Reimbursement
Republican Iowa Governor Terry Branstad has announced expanded Medicaid coverage for eligible residents in his state through a program he is calling Medicaid modernization.
CMS instead wants to establish set payment amounts, indicating the bid process lacks competition, and therefore, price incentives.
The Centers for Medicare and Medicaid Services on Friday released proposed changes for the Medicare Advantage and Part D prescription drug programs for 2017, including an increase in the net payment rate for Medicare Advantage of 1.35 percent, CMS said.
Uncompensated care in Missouri's hospitals swelled 469 percent over a 10-year period, from 2004 to 2014 -- rising from $154 million to $723 million over that span, according to the Missouri Hospital Association's annual Community Investment Report, which examines community benefit and economic data.
Arkansas Gov. Asa Hutchinson said Wednesday that federal officials have approved most of his requested changes to the state's Medicaid expansion program and urged the legislature to continue it.
On Friday, the Centers for Medicare and Medicaid Services was expected to release its preliminary payment plan for Medicare Advantage in policies to address growth rates, risk adjustment and the star ratings system.
On Friday, the Centers for Medicare and Medicaid Services is expected to release its preliminary payment plan for Medicare Advantage in policies that will address growth rates, risk adjustment and the star ratings system.
Florida insurance regulators have approved Aetna's acquisition of Humana's affiliates there, but with conditions, according to a consent order issued last week.
Medicare beneficiaries who live in urban areas may save money on their prescription drugs this year because they have better access to pharmacies in drug plan networks that charge lower copayments or coinsurance, according to the federal Centers for Medicare & Medicaid Services.
The state last week won federal approval to shift most of its Medicaid recipients into managed care organizations, which are paid a fixed monthly fee from the state for each person in the plan. It's a strategy employed by about three dozen states, many for decades, to provide more predictable spending.