Last month, Virginia’s work on the Commonwealth’s biennial spending plan budget came to an abrupt halt due to the inclusion of provisions for Medicaid expansion. In short, the Republican House supports expanding Medicaid whereas the Republican Senate does not. As a result of the split...
Last year the GOP and Trump Administration made numerous attempts to reform Medicaid by trying to repeal the Affordable Care Act (ACA) and impose federal spending caps for the Medicaid program. While these efforts were unsuccessful, the future of the Medicaid program is still vulnerable...
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...
Over the past year, the Trump administration and the GOP had a strong push to repeal the ACA along with reforming Medicaid. With the New Year underway, it is clear that the uncertainty in Medicaid's future is a cause for concern amongst Medicaid managed care...
Just under 60% of Utah residents support the expansion of Medicaid under the ACA in order to cover a greater number of low-income adults, according to a recent poll. A strong majority of Utahns back a full Medicaid expansion, according to the poll conducted by Dan Jones and...
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...
The federal government must quickly move away from the "Pay and Chase" model where Medicaid routinely makes improper claims payments (those that were the liability of primary insurance plans), then retrospectively identifies the claims with third party liability. To make this change, the government must...
Enrollment surveys have shown that healthcare options under Medicaid programs are acceptable to enrollees. Enrollees have reported in a nationwide survey that the healthcare they receive under Medicaid is more than adequate. Researchers at Harvard T.H. Chan School of Public Health discovered that in general,...
The newly released Senate health care plan, if passed, would drastically scale back Medicaid funding. This would decimate the program that provides healthcare to a large portion of the population. Reforming the program is vital; however, the recent proposal has brought the health insurance industry...
The AHCA , which narrowly passed in the House of Representatives, aims to cap federal Medicaid funding. The drastic reduction in funding could potentially put an end to Medicaid Managed Care as we know it. Converting the open-ended entitlement program to a system of per capita caps...
