Medicaid News and Research

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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.

States, tech companies wrestle over efforts to fix troubled state marketplace sites

States seek to recoup funds from technology companies that were involved in creating the online insurance portals that malfunctioned.

23 Jun 2014

More twists in Capitol Hill insider-trading probe

The Securities and Exchange Commission is investigating whether nonpublic information related to a 2013 announcement by the Centers for Medicare and Medicaid Services regarding 2014 reimbursement rates was leaked improperly.

23 Jun 2014

First Edition: June 23, 2014

Today's early morning highlights from the major news organizations, including news stories about healthcare.gov management changes.

23 Jun 2014

Long-term care for soaring numbers of people with dementia need to be improved, says new RAND study

As millions of Americans struggle to help loved ones with dementia, policymakers should consider more ways to improve long-term services and supports for the soaring numbers of people with the debilitating condition and their caregivers, a new RAND Corporation study says -- and it offers possible ways to do so.

23 Jun 2014

Premier PHC, Encompass partner to improve patient outcomes

Premier Patient Health Care and Encompass Home Health & Hospice are pleased to announce a new partnership that actively manages the quality and cost of care for patients across multiple settings, in order to meet quality benchmarks and improve patient outcomes.

21 Jun 2014

Calif. marketplace officials raise concerns about initiative's effects on rate regulation

Backers of the ballot measure say it will not disrupt how the exchange works in the state but allow the insurance commissioner more authority over premium increases.

21 Jun 2014

Research roundup: Improving colon cancer screening; disparities in heart care; Medicaid expansion's effect on cities

This report estimated the effect of the Affordable Care Act (ACA) on 14 large and diverse cities: Los Angeles, Chicago, Houston, Philadelphia, Phoenix, Indianapolis, Columbus, Charlotte, Detroit, Memphis, Seattle, Denver, Atlanta, and Miami.

21 Jun 2014

State highlights: N.Y. lawmakers deal on heroin abuse; N.Y. birth control discrimination bill; nursing home costs in Mich.

A selection of health policy stories from New York, Michigan, New Jersey, Virginia, Maryland, North Carolina, California, Texas, Washington state, Missouri, Massachusetts and Colorado.

20 Jun 2014

Viewpoints: The cost of a VA fix; Virginia GOP 'must be so proud'; health law critics' argument backfires

The Veterans Affairs scandal has exposed a failing bureaucracy, so naturally Congress's solution is to give the same bureaucracy more money.

20 Jun 2014

Lack of federal funding and Medicaid expansions can impact community health centers

A special federal fund to support community health centers expires after September 2015, creating a funding cliff for primary care clinics located in medically underserved areas.

20 Jun 2014

Insurers' 2015 rate filings set stage for consumer decisions

The Wall Street Journal notes that, as rates for the upcoming season shake out, consumers will make choices between paying higher premiums to stay on their current plans or switching coverage to save cash. Meanwhile, news outlets detail recent reports that analyze these costs, as well as the impact of federal subsidies, and offer regional takes on the rates.

20 Jun 2014

Low-income, uninsured patients feel stigma when interacting with health care providers

Some low-income, uninsured and Medicaid patients report feeling stigma when interacting with health care providers, finds a new report in The Milbank Quarterly.

20 Jun 2014

Administration opened marketplaces despite technology concerns, GOP senators say

In new report, Sens. Orrin Hatch, R-Utah, and Charles Grassley, R-Iowa, allege the White House's delayed decisions kept health officials from meeting development deadlines for the online exchanges, Reuters reports. Meanwhile, a GAO official tells a Senate panel that the government has a flawed strategy on tech projects.

20 Jun 2014

Viewpoints: Working for benefits; fears for a pill to prevent HIV; possible Medicaid strategy for Virginia

[Economist Robert] Moffitt noted in an email that "the work incentives in the government safety net have greatly increased over the last 20 years: less welfare payments if you don't work, and much greater government payments if you do."

19 Jun 2014

State highlights: Illinois Medicaid digital shift delayed; N.C. hospitals fight cuts; heroin in New England

Alexian Brothers Health System is suspending its effort to launch a new Medicaid program, blaming the difficulty of connecting physicians using different electronic records systems. The Arlington Heights, Ill.-based health system was spearheading a so-called accountable care entity (ACE) to coordinate the care of about 46,000 patients on Medicaid, the state-federal health insurance program for the poor and disabled. The ACEs are a form of managed care, one of Gov. Pat Quinn's initiatives to focus on preventative treatment to keep patients healthy and reduce health care costs (Schorsch, 6/17).

19 Jun 2014

Medicare faces cost tension with lawmakers, advocates

More than 130 lawmakers are urging the Obama administration to expand coverage for a lung-cancer test under Medicare that could cost the program billons, calling the screening important for vulnerable seniors. In a letter to the Centers for Medicare and Medicaid Services, the lawmakers called for a timely decision on coverage for low-dose CT scans for older patients at higher risk of developing lung cancer. ... A CMS spokesman said the agency's decision will be based on whether the test is "reasonable and necessary," without regard to its cost to Medicare (Yen, 6/17).

19 Jun 2014

Feds join whistleblower suit against doctors' company

The Justice Department says in a lawsuit that IPC The Hospitalist Co., which assigns doctors to hospitals in 28 states, bilked Medicare and Medicaid by billing for more expensive care than was provided.

19 Jun 2014

Insurers continue to eye state health exchanges

In a pair of stories, the Associated Press reports on how insurers in New Hampshire and Kentucky that did not participate in the health law's online insurance marketplaces during the first enrollment period are now indicating their interest for the next open season. In addition, news outlets in Oregon and Minnesota report on developments related to state exchanges.

19 Jun 2014

UC Irvine Health to use $3.4 million NIH grant to examine "Transition of Care in CKD"

UC Irvine Health will use a $3.4 million grant from the National Institute of Diabetes and Digestive and Kidney Diseases of the National Institutes of Health to examine the "Transition of Care in Chronic Kidney Disease (CKD)."

19 Jun 2014

Generic drug delays cost U.S. payers millions

Problems surrounding an Indian company's launch of generic versions of three blockbuster drugs have preserved millions in revenue for the brand-name makers, reports The Wall Street Journal.

19 Jun 2014

Medicaid News and Research

States, tech companies wrestle over efforts to fix troubled state marketplace sites

More twists in Capitol Hill insider-trading probe

First Edition: June 23, 2014

Long-term care for soaring numbers of people with dementia need to be improved, says new RAND study

Premier PHC, Encompass partner to improve patient outcomes

Calif. marketplace officials raise concerns about initiative's effects on rate regulation

Research roundup: Improving colon cancer screening; disparities in heart care; Medicaid expansion's effect on cities

State highlights: N.Y. lawmakers deal on heroin abuse; N.Y. birth control discrimination bill; nursing home costs in Mich.

Viewpoints: The cost of a VA fix; Virginia GOP 'must be so proud'; health law critics' argument backfires

Lack of federal funding and Medicaid expansions can impact community health centers

Insurers' 2015 rate filings set stage for consumer decisions

Low-income, uninsured patients feel stigma when interacting with health care providers

Administration opened marketplaces despite technology concerns, GOP senators say

Viewpoints: Working for benefits; fears for a pill to prevent HIV; possible Medicaid strategy for Virginia

State highlights: Illinois Medicaid digital shift delayed; N.C. hospitals fight cuts; heroin in New England

Medicare faces cost tension with lawmakers, advocates

Feds join whistleblower suit against doctors' company

Insurers continue to eye state health exchanges

UC Irvine Health to use $3.4 million NIH grant to examine "Transition of Care in CKD"

Generic drug delays cost U.S. payers millions

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