Medicare/Medicaid

More States Eye Expanding Medicaid Services to Justice-Involved Individuals

Nov. 28, 2023

“We are really excited about the opportunities this allows for improvements in that connection of care and continuity of care through pre-release services,” says Utah Medicaid...

Medicare/Medicaid

Medicaid MCO Survey: Providers Still Reluctant to Adopt APMs

David Raths

Nov. 20, 2023

Medicare/Medicaid

How Medicaid Directors Are Thinking About AI

David Raths

Nov. 1, 2023

Medicare/Medicaid

HHS Letter Reinforces Requirement of Continuous Coverage for Eligible Children

Brenda Silva

Oct. 13, 2023

Medicare/Medicaid

Hospital at Home Programs Seek Medicaid Participation

David Raths

Sept. 20, 2023

Medicare/Medicaid

Oregon Details Dramatic Cost Increases as It Sets Healthcare Expenditure Targets

David Raths

Sept. 11, 2023

Medicare/Medicaid

Medicare/Medicaid

Medicaid-Focused CareBridge Tops Inc. Magazine’s Fastest-Growing List

David Raths

Sept. 8, 2023

Medicare/Medicaid

CMS Urges States to Address Medicaid, CHIP Eligibility System Issues

David Raths

Sept. 1, 2023

Medicare/Medicaid

Budget Delay Postpones North Carolina Medicaid Expansion

David Raths

Aug. 29, 2023

Medicare/Medicaid

‘Medicaid-First’ Equality Health Enters Louisiana Market

David Raths

Aug. 9, 2023

Medicare/Medicaid

New CMS Rule Addresses Providing Care to Underserved Communities

Brenda Silva

Aug. 4, 2023

Medicare/Medicaid

George Washington U. Researchers Track Medicaid Provider Shortages

David Raths

Aug. 3, 2023

Medicare/Medicaid

Researchers Zero in on Who Chooses MA vs. Traditional Medicare

David Raths

Aug. 2, 2023

Medicare/Medicaid

CMS to Test Alternative Payment Model for Dementia Care

Brenda Silva

Aug. 1, 2023

GUIDE care model designed to improve the quality of life for dementia patients and caregivers

Medicare/Medicaid

Audit Highlights Medicaid MCOs’ High Rates of Prior Authorization Denials

David Raths

July 28, 2023

Office of Inspector General at HHS found that among the 115 managed care organizations in its review, 12 had prior authorization denial rates greater than 25 percent

Medicare/Medicaid

Congress Urges CMS to Finalize Pending Regulation for Medicare Advantage

Brenda Silva

July 28, 2023

Once passed, the proposed rule will target pre-authorization requirements within MA.

Medicare/Medicaid

Renovis Health CEO Reginald Euburuche, M.D., on Participating in ACO REACH

Brenda Silva

July 27, 2023

As more healthcare organizations join the redesigned ACO REACH Program, Renovis Health looks to a successful future as an active participant

Medicare/Medicaid

Mental Health and Substance Use Treatment Improved by Medicaid Managed Care Plans

Brenda Silva

June 27, 2023

Key issues in healthcare addressed by national health plan collaborative analysis