely at any time to become a public charge” (i.e., dependent on the government for financial support).
Healthcare is among the top three industries being targeted for Telephone Consumer Protection Act (TCPA) litigation.
Healthcare IT News reports that 65% of patients with primary care providers would be willing to see them through a telehealth visit—and 50 million Americans would switch their family practice providers to have access to video visits.
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On June 29, the U.S. District Court, District of Columbia, in the Stewart v. Azar case, overturned the Centers for Medicare & Medicaid Services’ approval of Kentucky’s Medicaid 1115 waiver.
States have long relied on supplemental payments to provide additional funding to hospitals and other providers. Though reliance on these payments varies, in some states they account for a fifth of total Medicaid expenditures.
There is a growing trend among states to develop more rigorous methods for overseeing and enforcing contract requirements with Medicaid managed care organizations (MCOs).
States are leveraging Medicaid waivers as part of their response to the opioid epidemic. Through Section 1115 demonstrations, states are using federal Medicaid funding to provide care to individuals residing in institutions for mental diseases (IMD) and to expand substance use disorder benefits. ...