Medicaid and CHIP

April 23, 2015 | Phil Galewitz, Kaiser Health News

Add Tennessee and Kansas to the list of states that have been warned by the Obama administration that failing to expand Medicaid under the Affordable Care Act could jeopardize special funding to pay hospitals and doctors for treating the poor.

April 10, 2015 | Anthony Brino

To fix financial woes, New York City's taxpayer-owned health system is plotting a comeback and planning to give more residents a kind of public option for health insurance.

April 7, 2015 | Jenny Gold, Kaiser Health News

A 2008 federal law was supposed to ensure that when patients had insurance benefits for mental health and addiction treatment, the coverage was on par with what they received for medical and surgical care. But until now, the government had only spelled out how the law applied to commercial plans.

April 2, 2015 | Anthony Brino

The perpetrators of an alleged Medicaid and Medicare fraud involving complimentary shoes and fake diagnoses could face 25 years in prison, as investigators across the country try to prevent or at least find fraud schemes that never seem to end.

April 1, 2015 | Anthony Brino

Can Anthem, the insurance giant famous for the for-profit Blues, "reconceive Medicaid as a care-delivery model rather than as an insurance program"?

March 17, 2015 | Julie Rovner, Kaiser Health News

A total of 16.4 million non-elderly adults have gained health insurance coverage since the Affordable Care Act became law five years ago this month, a "historic" reduction in the number of uninsured.

January 28, 2015 | Anthony Brino

Indiana is pushing the bounds of Medicaid with the first-ever consumer-driven health plan for low-income populations. It's opening up new possibilities for other right-leaning states, but testing federal limits.

January 19, 2015 | Anthony Brino

Under a mantra of "consumer centricity," the nation's largest Blue Cross company is taking a long-view on America's changing demographics and insurance access points.

January 16, 2015 | Anthony Brino and Susan Morse

The nurse turned hospital executive turned chief federal healthcare regulator is leaving the government. Now the industry is left wondering: Who will take the reigns in the Obama Administration's pivotal fourth quarter?

January 12, 2015 | Phil Galewitz

Provider and patient advocates are worried about a Supreme Court case that could restrict the ability to sue over low Medicaid reimbursement rates.

January 7, 2015 | Anthony Brino

Amid a fractious public dispute with its chief rival, Highmark and its health system are making a community investment that, though unlikely to turn a profit, may reap returns in loyalty and reputation.

January 5, 2015 | Anthony Brino

Two of Medicaid's top leaders are leaving the federal government, opening vacancies for chief regulatory positions amid a booming period of evolution in the program.

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