CHIP

CMS Finalizes Rule to Crack Down on Medicare, Medicaid Fraud

by Kelsey Waddill

A CMS rule expands its ability to revoke or deny providers’ position serving in federal networks in an effort to combat fraud in Medicare, Medicaid, and CHIP. “The provisions we are...

CMS Releases Guidelines for Sponsored Immigrants’ Public Benefits

by Kelsey Waddill

CMS released a letter detailing the agency’s strategy for determining a sponsored immigrant’s eligibility for public benefits such as Medicaid and CHIP coverage. The letter came in response...

Uninsurance Rate Rises as More Attain Employer-Sponsored Coverage

by Kelsey Waddill

Between 2016 to 2017, 700,000 more individuals became uninsured, a recent study by the Robert Wood Johnson (RWJ) Foundation found. This rise in uninsurance comes at a time when the economy is thriving,...

A Comprehensive Review of the Latest Affordable Care Act Hearing

by Kelsey Waddill

As the 5th Circuit deliberates whether the Affordable Care Act is constitutional — particularly the severability of individual mandate to acquire essential coverage — here are some of the...

CHIP and Medicaid Enrollment Down 2.2% Among Children in 2018

by Kelsey Waddill

CHIP and Medicaid enrollment among children decreased by 2.2 percent by the end of 2018, raising serious concerns about the rate of uninsured children, revealed a new study conducted by Georgetown...

Noncitizens, Lawful Immigrants Much More Likely to Be Uninsured

by Jessica Kent

Non-US citizens, including immigrants lawfully present in the country, are significantly more likely than citizens to be uninsured, according to new data from the Kaiser Family Foundation (KFF). The...

Healthcare Orgs Commend Vote to Fund CHIP for 6 Years

by Thomas Beaton

A number of healthcare stakeholders and provider groups have praised bipartisan legislation that re-authorizes CHIP funding for the next six years. Democratic members of the House and Senate agreed to...

Senate to Vote on Funding CHIP for Five Additional Years

by Thomas Beaton

A bipartisan bill to continue CHIP funding for five more years and transition to a state-federal partnership will move to a Senate vote after being approved by the Senate Finance Committee.   The...

Medicaid Enrollment a “Lifeline” for Rural Residents, Children

by Jesse Migneault

Medicaid enrollment rates are highest for adults and children in small town and rural areas, providing a “lifeline” for low-income beneficiaries, according to a new analysis by the...

CHIP Funding Cuts Would Leave 8M Low-Income Kids Uninsured

by Thomas Beaton

More than 8 million low income children living with chronic diseases would lose healthcare coverage and incur higher costs if CHIP funding is not extended beyond 2017, says new research from the Yale...

CMS Extends Pediatric Alternative Payment Model Comment Period

by Thomas Beaton

CMS will continue to take public comment on its pediatric alternative payment model (APM) initiatives until April 7, 2017.   In March, CMS issued a request for information (RFI) related to...

Doctors Provide 5 Alternative Payment Model Improvements

by Thomas Beaton

A journal article published in the American Journal of Managed Care, outlines recommendations from several doctors on significant ways alternative payment models (APMs) can be improved and better...

CMS Seeking Feedback on Pediatric Alternative Payment Model

by Thomas Beaton

The Centers for Medicare & Medicaid Services (CMS) recently issued a request for information seeking input on designing an alternative payment model focused on improving care quality and cost (APM)...

Children’s Health Insurance Program Enrollment Expands in Flint

by Vera Gruessner

The Centers for Medicare & Medicaid Services (CMS) announced earlier this month in a press release that it will be awarding $300,000 to the Greater Flint Health Coalition (GFHC) so that more...

How Medicare, Medicaid, and CHIP Guide the Health Payer Industry

by Vera Gruessner

Medicare, Medicaid, and CHIP, the three major public insurance programs overseen by CMS, often set the tone for the large private health payer industry.  CMS is using all three programs to actively encourage the movement towards...

Arizona’s Children’s Health Insurance Program Back in Action

by Vera Gruessner

The state of Arizona has had a restriction on accepting funding for the Children’s Health Insurance Program (CHIP) for the last several years. Arizona’s CHIP program was known as KidsCare...

CMS Awards $32M for Children’s Health Insurance Program

by Vera Gruessner

While the Affordable Care Act and other healthcare reforms have reduced the numbers of uninsured children around the nation, more work needs to be done and the Centers for Medicare & Medicaid...

How the ACA Increased Enrollment in Medicaid and CHIP Programs

by Vera Gruessner

Last Friday, the Centers for Medicare & Medicaid Services (CMS) released a report covering the state Medicaid and Children's Health Insurance Program (CHIP) eligibility and enrollment data for...

Arizona Declines Funding Children’s Health Insurance Program

by Vera Gruessner

Nearly 20 years ago, the Children’s Health Insurance Program (CHIP) was established in order to ensure the offspring of low-income families who didn’t qualify for the Medicaid insurance...