Medicaid and CHIP

July 27, 2015 | Phil Galewitz, Kaiser Health News

A "sleeper" provision when Congress created Medicare in 1965 to cover healthcare for seniors, Medicaid now provides coverage to nearly one in four Americans, at an annual cost of more than $500 billion. Today, it is the workhorse of the U.S. health system, covering nearly half of all births, one-third of children and two-thirds of people in nursing homes.

July 20, 2015 | Anthony Brino

Far from being overtaken by a provider-led managed care movement, Molina is getting into the game.

July 2, 2015 | Michelle Andrews

Gynecologists ordered fewer preventive services for women who were insured by Medicaid than for those with private coverage, a recent study found.

June 19, 2015 | Barbara Feder Ostrov, Kaiser Health News

California health officials failed to ensure that more than 9 million residents enrolled in Medicaid managed care plans had access to doctors when they needed them, the state auditor said in a stinging report.

June 19, 2015 | Anthony Brino

Fallon Health is departing from Massachusetts’ Medicare-Medicaid managed care program, another sign that the sought-after benefits and savings will be hard to achieve.

June 9, 2015 | Anthony Brino

If the economics of running a health plan require the big to get bigger, it also seems that new models for services, risk and profits are needed.

May 27, 2015 | Anthony Brino

The federal government has crafted the first regulatory change to Medicaid managed care in a decade, as more health plans take the challenge from states to cover growing Medicaid populations at a sustainable cost.

May 19, 2015 | Anthony Brino

Molina Healthcare is acquiring a financially beleaguered Medicaid plan from a nonprofit insurer trying to preserve another managed care business.

May 15, 2015 | Anthony Brino

In the first update to federal MCO rules in more than a decade, the government is set to push a range of tweaks, reforms and requirements that could set a new baseline for a bustling public payer segment.

May 8, 2015 | Phil Galewitz, Kaiser Health News

Florida Gov. Rick Scott's high-stakes visit to Washington to persuade the Obama administration to keep the federal government's $1 billion in annual funding for hospital care of the poor produced no breakthrough.

May 4, 2015 | Phil Galewitz, Kaiser Health News

Taking a cue from workplace wellness programs, more than a dozen states are offering Medicaid beneficiaries incentive to make healthier decisions. The stakes are huge.

April 30, 2015 | Anthony Brino

Medicaid managed care specialist Centene nearly doubled its quarterly profit, wrapping its arms around more and more members while adding fuel to rumor fires about the next wave of takeovers.

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