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...
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...
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 Association for Community Affiliated Plans (ACAP) has launched a massive advertising campaign imploring Republican senators from Medicaid expansion states to oppose any Medicaid cuts. The message from ACAP: Medicaid is economically critical because it supports workers. "Medicaid cuts will put millions of jobs at risk," the...
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...
H.R. 938, the Medicaid Third Party Liability Act, was recently introduced by Rep. Michael Burgess (R-Texas) to help Medicaid save money. As legislators return to Washington this week, health care remains at the top of their agenda. The main issue amongst Republicans is how to handle the...
