News

December 16, 2016

Gov. Sam Brownback’s administration has requested a one-year extension of the current KanCare program while delaying a proposal for an updated version of the Medicaid managed care system.

December 16, 2016

A bipartisan group of state health policy leaders has sent a letter to the incoming Trump administration, urging support of state reform efforts, in an attempt to neutralize what has been a politically explosive issue.

December 16, 2016

Virginia's public colleges and universities will face smaller state budget cuts than expected next year, Gov. Terry McAuliffe announced Friday.

December 14, 2016

An Augusta advocacy group says its signature drive to get Medicaid expansion on Maine's ballot has been "hugely successful."

December 13, 2016

The Texas Hospital Association hopes the Trump administration will renew a waiver that its members have come to rely on to offset uncompensated-care costs.

December 13, 2016

The lack of clarity on Medicaid funding is one of several uncertainties facing states ahead of the new administration taking power in Washington.

December 12, 2016

New York's Medicaid waiver, which allows the state to have most of its Medicaid population in managed care, will continue through 2021.

December 12, 2016

The election of Donald J. Trump as the 45th President of the United States, along with the Republican control of the majority of both the House of Representatives and the Senate, will likely set in motion a major overhaul of the nation's health care system.

October 26, 2016

In 2014, the Center for Medicaid and CHIP Services (CMCS) launched the Medicaid Innovation Accelerator Program (IAP) with the goal of supporting state Medicaid programs in their move to more value-based, data-driven payment and delivery systems. Through technical assistance, training and new tools, the IAP is working with 28 states in 2016 - compared to 11 in 2015.

October 26, 2016

Patient advocates, payers, industry and academic stakeholders gathered at the Massachusetts Institute of Technology to map out a strategy for designing and piloting innovative financing and reimbursement models for promising, and possibly curative, new medicines. The project, Financing and Reimbursement of Cures in the US (FoCUS) will initially target three urgent medical areas - Curative Gene Therapies, Durable Oncology Treatments and Antibiotics for Multi-Drug Resistant Infections.

October 26, 2016

The Center for Health Care Strategies produced a brief looking at how multi-stakeholder groups are using a new model - Accountable Communities for Health (ACH) - to achieve the goals of a Triple Aim. ACHs bring together partners from health, social service, and other sectors to improve population health and clinical-community linkages within a geographic area.

October 26, 2016

One of the dilemmas Medicaid managed care plans find themselves in when they are trying to integrate physical and behavioral health care, is that due to confidentiality and consent laws, a physician can't disclose that a patient is on an anti-psychotic without getting all the required permissions, speakers said at a meeting on Medicare, Medicaid, and Dual Eligibles sponsored by America's Health Insurance Plans. Getting primary care physicians comfortable with mental health diagnoses is another barrier to integra

October 26, 2016

As ACOs continue to progress, they are seeking to expand population health management capabilities, including their relationships with community organizations and patients, according to research from Premier. The report, with support from the Robert Wood Johnson Foundation, found

October 26, 2016

Former Maryland health Secretary Dr. Joshua M. Sharfstein will oversee an initiative at the Johns Hopkins Bloomberg School of Public Health aimed at solving issues such as addiction, adolescent health, environmental challenges and violence. The Bloomberg Health Initiative is being launched with a $300-million gift from Michael Bloomberg, the former New York governor and Hopkins graduate. Michelle L. Spencer, director of the Prevention & Health Promotion Administration at the Maryland Department of Health and Mental Hygiene, will be deputy director of the initiative.

October 23, 2016

David Chou, VP and chief information and digital officer at Children's Mercy Kansas City, believes health care CIOs can help their organizations remain competitive following the implementation of MACRA's Merit-Based Incentive Payment System (MIPS). Chou says CIOs should also coordinate with physician leaders in sponsoring trainings on the EHR workflow process. He outlines three strategies to remain competitive under MACRA:

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