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Many people have been focused on what the Centers for Medicare & Medicaid Services' new sweeping Medicaid and CHIP managed care rule does. The long-awaited rule, unveiled earlier this week, overhauls and modernizes how Medicare managed care works, bringing much of it into the 21 st century.
The Centers for Medicare & Medicaid Services must include telehealth in value-based payment models and lift geographic restrictions on its use, a new brief published by the American Hospital Association argues.
The federal government on Monday issued a long-awaited final rule for Medicaid managed care plans, which creates a quality-rating system, allows states to set standards for network adequacy and limits how much money insurers can put toward administrative costs.
Most states have not complied with the Affordable Care Act's requirement to implement automated claims safeguards known as coding edits, leaving Medicaid susceptible to billions in improper payments, according to the Office of Inspector General.
Low-income adults in states that have expanded Medicaid feel as though their health insurance options have improved, and their use of healthcare services has also increased, according to new research discussed in an editorial published in the Annals of Internal Medicine.
A recent court ruling in favor of a Texas orthodontics provider adds to the state's longstanding inability to prove claims that dental providers overbilled Medicaid tens of millions of dollars, according to the Austin American-Statesman.
A combination of out-of-date regulations and confusion over a lack of guidance from federal officials led two states to overdraw more than $130 million in Medicaid funds and another to use Medicaid funds for unrelated expenditures, according to a new report from the Office of Inspector General.
| May 18 | 2pm ET / 11am PT | Presented by Universal Medical Resources, Inc.
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