Medicaid and CHIP

August 21, 2015 | Henry Powderly

Pennsylvania families that faced penalties for Children's Health Insurance Program coverage that did not meet minimum requirements set by the Affordable Care Act are in the clear after Gov. Tom Wolf on Thursday said the state expanded its CHIP program.

August 18, 2015 | Susan Morse

A doctor at a Brooklyn, New York, clinic was sentenced Friday to two years in prison for his role in a $13 million healthcare fraud scheme, according to the U.S. Department of Justice.

August 14, 2015 | Susan Morse

Florida will audit 31 hospitals which failed to meet a deadline to certifying that their contracts with Medicaid managed-care plans comply with state law, according to Gov. Rick Scott's office.

August 10, 2015 | Anthony Brino

The last and perhaps most controversial piece of health reform's universal coverage has many miles to go in terms of financial sustainability. But there are signs of progress.

August 4, 2015 | Susan Morse

The Centers for Medicare and Medicaid Services and the State of Rhode Island are contracting with a Medicare-Medicaid plan to provide integrated benefits to approximately 30,000 eligible enrollees.

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.

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