CMS released new state tools and guidance that provide standard monitoring metrics and recommended research methods geared specifically for section 1115 demonstrations that test innovative approaches to Medicaid eligibility and coverage policies.
By Sita Kapoor – The developing relationship between Medicaid, Artificial Intelligence and Data Analytics has the potential to spur dynamic change in the healthcare industry. We need to look no further than the innovative venture announced earlier this year.
CMS issued the first-ever approval of a state plan amendment proposal to allow the state of Oklahoma to negotiate supplemental rebate agreements involving value-based purchasing arrangements with drug manufacturers.
By Phil Galewitz – The fallout from the recent federal court ruling that struck down the Medicaid work requirement in Kentucky was swift.
CMS announced new and enhanced initiatives designed to improve Medicaid program integrity through greater transparency and accountability, strengthened data, and innovative and robust analytic tools.
CMS released the first ever Medicaid and CHIP Scorecard, a central component of the Administration’s commitment to modernize the Medicaid and CHIP program through greater transparency and accountability for the program’s outcomes.
By Tyler Williams – Spring brings pollen, allergies and unpredictable weather patterns. Just as Spring ushers in seasonal change, payor reimbursement policies for emergency medicine follow a certain cycle.
By Patty Wight – Just hours after Maine voters became the first in the nation to use the ballot box to expand Medicaid under the Affordable Care Act, Republican Gov. Paul LePage said he wouldn’t implement it unless the Legislature funds the state’s share of an expansion.
By Sara Rosenbaum, Rachel Gunsalus, J. Zoë Beckerman, Sara Schmucker & Sara Rothenberg – Ever since Medicaid’s managed care transformation began in earnest in the mid-1990s, states have been leaders in the effort to improve the accessibility, quality, and efficiency of care for low-income populations facing elevated health risks.
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