A federal judge has blocked Kentucky from instituting the first-ever Medicaid work requirements, potentially dealing a major blow to the Trump administration’s efforts to scale back the health care program for the poor. The decision Friday afternoon ca…
The Centers for Medicare and Medicaid Services (CMS) is ratcheting up scrutiny of state Medicaid programs. The agency announced Tuesday that it is boosting audits to confirm that Medicaid beneficiaries are correctly identified as expansion or pre-expan…
“The Trump administration’s recent move to abandon its legal defense of protections for people with pre-existing conditions has launched the latest battle in the health-care war. The decision, which is already a 2018 midterm topic, signifies that the f…
The first Sunday after his inauguration, New Jersey Gov. Phil Murphy signed an executive order directing state agencies to report everything they could do to ramp up the visibility of the Affordable Care Act and persuade more people to buy health cover…
Members of the Senate Finance Committee on Tuesday called on the Trump administration to use stronger tactics to curb high drug prices than its tempered strategy unveiled last month. In its first hearing on the White House’s drug pricing blueprint, law…
Selected publications from the professional literature explore alternative payment models, home food delivery programs reducing inpatient admissions, and more.
Physicians are proposing new ways of delivering and paying for care that take aim at a key shortcoming of the nation’s fee-for-service system: lack of payment for some high-value services. Their condition-specific models encourage adherence to evidence…
Transforming Care asked Harold D. Miller and Jeffrey Bailet, M.D., about their work as members of the Physician-Focused Payment Model Technical Advisory Committee, created under the Medicare Access and CHIP Reauthorization Act of 2015 to evaluate physi…
This year, Iowa’s legislature took the extraordinary step of abdicating the state’s authority to regulate health insurance products. The bill, enacted in April, exempts health plans offered by the state’s Farm Bureau from state and federal insurance re…
