Confirming Eligibility of ACA Medicaid Enrollees ‘Top Priority’ of Administration
April 13—Amid a recent finding that three states spent more than $1 billion on enrolling ineligible Medicaid beneficiaries, the Trump administration is prioritizing the verification of eligibility among the 11 million who were added to the Medicaid rolls through healthcare reform.
Medicaid Waivers: Work Requirements Are Not the Only Changes Coming
Work requirements present unknown changes and impacts, but the impact may not be as big as some assume. However, what providers and recipients need to consider are the other and seemingly less significant changes that will intensify the overall impact of an 1115 Medicaid demonstration waiver.
FFS Medicaid Most Challenging for Billing: Study
April 4—One of the first direct comparisons of billing complexities between various types of payers found that Medicaid fee-for-service (FFS) programs were the most challenging for providers.
Building a Resilient Managed Medicaid Program in the Face of Uncertainty
By collaborating with state agencies, a provider-sponsored health plan has thrived and expanded in an economically disadvantaged area.
Will CMS Allow Limits on Medicaid Eligibility?
March 7—Federal officials this week approved the third Medicaid waiver that requires work or other steps by beneficiaries but put off a decision on the key question of limiting eligibility.
340B Reporting Bill Draws Hospital Worry
March 5—Hospitals are concerned that new transparency legislation will leave the wrong impression about a federal discount drug program that’s come under fire from pharmaceutical companies.
Minimizing Readmission Penalties with Palliative Care
Hospitals that invest in palliative care programs may reduce readmission penalties.
Administration’s Budget Proposals for Fiscal Year 2019
This summary provides highlights of the healthcare proposals included in the Trump Administration's fiscal year (FY) 2019 budget.
Solving the Opioid Crisis: A Critical Role for Medicaid
The Medicaid expansion has benefited states hardest hit by the opioid epidemic and has eased the burden of uncompensated care on hospitals and other healthcare providers.
Medicaid Expansion Enrollees Increase Healthcare Costs
Jan. 25—Healthcare costs have continued to increase among those who enrolled in Medicaid under the healthcare reform eligibility expansion, according to a new analysis.