Millions Of Lower-Income People Expected To Shift Between Exchanges And Medicaid
“Churning” may cause gaps in coverage and require switching doctors and hospitals.
In Kansas, A Fight Over Developmentally Disabled Shifting To Medicaid Managed Care
In Kansas, families are worried about three for-profit insurers taking charge of providing all home- and community-based services for 8,500 developmentally disabled people beginning Jan. 1.
States Balk At Terminating Medicaid Contracts Even When There’s Fraud Or Poor Patient Care
Officials won’t use “nuclear option” for fear of disrupting services to patients.
Kentucky’s Rush Into Medicaid Managed Care: A Cautionary Tale For Other States
Doctors, hospitals, patients and their advocates complained about disruptions in care and payments after Kentucky moved more than half a million people on Medicaid into private plans.
Advocates Urge More Government Oversight Of Medicaid Managed Care
The health law’s expansion of Medicaid is putting a spotlight on how regulators monitor the performance of privately-run plans.
Long-Term Care Ombudsmen Face Challenges To Independence
The advocates for elderly and disabled people living in nursing homes or assisted living centers responded to 204,000 complaints nationwide in 2011.
Feds Say Nursing Homes Overbilled Medicare By $1.5 Billion
Nursing home group lashes out at government report, saying “bureaucrats” don’t know what’s good for patients.
Nursing Home Patients Returning To The Community
A federal program is helping thousands of elderly and disabled patients transition from nursing homes to more independent living.
States Encounter Obstacles Moving Elderly And Disabled Into Community
Some states are moving faster than others in getting people out of nursing homes and institutions as part of an ambitious federal program.
