Category Archive: Medicaid

Whistleblower: Medicaid Managed-Care Firm Improperly Denied Care To Thousands

An explosive report prepared by a SynerMed executive alleges the California firm, which oversaw care for 1.2 million patients, fabricated documents and violated state and federal regulations for years. The state says it left low-income patients on Medicaid managed care in “imminent danger.”

Massachusetts Grabs Spotlight By Proposing New Twist On Medicaid Drug Coverage

In an effort to reduce drug costs and increase efficiency, Massachusetts is seeking federal approval to implement a new approach to how the state’s Medicaid program covers prescription medications.

Displaced Puerto Ricans Face Obstacles Getting Health Care

Many have complicated questions about whether their Medicaid or Medicare coverage can shift to their new homes. And for those seeking private insurance, using the ACA’s insurance marketplaces will likely be a new experience.

Medicaid Expansion Takes A Bite Out Of Medical Debt

Medical debt is down across the country. In states that expanded Medicaid under the Affordable Care Act, the reduction is sharper.

Trump Administration Plan to Add Medicaid Work Requirement Stirs Fears

The recent announcement by a top administration official that the federal government will entertain requests to implement work requirements for many adult Medicaid enrollees has raised concerns among advocates for the program.

Some States Roll Back ‘Retroactive Medicaid,’ A Buffer For The Poor — And For Hospitals

The retroactive payments provide protection for poor patients who can be enrolled in Medicaid after becoming seriously ill. That enrollment process takes time, and the look-back provision helps guarantee coverage they would have been entitled to if they had enrolled earlier.

Podcast: ‘What The Health?’ We Have Numbers!

In this episode of “What the Health?” Julie Rovner of Kaiser Health News, Sarah Kliff of, Joanne Kenen of Politico and Alice Ollstein of Talking Points Memo discuss the first days of open enrollment for 2018 individual health insurance plans and whether the Democratic gains in Tuesday’s off-off-year elections will have any impact on health care policy in Washington, D.C.

Medicaid Chief Suggests Feds Are Willing Now To Approve Work Requirements

Seema Verma, the head of the Centers for Medicare & Medicaid Services tells state officials that she envisions changes that could include work requirements for Medicaid enrollees.

Despite GOP Efforts To Corral Medicaid Spending, States Expand Benefits

States are adding a variety of services, including expansions of mental health and substance abuse treatments and dental care, according to a 50-state survey from the Kaiser Family Foundation.

On Back Roads Of Appalachia’s Coal Country, Mental Health Services Are As Rare As Jobs

Long commutes and scarcity of providers make it hard for patients who need counseling or psychiatric care.

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