Medicaid

Medicaid Drug Costs

03 May The Soaring Cost of Drugs for the Medicaid Program

Last month, President Trump delayed presenting his plan to address the soaring costs of prescription drugs. Despite the delay, New York’s Medicaid Drug Utilization Review Board (DURB) took it upon themselves to negotiate with drug manufacturers. DURB voted in favor of lowering the price its...

Read More
Medicaid Payment Intergrity

16 Apr Billions Lost Due To Improper Medicaid Payments

Medicaid is losing billions of dollars from improper payments. According to HHS Agency Financial Reports, improper Medicaid payments reached $30 billion in 2015 and grew to almost $37 billion in 2017. The vast majority of these improper payments were determined to be improper claims payments...

Read More

20 Feb Medicaid Funding – Trump’s Budget for Fiscal Year 2019

The Trump administration has made considerable efforts to reform the Affordable Care Act. Despite all of the failed attempts in 2017, the Whitehouse is once again targeting the nation's healthcare safety net. The recently released budget for FY 2019 clearly outlines the administration's intent to restructure...

Read More
GAO Medicaid Fraud

08 Dec GAO Reports $95 Billion Wasted in Fiscal 2016

The GAO reported this week that The Centers for Medicare & Medicaid Services must create a much more robust risk-based anti-fraud strategy for the Medicare and Medicaid programs. Improper payments within both programs amounted to about $95 billion in fiscal 2016. The Government Accountability Office, in...

Read More
Kaiser Family Foundation

20 Jul The Consequences of Repealing the ACA Medicaid Expansion

While the Senate considers the Obamacare Repeal Reconciliation Act of 2017, the Kaiser Family Foundation recently reported on the main provisions that would effect Medicaid; they are, the removal of statutory authority to cover childless adults up to 138% FPL ($16,643 for an individual in...

Read More