Alternate Payment Models to Increase Equity for Dually Eligible People
Medicare beneficiaries that are dually enrolled in Medicare (duals) are more likely to have social determinants of health (SODH) that [...]
Study Indicates Insurers Inflate Medicaid Physician Networks
Insurers may be artificially padding their Medicaid physician networks, according to a study published in Health Affairs. The authors found [...]
CMS Announces 8.5% Increase in Medicare Part D and Medicare Advantage Rates
The Centers for Medicare and Medicaid Services (CMS) and the Biden administration have finalized rate hikes of 8.5% for Medicare [...]
The Future of Aduhelm after CMS Stands its Ground
The Centers for Medicare and Medicaid Services (CMS) have held firm with their previous draft guidance to only fund Aduhelm [...]
US District Judge Refuses Motion to Drop Eli Lilly Whistleblower Lawsuit
Eli Lilly’s motion to drop a 2014 whistleblower lawsuit surrounding claims it misled the Centers for Medicare and Medicaid Services [...]
Value-Based Purchasing Rule For Medicaid Rx Drugs
Writing in Health Affairs, outgoing CMS Administrator Seema Verma touts how the Trump Administration helped paved the way for more [...]
Health Equity Should Be Key to Value-Based Payment And Delivery Reform
The COVID-19 pandemic has exposed and exacerbated existing health inequities in the United States. Black and Latinx Americans have experienced [...]
Health Disparities Worsened by Structural Racism Inherent in Medicaid Program
Authors of a Health Affairs blog posit that Medicaid’s history and politics are evidence that the program is steeped in [...]
How Can Excessive Price Increases Be Better Regulated?
Much of the overall spending on prescription drugs in the United States can be attributed to price increases, resulting in [...]
Proposed change to CMS Rules Aim Will Expand Access to High-cost Therapies for Medicaid Recipients
The Medicaid Best Price rule requires drug manufacturers to give Medicaid the best price on all purchases. However, the rule [...]
Shulkin: COVID-19 Laying Foundation for ‘Tsunami of Challenges’ for Health System
David Shulkin, former secretary of the Department of Veterans Affairs, says the COVID-19 crisis is ultimately generating a "tsunami of [...]
Bach Outlines ‘Gaping’ Loophole in Medicaid Proposal
A Centers for Medicare and Medicaid Services proposal includes a "gaping" loophole through which drugmakers could avoid selling drugs to [...]
Proposed Medicaid Changes Aim to Foster Innovative Contracts
The Centers for Medicare and Medicaid Services (CMS) is hoping to encourage greater use of innovative contracting models in a [...]
AHIP: MCO’s Generated $6.5 Billion in Medicaid Savings in 2018
A new report by America's Health Insurance Plans (AHIP) suggests managed care organizations were able to save Medicaid programs roughly [...]
Avalere Plans Webinar on Medicaid Drug Pricing
An upcoming webinar hosted by Avalere Health is set to discuss how states and the federal government are working to [...]
New Guidance Enables States to Convert Medicaid Funding into Block Grant
A new initiative rolled out earlier this week by Centers for Medicare and Medicaid Services (CMS) aims to let states [...]
CMS Chief Talks Health Policy, ‘Medicare for All’ Proposals
Centers for Medicare and Medicaid Services Administrator Seema Verma sat down with Kaiser Health News to discuss the administration's roadmap [...]
Why We Still Don’t Know if Medicaid Affects Health Status
By Nick Emptage If you're reading this, chances are you've heard about the Oregon Medicaid study recently published in [...]
Hospital Profits Higher When Surgical Patients Develop Complications
By Debra Gordon In yet another sign of just how dysfunctional and Kafkaesque our healthcare system has become, [...]
