Medicaid and CHIP

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.

April 28, 2015 | Jay Hancock, Kaiser Health News

Lynda Douglas thought she had a deal with Tennessee. She would adopt and love a tiny, unwanted, profoundly disabled girl named Charla. The private insurance companies that run Tennessee's Medicaid program would cover Charla's healthcare.

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.

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