Reimbursement

System scored 90 percent for their quality performance measures, scored perfect in the "At-Risk Population" domain.

The CBO estimates that doing away with the mandate would reduce the deficit by $338 billion over the next decade, not the $416 billion originally projected.

Multidisciplinary teams and shifts to less costly sites and treatment models are being used in places like Germany and The Netherlands.

If lawmakers don't include repeal of the Affordable Care Act mandate in tax reform, President Donald Trump could through executive order.

New policies giving states more freedom in program design are expected to reduce the rolls of those currently covered under Medicaid.

Overall, Medicaid insurers in the Golden State made $5.4 billion in profits from 2014 to 2016, in part because the state paid higher rates during the inaugural years of the nation's Medicaid expansion under the Affordable Care Act.

Billing data from Medicare and private insurance billing nationwide shows spending on urine screens and related genetic tests quadrupled from 2011 to 2014 to an estimated $8.5 billion a year

Program, which covers 8 million children, has garnered largely bipartisan support since it took effect in 1997.

For instance, 10 percent weight in the cost performance category is to ease the transition to a 30 percent weight in 2021.

But changes to the safety and clinical care domains will come in 2019, so preparation is key.