Maximus has assisted Tennessee’s Division of Health Care Finance Administration in the implementation of a system to process electronic remittance advices for the state’s Medicaid program.
The National Association of State Medicaid Directors is calling on the incoming Trump administration to work closely with state Medicaid officials in its first 100 days, saying policies put in place early in the new president's term could chart the program's future.
The state’s second quarterly oversight meeting of Medicaid modernization showed the need: Iowa lawmakers must work to provide more robust oversight of the system.
Gov. Sam Brownback’s administration has requested a one-year extension of the current KanCare program while delaying a proposal for an updated version of the Medicaid managed care system.
A bipartisan group of state health policy leaders has sent a letter to the incoming Trump administration, urging support of state reform efforts, in an attempt to neutralize what has been a politically explosive issue.
Virginia's public colleges and universities will face smaller state budget cuts than expected next year, Gov. Terry McAuliffe announced Friday.
An Augusta advocacy group says its signature drive to get Medicaid expansion on Maine's ballot has been "hugely successful."
The Texas Hospital Association hopes the Trump administration will renew a waiver that its members have come to rely on to offset uncompensated-care costs.
The lack of clarity on Medicaid funding is one of several uncertainties facing states ahead of the new administration taking power in Washington.
New York's Medicaid waiver, which allows the state to have most of its Medicaid population in managed care, will continue through 2021.
The election of Donald J. Trump as the 45th President of the United States, along with the Republican control of the majority of both the House of Representatives and the Senate, will likely set in motion a major overhaul of the nation's health care system.
Patient advocates, payers, industry and academic stakeholders gathered at the Massachusetts Institute of Technology to map out a strategy for designing and piloting innovative financing and reimbursement models for promising, and possibly curative, new medicines. The project, Financing and Reimbursement of Cures in the US (FoCUS) will initially target three urgent medical areas - Curative Gene Therapies, Durable Oncology Treatments and Antibiotics for Multi-Drug Resistant Infections.
The Center for Health Care Strategies produced a brief looking at how multi-stakeholder groups are using a new model - Accountable Communities for Health (ACH) - to achieve the goals of a Triple Aim. ACHs bring together partners from health, social service, and other sectors to improve population health and clinical-community linkages within a geographic area.
One of the dilemmas Medicaid managed care plans find themselves in when they are trying to integrate physical and behavioral health care, is that due to confidentiality and consent laws, a physician can't disclose that a patient is on an anti-psychotic without getting all the required permissions, speakers said at a meeting on Medicare, Medicaid, and Dual Eligibles sponsored by America's Health Insurance Plans. Getting primary care physicians comfortable with mental health diagnoses is another barrier to integra
As ACOs continue to progress, they are seeking to expand population health management capabilities, including their relationships with community organizations and patients, according to research from Premier. The report, with support from the Robert Wood Johnson Foundation, found