Medicaid Reimbursement

Medicare-Medicaid Financial Alignment Shows Cost Savings

by Vera Gruessner

One program led by the Centers for Medicare & Medicaid Services (CMS) called the Medicare-Medicaid Financial Alignment Initiative moves toward improving the coordination and quality of healthcare...

HIV/AIDS Patients Struggle with High Healthcare Costs

by Vera Gruessner

The high costs within the healthcare industry are often associated with managing the health of patients living with chronic medical conditions. At the J.P. Morgan’s Healthcare Conference in early...

Medicaid Managed Care Spending Rose to $107 Billion in 2014

by Vera Gruessner

One area in which the federal government has put in excessive amounts of funds is the managed care arena. The reasoning may be due to the growing elderly population of baby boomers. The US Government...

CMS Announced 121 New Accountable Care Organizations

by Vera Gruessner

On Monday, the Centers for Medicare & Medicaid Services (CMS) revealed that there will be 121 new accountable care organizations joining the ranks of Medicare ACOs and the Shared Savings...

Why State Medicaid Expansion May be Worthwhile for All

by Vera Gruessner

When the Supreme Court ruled that Medicaid expansion under the Patient Protection and Affordable Care Act is voluntary among the states, this set a precedence that allowed individual states to play...

The History and Evolution of CHIP and the Medicare Program

by Vera Gruessner

When the medical industry including diagnostics and treatment became more complex and sophisticated in the early 1900s, everyday citizens began to see a surge in the costs for healthcare services. With...

Is Employer Mandate in Affordable Care Act Constitutional?

by Vera Gruessner

On Monday, the Association of American Physicians and Surgeons (AAPS) filed an amicus brief with the US Supreme Court that asks the justices to provide a writ of certiorari in a court case that claims...

Medicaid Expansion, State Exchanges Led to Drop in Uninsured

by Vera Gruessner

Ever since the Supreme Court ruled that one stipulation within the Patient Protection and Affordable Care Act is not fully constitutional, states around the nation have taken the court’s decision...

Florida Hospitals Audited for Medicaid Payment Rate Limits

by Jacqueline DiChiara

The Florida Agency for Health Care Administration (AHCA) will audit 31 hospitals sprawled throughout Florida to assess whether or not their Medicaid managed-care plan contracts are indeed compliant...