08.16.16
CMS’s risk adjustment program data signals an improving risk pool while the agency announces plans to modify the program; California enrolls 134,000 undocumented immigrant children into Medicaid; and Oregon approves increases to previously-approved rates to maintain insurer participation and ...
08.10.16
A growing body of evidence indicates that medical care is not the only factor that drives health outcomes.
08.09.16
CMS targets Medicaid managed care pass-through payments; California proposes “California Qualified Health Plans” for the undocumented; and a new study finds out-of-pocket costs were reduced by nearly a third for Medicaid expansion enrollees.
08.02.16
Oregon’s hospitals see improved financial performance following the ACA; CMS denies Indiana’s request for an additional lock-out period in Medicaid expansion program; and a new Manatt Health report details Medicaid funding options for social services.
07.28.16
If Oklahoma takes up the option of covering adults with incomes up to 138% FPL under SoonerCare, it is projected that 272,000 individuals would gain coverage in the new adult group during 2019 (the first calendar year of full enrollment after a ramp-up period).
The joint legislative council that sued Governor Bill Walker (I) over his executive order expanding Medicaid voted to drop its lawsuit after Superior Court Judge Frank Pfiffner ruled that the House could not substitute itself as the plaintiff in the case.
07.27.16
According to a report the Brookings Institute issued in May 2016, 23% of all data breaches occur in the healthcare industry.
07.26.16
CMS’s increase of “income verification threshold” makes eligibility determinations easier for consumers; Oregon CO-OP policyholders can credit out-of-pocket spending towards new plans; and report finds that 13 million people would become Medicaid-eligible if non-expansion states ...
07.19.16
Massachusetts’s Marketplace eliminates cost-sharing for addiction treatment in some QHPs; Montana cuts uninsurance in half; and a Kaiser report identifies the 50 most costly drugs for Medicaid.
07.13.16
The President voices support for a public option; Vermont selects a Medicaid ACO; and Alabama ends enhanced primary care reimbursements.
