Medicaid News and Research RSS Feed - Medicaid News and Research

Medicaid is the United States health program for eligible individuals and families with low incomes and resources. It is a means-tested program that is jointly funded by the states and federal government, and is managed by the states.

Insurers seek rule change that would boost profits

The industry wants to exclude brokers' fees from being factored into administrative costs, which would reduce consumer refunds under the health law's so-called medical loss ratio rule. Currently, the rule requires plans in the small group market to spend at least 80 percent of premiums on medical costs and no more than 20 percent on administrative costs. [More]
First Edition: July 17, 2014

First Edition: July 17, 2014

Today's headlines include reports about how Capitol Hill politics are impacting health care policy. Houston Public Media's Carrie Feibel, working in partnership with Kaiser Health News and NPR, reports: "Primary care doctors have reported problems making referrals for patients who have purchased some of the cheaper plans from the federal insurance marketplace. [More]
State highlights: Health insurance changes catch Detroit teachers off guard; United Healthcare cuts 500 Tenn. doctors from Medicare advantage network

State highlights: Health insurance changes catch Detroit teachers off guard; United Healthcare cuts 500 Tenn. doctors from Medicare advantage network

A selection of health policy stories from Michigan, Tennessee, California, Wisconsin, New York and North Carolina. [More]
Viewpoints: Lower health spending is welcome news; media bias against health law success

Viewpoints: Lower health spending is welcome news; media bias against health law success

The last few years have seen a puzzling and welcome new trend in health care spending: Instead of going up and up, increases have slowed way down. [More]

California vows to cut Medi-Cal backlog to 350,000

Responding to federal pressure, state officials said they would slash the number of waiting applicants nearly in half over the next six weeks. Kansas, meanwhile, promised to fix its computers so they can communicate with the federal system. [More]
CBO: Slowed federal health spending yields savings

CBO: Slowed federal health spending yields savings

Federal spending on health care has slowed sharply, partly as a result of the federal health care law, reports the Congressional Budget Office. [More]

North Carolina lawmakers move closer on state Medicaid funding

In a major move, Senate negotiators have backed away from proposed cuts in eligibility for many aged, blind and disabled people. [More]
Potassium supplements with loop diuretics increase survival rates of heart failure patients

Potassium supplements with loop diuretics increase survival rates of heart failure patients

Researchers from the Perelman School of Medicine at the University of Pennsylvania found that patients taking prescription potassium supplements together with loop diuretics for heart failure have better survival rates than patients taking diuretics without the potassium. Moreover, the degree of benefit increases with higher diuretic doses. [More]

Texas Medicaid rolls grow even without expansion

More than 80,000 Texans have enrolled in Medicaid or the Children's Health Insurance Program since the rollout of the Affordable Care Act last fall, despite the state's decision not to participate in the health law's expansion of eligibility. Enrollment and marketplace developments in Colorado and Maryland are also tracked. [More]
First Edition: July 16, 2014

First Edition: July 16, 2014

Today's headlines include reports about the Congressional Budget Office's latest estimate on federal health care spending. [More]
Viewpoints: 'Tradeoffs among access, quality and costs'; Obamacare as a political issue

Viewpoints: 'Tradeoffs among access, quality and costs'; Obamacare as a political issue

One of the oft-repeated arguments in favor of the Affordable Care Act is that it will reduce people's need for more intensive care by increasing their access to preventive care. [More]

North Carolina Gov. leaves 'door open' to Medicaid expansion

The Republican governor said he wants to fix the current system first, but would consider expansion if federal officials allowed the state to craft its own plan. [More]
States grapple with mental illness issues; Oregon moves closer to limiting Medicaid patients' access to new hepatitis C drugs

States grapple with mental illness issues; Oregon moves closer to limiting Medicaid patients' access to new hepatitis C drugs

The numbers, posted daily on the Cook County sheriff's website, would be alarming at an urgent care clinic, let alone a jail: On a Wednesday, 36 percent of all new arrivals report having a mental illness. On a Friday, it's 54 percent. But inside the razor wire framing the 96-acre compound, the faces and voices of the newly arrested confirm its accidental role as Chicago's treatment center of last resort for people with serious mental illnesses (Geller, 7/14). [More]

HHS offers $100 million in funds for states Medicaid programs to improve payment systems

The Centers for Medicare & Medicaid Services is offering the assistance in hopes that states will be able to streamline processes in ways that will ultimately lead to better patient care. [More]

Florida hospital to pay $1M settlement in false claims case

The settlement comes in what has been a closely watched Medicare overbilling case filed against Halifax Hospital. [More]

Feds scrutinize Medicaid backlogs in 7 states

Health and Human Services officials have demanded remediation plans from at least seven states -- California, Michigan, Tennessee, Missouri, Kansas, Georgia and Alaska -- to resolve application backlogs. [More]
First Edition: July 15, 2014

First Edition: July 15, 2014

Today's headlines include news about how some states are planning to address their backlogs of new Medicaid enrollees. [More]

Glitch in Connecticut exchange resulted in thousands of problems

Access Health CT is reaching out to 5,784 customers who were either inaccurately enrolled in Medicaid, or who received inaccurate bills because their insurers received incorrect information from the exchange, officials say. Meanwhile, developments related to Minnesota's and Colorado's exchanges are also covered. [More]

Some doctors refuse to see Obamacare enrollees

Subscribers are running into closed doors from some doctors listed in their plans' networks, reports The Miami Herald. Meanwhile, Connecticut advocates express concern about how a proposed overhaul of the state's health care system could change Medicaid, and in Washington state, providers scramble to keep up with demand. [More]

National Medicaid enrollment nears 7 million

The Obama administration released new enrollment figures showing 56 percent of those on the program are children. Meanwhile, Tennessee faces a deadline today for a plan to fix enrollment problems. [More]