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IlliniCare slashing rates to Medicaid suppliers

IlliniCare slashing rates to Medicaid suppliers

By Kristen Schorsch  |  November 16, 2017

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%.

Q&A with Margaret Murray: 'Nobody cares more about Medicaid than our plans'

Q&A with Margaret Murray: 'Nobody cares more about Medicaid than our plans'

By Harris Meyer and Shelby Livingston  |  November 11, 2017

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.

5 things to know about reshaping Medicaid

5 things to know about reshaping Medicaid

By Virgil Dickson  |  November 11, 2017

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.

Maine becomes first state to expand Medicaid through ballot initiative

Maine becomes first state to expand Medicaid through ballot initiative

By Associated Press  |  November 08, 2017

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.

Liquid gold: Pain doctors soak up profits by screening urine for drugs

Liquid gold: Pain doctors soak up profits by screening urine for drugs

By Fred Schulte and Elizabeth Lucas  |  November 07, 2017

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.

CMS overhaul of Medicaid may face legal challenges

CMS overhaul of Medicaid may face legal challenges

By Virgil Dickson  |  November 07, 2017

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.

Epic sued for allegedly double-billing Medicare and Medicaid

Epic sued for allegedly double-billing Medicare and Medicaid

By Rachel Z. Arndt  |  November 03, 2017

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."

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