Overall Medicaid spending growth was at 2.9 percent for fiscal year (FY) 2019 but is projected to trend upward in the new year, while Medicaid enrollment growth was flat and will continue to be so in...
Inpatient healthcare costs and emergency department visits went down for chronically ill children when they received coordinated care but these results were potentially also achievable through usual...
Tennessee is the first state to seek a block grant waiver for its Medicaid program.
“The traditional model of Medicaid financing is an outdated model of fundamentally misaligned...
Better care management and risk stratification can help state Medicaid agencies cut spending on high-cost patients, according to a recent report from the Government Accountability Office...
Iowa’s Department of Human Services will be raising privatized Medicaid capitation rates by 8.6 percent and has signed contracts from Amerigroup Iowa and Iowa Total Care for fiscal year (FY)...
CMS is proposing to relax rules requiring states to submit and update Medicaid access monitoring review plans, which would largely leave states in charge of ensuring adequate Medicaid beneficiary...
CMS recently approved Washington state’s value-based purchasing proposal to lower drug prices for Medicaid.
The approval will allow the state to implement a “subscription” model for...
New guidance from CMS addresses the issue of prescription drug price spreading and reiterates Medicaid and CHIP managed care program obligations to account for the practice when calculating certain...
Earlier this week, the Gallup National Health and Well-Being Index reported that the percentage of adults without health insurance reached 13.7 percent by the close of 2018. The polling group sampled...
A report on social determinants of health (SDOH) has five recommendations for addressing these important but often overlooked health factors with effective policymaking.
The Center for Health Care...
Last year, healthcare spending in the US jumped at an estimated rate of 3.9 percent to $3.5 trillion – or $10,739 per person, according to a new analysis from the Office of the Actuary at the...
Medicaid beneficiaries with mental health conditions are the targets of recent CMS efforts to boost health outcomes.
In recent remarks to the National Association of Medicaid Directors in the national...
Medicaid beneficiaries with serious mental illness (SMI) or serious emotional disturbance (SED) are the targets of recent CMS efforts to improve health outcomes.
In a letter to Medicaid directors...
Rhode Island officials have requested an extension of a 1115 demonstration from CMS to expand the use of value-based care within the state’s Medicaid program.
State Medicaid administrators are...
Providing extended home health benefits for Medicare beneficiaries is likely to stabilize care costs for public payer programs, according to a new analysis from the Commonwealth Fund.
Researchers from...
CMS has announced a new set of Medicaid program integrity initiatives that leverage enhanced data sharing, claims auditing, and provider education to reduce the incidence of improper payments and help...
CMS has issued new opioid coverage strategies and health IT guidance to help states improve opioid safety within Medicaid plans. The guidelines include advice for state programs about treating infants...
Arkansas received approval from CMS for a 1115 Medicaid demonstration that adds work requirements for Medicaid eligibility and adds a nine-month block on member re-enrollment if individuals don’t...
Michigan is asking CMS for a renewal of its 1115 Medicaid waiver demonstration that increased the number of insured individuals in the state and led to a reduction in unhealthy behaviors.
The...
US healthcare spending totaled $3.3 trillion in 2016, representing a 4.3 increase in the spending growth rate since 2015. While spending continued to rise, the rate of increase was actually slower...
