The repeal of the Affordable Care Act with its current provisions for Medicaid did not materialize at the federal level last year; however, states are exploring reform individually by way of Medicaid 1115 waivers. These waivers focus on priorities within the

During the 2016 Presidential campaign and shortly after assuming office, President Trump was adamant about repealing the ACA's provisions for Medicaid expansion. In fact, President Trump and the administrator of The Centers for Medicare and Medicaid Services (CMS), Seema Verma,

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

Lawmakers in Virginia were unable to approve the Commonwealth’s biennial spending plan earlier this year; which included provisions for Medicaid Expansion. Due to a divide in Republican support within the House and Senate, the legislators agreed to reconvene for a

The future of rural hospitals in Virginia hangs in the balance in the upcoming debate over Medicaid expansion. Due to the large population of uninsured and low-income citizens in Virginia's countryside, rural hospitals rely heavily on the Medicaid program for

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

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

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

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

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