Medicare & Medicaid
Agency will clear up misconception that beneficiaries are eligible for coverage for physical and occupational therapy and other skilled care only if their health is improving.
Open enrollment this year is 9.2 million consumers, compared to 9.6 million last year.
Healthy Indiana Plan that Pence established in 2015 as the state's governor has brought Medicaid coverage to more than 350,000 people.
Payers are concerned about the use of encounter data to calculate risk scores and payment.
Those states who got on board with medicaid expansion saw Medicaid pick up a larger portion of the costs associated with gun violence.
Figure exceeds the model's five-year hospital savings requirement of $330 million, the study said.
Not all improper payments constitute fraud, rather improper documentation, experts say.
But the Congressman is a fan of state-crafted healthcare policy, especially when it comes to Medicaid.
Vizient survey finds 89.5 percent of hospital executives said protection of patients with pre-existing conditions must be kept.
CMS is expected to release the advance rate notice for plans on Feb. 2.