Money problems at the Oregon agency that oversees Medicaid could be more than twice as large as already disclosed, a new report reveals.
IlliniCare, a private insurer that's part of Illinois Gov. Bruce Rauner's Medicaid managed-care overhaul, is cutting reimbursement rates to medical suppliers by up to 50%.
How do two former Washington insiders view the results of last week's election? Former Senate Majority Leader Tom Daschle, a Democrat, and former HHS Secretary Mike Leavitt, a Republican, offer their perspectives.
Margaret Murray, CEO of the Association for Community Affiliated Plans, discussed the challenges of 2018 open enrollment, prospects for congressional action to stabilize the individual markets, and what's needed to address the opioid addiction crisis.
CMS Administrator Seema Verma last week left no doubt: she wants to give states the keys to their Medicaid programs. But change won't come easily.
Innovations in quality measurement focus on ways to gather information on patients and communities that go beyond clinical processes and outcomes.
WellCare, Kentucky's primary Medicaid insurer, launched a program to tackle pharmacy shopping, a tactic among opioid abusers who use multiple pharmacies for the same painkiller drugs.
The Oregon Health Authority innovates again, this time creating special health measures for its Medicaid population.
Residents in the rural state of Maine grappling with a heroin epidemic and an aging population voted Tuesday to deliver a rebuke to Republican Gov. Paul LePage and join 31 other states that have expanded Medicaid under former President Barack Obama's health care law.
Kaiser Health News, with assistance from researchers at the Mayo Clinic, analyzed available billing data from Medicare and private insurance billing nationwide, and found that spending on urine screens and related genetic tests quadrupled from 2011 to 2014 to an estimated $8.5 billion a year.
After months of perceived hedging, the head of the CMS said the agency will approve states' requests to require Medicaid beneficiaries be employed or actively searching for work in order to be eligible for coverage.
A whistle-blower accused Epic of violating the False Claims Act, alleging its billing software incorrectly billed the government for anesthesia, resulting in "hundreds of millions of dollars in fraudulent bills."