Policy and Legislation
As Medicaid enrollment tops 68 million in 2014, health systems are testing out new financing and delivery systems to handle the financial risk and reimbursement issues stemming from the surge.
A group of Wall Street analysts predicted Friday that enrollment in Affordable Care Act insurance plans will be higher than the 9 million projected by the Obama administration.
Dr. Oliver Korshin, a 71-year-old ophthalmologist in Anchorage, is not happy about the federal government's plan to have all physicians use electronic medical records or face a Medicare penalty.
The U.S. Census Bureau and Office of Management and Budget changed their urban and rural classification in several dozen regions around the country
Changing eligibility standards could purge a million or more beneficiaries from Medicaid rolls in California. A lawsuit seeks to stop the state from canceling coverage for Medi-Cal recipients who haven't been properly notified.
The Affordable Care Act's online insurance exchanges launched this weekend with far fewer problems and less fanfare than last year. Many people qualified for federal subsidies that kept their monthly premiums well under $100.
Millions of low-income children are failing to get the free preventive exams and screenings guaranteed by Medicaid and the Obama administration is not doing enough to fix the problem, according to the HHS Office of Inspector General.
The Medicare Payment Advisory Commission discussed last week the option of creating specific Diagnosis-Related Groups for one-day hospital stays, in an effort to reduce payment differences between short inpatient and similar outpatient hospital stays.
Defying expectations, the court announced last week it has agreed to hear a case that challenges the heart of the Affordable Care Act: subsidies to help people pay their insurance premiums.
The percentage of babies born prematurely fell to 11.4 percent in 2013, according to a new report. Officials say the ACA's expansion of Medicaid to adults with incomes up to 138 percent of the federal poverty level has played a role.