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Six states score $389M refund from lawsuit over healthcare law fees
Six states will receive a combined $389 million back from the Internal Revenue Service after a federal judge in Texas said the fee on the states’ Medicaid program was unconstitutional.
Report: Trump administration needs to step up on ‘Obamacare’
A congressional watchdog said the Trump administration needs to step up its management of sign-up seasons for former President Barack Obama’s healthcare law after mixed results last year in the throes of a failed GOP effort to repeal it.
Can lawmakers convince hospitals to support Medicaid buy-in?
Is Medicaid buy-in the Democratic Party’s coverage-expansion alternative to “Medicare for all”? Advocates are making the policy case to states but have to convince hospitals, which are always wary of potential payment cuts.
More health insurers score rating upgrades in first half of 2018
Credit rating agency A.M. Best upgraded ratings of more health insurers in the first half of 2018 than in the same period last year, as companies reported improved operating results in ACA exchanges and continued to turn a profit in other markets.
Lack of provider data, scheduling options impedes care coordination
Physicians do not have the data to best use their referral network, which can hurt outcomes and damage the patient experience, according to a new survey.
CMS vows to curb costs of state Medicaid demonstrations
The CMS is tightening its financial oversight of state Medicaid waiver demonstrations, warning it would withhold approvals unless states show the changes won’t cost the federal government more money.
Older adults, women underrepresented in heart failure clinical trials
Women and older adults only make up a small percentage of patients in clinical trials for heart failure even though they make up a large portion of patients who suffer from the conditions, according to a new study.
Health systems launch collaboration to improve care for Medicaid patients
Fourteen health systems have launched a national collaboration to develop more effective ways of serving their Medicaid populations, starting with avoiding unnecessary emergency department visits.
5 burning questions senators had for Seema Verma
CMS Administrator Seema Verma faced senators for the first time since her confirmation Tuesday. Here are five major policy questions the Senate Homeland Security and Government Affairs Committee had for her.
Feds want to force Anthem to comply with Medicare billing investigation
The Justice Department asked a federal court to force Anthem to provide testimony related to its Medicare Advantage billing practices. Anthem so far has refused to comply with the federal government’s demands.
