The success of certain areas in the health insurance industry--namely, the individual insurance exchange, Medicaid, Medicare and dual eligibles--depends on payers' ability to better understand the overall consumer population.
Congress will mull legislation that would make it far easier for providers to coordinate the special needs care of pediatric enrollees in the Medicaid program. If p assed into law, the bill would save the Medicaid program on the federal and state level as much as $13 billion over 10 years.
Michigan Medicaid clients are now able to remotely access medical and healthcare information thanks to a new app and portal developed by the Michigan Department of Community Health's Bureau of Medicaid Operations.
Two Republican governors say the Obama administration seems more open and willing to compromise on Medicaid expansion plans, including using work requirements as a condition for Medicaid eligibility.
The decisions by individual states to expand Medicaid eligibility under the Affordable Care Act has created decidely different financial pressures on hospitals.
The Medicaid program has gone through a lot of growing pains as it dramatically expanded as part of the Affordable Care Act. But it may face its toughest challenge in 2015, when payments to primary care physicians are slated to drop an average of more than 40 percent, Kaiser Health News re ported.
The Medicaid program may face its toughest challenge in 2015, when payments to primary care physicians are slated to drop an average of more than 40 percent, Kaiser Health News reported.
States spent $1.8 billion in Medicaid 90/10 funds to upgrade their eligibility information technology systems over the past three fiscal years, but still face implementation challenges, according to a new report from the Government Accountability Office.
Medical professionals blasted last week's fe deral budget deal for failing to address the controversial sustainable growth rate payment formula, MedPageToday repo rts.
Medicaid insurers' provider directories include doctors who are unavailable, not accepting new patients or could not be found, says a report from the Office of the Inspector General.