Medicare & Medicaid
WellCare said in May that it would have the top Medicaid membership market share in Michigan and Illinois, increasing its leading market position from four to six states.
The study found an immediate reduction in the percentage of people hospitalized without insurance, particularly among states that expanded Medicaid.
The unpopular proposal to collapse payment rates for certain office visit services could hurt physicians, other healthcare professionals that treat the sickest patients, the groups said.
The work will focus on challenges including behavioral health, women and infant care, substance use disorder and avoidable emergency department visits.
There are potentially substantial financial benefits to be gleaned from sociodemographic adjustment for safety net hospitals.
Democratic representatives called the loss of health coverage the "perverse result that even the proponents of these new requirements should oppose."
It's the first time that CMS has formally outlined how states should calculate budget neutrality for demonstration projects in order to strengthen fiscal accountability.
Eligible consumers will be able to use their over-the-counter allowance on medications and health-related items such as first- aid supplies, support braces, and pain relievers.
States are required to get CMS approval for any changes they want to make to their Medicaid programs, no matter how simple.
Lower use of the Medicare annual wellness visit by non-white patients is partially explained by income and education.