‘Almost Heaven’ Meets ‘Paradise’ — Virgin Islands and West Virginia Discuss An Exchange
One place, known for its Appalachian Mountains and rich coal supply, was immortalized in John Denver’s 1970s hit, “Take Me Home, Country Roads.” The other has white sandy beaches, rum distilling and an average January high temperature of 86 degrees that attracts millions of tourists each year. From economy to climate, West Virginia and the U.S. Virgin Islands […]
The Supreme Court, The Individual Mandate, And Eating Your Broccoli
One of the major arguments against the individual health insurance mandate in the federal health overhaul is this: If Congress can force most Americans to buy health insurance, can’t it also require people to buy broccoli? It’s a question a senior Obama administration official faced Friday in a briefing with reporters an hour before the Justice […]
9 States Seek Help For High-Risk Pools
Nine states have asked the federal government for more money to make sure their new high-risk pools that provide health coverage for people with pre-existing conditions don’t run out of money before 2014, the Obama administration said Thursday Two of the states — California and New Hampshire — have already been promised additional money. The […]
Connecticut Drops Insurers From Medicaid
The ‘Insurance Capital’ bucks the nationwide trend of states turning to private managed care plans.
Feds Bolster High Risk Insurance Funds In Two States
The federal government this month increased funding to New Hampshire and California to make sure their new high-risk pools that provide coverage to uninsured people with pre-existing condition don’t run out of money before 2014. Because nationwide enrollment has been far less than expected, overall federal funding for the program established under the health overhaul appears […]
Hospitals Adopt Drug Industry Sales Strategy
“Sales calls” on doctors’ offices help to fill beds, but also elicit criticism.
Administration Ties Medicaid Managed Care Expansion To Performance
The managed care industry’s growing role in Medicaid got a boost Monday when the Obama administration approved Texas’ plan to shift one million additional recipients into private health plans by 2013.
Berwick: Don’t Blame Medicare, Medicaid. It’s The Delivery System
The former Medicare administrator says the U.S. health care system “isn’t built for modern times,” but the health care law will help rein in costs and improve care.
Berwick Calls Republicans ‘The True Rationers’
Don Berwick, who left his job last week as head of the Medicare and Medicaid programs after sustained opposition from Senate Republicans who accused him of supporting rationing, struck back Wednesday with a blistering attack on his critics. “The true rationers are those who impede improvement, who stand in the way of change, and who […]
Health Law May Accelerate Growth In Urgent Care Centers
Crowded emergency rooms and a lack of primary care doctors have fueled recent expansions. But the drive to lower costs is also a factor and could bring more customers under the overhaul.
Study: Florida Leads Nation In Getting More Kids Insured
Florida leads the nation in reducing the number and rate of uninsured children, according to a study released Tuesday. From 2008 to 2010, the number of uninsured children in Florida fell by more than 160,000 to 506,934, says the report by researchers at the Georgetown University Center for Children and Families. The state’s rate of […]
Tavenner To Replace Berwick At CMS Helm
President Barack Obama chose Marilyn Tavenner, a nurse and former hospital executive, to run the agency overseeing Medicare and Medicaid.
Super Committee Urged To Alter Coverage For Some Low-Income Medicare Beneficiaries
State Medicaid directors and health insurers press panel to move people who qualify for both Medicare and Medicaid into private health plans for more efficient care.
Medicare will cut payment rates to home health agencies by 2.3 percent in 2012 — the sixth consecutive annual decrease in fees to the industry. The decision, which will lop off an estimated $430 million from the program next year, follows concerns by a congressional advisory panel that the agencies are overpaid. Home health advocates […]
States Are Limiting Medicaid Hospital Coverage In Search For Savings
Hospitals say the burden of cost-cutting falls on them because they’ll be stuck with the bill for care if Medicaid refuses to pay.
State Medicaid Spending Skyrockets
KHN staff writer Phil Galewitz reports that the combination of rising enrollments and the end of federal stimulus funds is forcing a huge spike in state spending on Medicaid, the state-federal program for the poor.
Nixon’s HMOs Hold Lessons For Obama’s ACOs
The Obama administration acknowledges its highly touted accountable care organization program will have a modest early impact on the U.S. health system — with only 4 percent of Medicare beneficiaries affected by 2015 Perhaps the Obama White House is taking a lesson from the last time a U.S. president kicked off a major new program designed […]
HHS Releases Final Regulations For ACOs
KHN staff writers Jenny Gold and Phil Galewitz report on the new rule, which will make it easier for health care providers to participate in the new models of delivering health care.
No Health Help for NGA Dues Shirkers
The National Governors Association is a bit of a misnomer these days. Sure, it still represents the interests of governors from all 50 states, but it no longer provides “technical assistance” to four states that have failed to pay their annual dues. Those states — all of which have Republican governors — are Florida, Texas, Idaho and […]
16 States Fall Short On Health Plan Appeal Systems
Sixteen states and the District of Columbia don’t meet new requirements under the federal health law for consumers to appeal health plans’ decisions to a third party, according to the Centers for Medicare and Medicaid Services. As a result, by 2012, these states will have to contract with three “independent review organizations” to handle consumers’ […]
