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Medicaid

April 25, 2014 | Daily News

FDA is weighing how to encourage state officials to enter information-sharing agreements for drug compounding oversight after state stakeholders expressed concerns that some agency requirements, such as those that conflict with some state sunshine laws, pose major legal hurdles, according to recently released minutes of an FDA meeting with state regulators and stakeholders.

April 24, 2014 | Daily News

Centene Corp., in an earnings call this week touting double-digit revenue growth, said that about 39,700 people have enrolled in and paid premiums for qualified health plans (QHPs) the company is offering through the exchanges in nine states but the insurer still expects to have about 70,000 paid enrollees by the second business quarter.

April 23, 2014 | Daily News

The GOP leader of the Florida state Senate sees the impending departure of HHS Secretary Kathleen Sebelius as an opportunity to “recalibrate” the balance of authority in Medicaid and has urged secretary-nominee Sylvia Mathews Burwell to seize a chance to tip unwilling states to embrace Medicaid expansion by adopting a more flexible approach to draw down federal money.

April 22, 2014 | Daily News

The nation's largest insurer during its 2014 first quarter earnings call suggested it will be moving into more public exchanges in the coming year but also noted that it continues to face headwinds due to the Affordable Care Act's insurance tax, sequestration and rate cuts to Medicare Advantage.

April 21, 2014 | Daily News

Medicaid health plans are readying a public push to voice their worries about new, costly Hepatitis C medications that have recently come onto the market and plan to send a letter to state Medicaid directors this week about developing solutions so that plans and the program remain financially solvent, the head of Medicaid Health Plans of America tells Inside Health Policy.

April 17, 2014 | Daily News

The HHS Inspector General recommends that CMS ask Congress to prevent states from using a financing loophole to get federal funding for dually eligible beneficiaries with nearly no investment from states.

April 16, 2014 | Daily News

Outgoing HHS Secretary Kathleen Sebelius has suggested that states that have yet to enroll thousands of Medicaid beneficiaries deemed eligible by healthcare.gov could see reductions in their matching funds if they are unable -- or unwilling -- to quickly clear the logjam.

April 14, 2014 | Daily News

Congressional Medicaid advisors have begun working on addressing concerns with long-term care and could issue recommendations on how to improve the system in one of its 2015 reports.

April 11, 2014 | Daily News

Congressional advisers on Friday (April 11) voted on a draft recommendation that would extend the Children's Health Insurance Program for two years to keep down costs and to pressure Congress into fixing flaws in Obamacare’s treatment of children's health insurance available on the exchanges.

April 11, 2014 | Daily News

HHS Secretary Kathleen Sebelius has submitted her resignation and President Barack Obama intends to nominate Office of Management and Budget Director Sylvia Mathews Burwell to replace her in a White House event scheduled for 11 a.m. Friday (April 11), a White House official says.

April 08, 2014 | Daily News

Two think tanks in as many weeks held events on the challenges to paying for the growing need of long-term care services, and neither proposed how to overcome them.

April 08, 2014 | Daily News

A new RAND Corporation study has found that gains in health insurance coverage as a result of the ACA are mostly in employer-sponsored coverage and much less so in Medicaid and private insurance on the exchanges.

April 07, 2014 | Daily News

CMS is trying to collect $250 million from four hospitals in Oklahoma that the agency says were overpaid under the Disproportionate Share Hospital program over eight years, but the hospitals say that for three of those years they were audited by a Medicare administrative contractor that said they were correctly calculating the same DSH adjustments that a new MAC claims the hospitals incorrectly calculated.

April 04, 2014 | Daily News

CMS could soon have a better idea about how many new Medicaid enrollees are newly eligible under the ACA, as the states determine how many newly eligible beneficiaries they have when they prepare to claim the law's higher matching funds for expanding their programs, a CMS spokesperson tells Inside Health Policy.

March 24, 2014 | Daily News

New Hampshire is lining up to be the next state to expand Medicaid, with the state House poised to pass a program expansion bill this week after the measure was approved by the New Hampshire Senate earlier this month.

March 03, 2014 | Daily News

The administration's 2015 budget will extend for another year the ACA's payment hike for Medicaid primary care providers, at a cost of $5.44 billion for a provision that will also extend to physician assistants and nurse practitioners, according to a White House summary of the budget to be unveiled Tuesday (March 4).

March 01, 2014 | Daily News

North Carolina hopes to begin moving its Medicaid population to accountable care organizations beginning in July 2015, and Gov. Pat McCrory (R) recommended to the Medicaid Reform Advisory Committee that North Carolina Medicaid be revamped using shared savings instead of capitated managed care focused on care coordination and budget predictability.

February 27, 2014 | Daily News

House Energy and Commerce Democrat Frank Pallone (NJ), who is gunning to succeed veteran lawmaker Henry Waxman (CA) as the top Democrat on the powerful committee, indicated he's not backing down in his battle against Rep. Anna Eshoo (D-CA) for the slot even though House Minority Leader Nancy Pelosi (D-CA) endorsed Eshoo on Thursday (Feb. 27).

February 25, 2014 | Daily News

The National Governors Association on Monday (Feb. 24) urged Congress to let states share in federal Medicare and Medicaid savings from state health care transformation initiatives, and offer states higher federal matches for health homes, Medicaid ACOs and other integrated care models that result in federal savings.

February 21, 2014 | Daily News

Medicaid managed care plans are pleased that state insurance regulators rejected a proposal that would have required insurers to account for the Affordable Care Act's health insurance tax in a way the plans say would have exacerbated the costs of the fee in state Medicaid programs.

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