CMS to Step Up Scrutiny on State-Run Medicaid Programs

The Centers for Medicare and Medicaid Services (CMS) says it will crack down on Medicaid fraud through a renewed analytical effort “to hold states accountable” following Office of Inspector General (OIG) findings in California, Kentucky and New York. Thanks to a provision in the Affordable Care Act (ACA) that allows states to expand the ranks […]

Read the rest of this entry »
GoTo top Top

CMS Releases State-by-State Medicaid Scorecard

The Centers for Medicare and Medicaid Services (CMS) has released what is being called a “Medicaid & CHIP Scorecard” that attempts to compare the timeliness and quality of medical care of the two programs state by state, but a major problem is that reporting by the states is mostly voluntary. “Despite providing health coverage to […]

Read the rest of this entry »
GoTo top Top

CMS Administrator Reaffirms Opposition to Medicaid Caps

At a health care symposium this week, Seema Verma, administrator of the Centers for Medicare and Medicaid Services (CMS), reaffirmed her agency’s commitment to keeping Medicaid available to its recipients without any lifetime limits or caps. Her statement follows her earlier rejection of a request by Kansas to cap Medicaid services in the state. “We’ve indicated […]

Read the rest of this entry »
GoTo top Top

CMS Announces Agency’s First Rural Health Strategy

Today, the Centers for Medicare & Medicaid Services (CMS) released the agency’s first Rural Health Strategy intended to provide a proactive approach on healthcare issues to ensure that the nearly one in five individuals who live in rural America have access to high quality, affordable healthcare. “For the first time, CMS is organizing and focusing […]

Read the rest of this entry »
GoTo top Top

CMS Draws Line in Sand on Medicaid Caps

Seema Verna, administrator of the Centers for Medicare and Medicaid Services (CMS), today rejected a request by the state of Kansas to cap an individual’s Medicaid benefits at three years. In a letter to Kansas officials, Verna noted that only if Medicaid recipients refused to meet any work requirements would it be possible to cut […]

Read the rest of this entry »
GoTo top Top

CMS Cites Cost Effectiveness of 2018 Obamacare Open Enrollment

The Centers for Medicare and Medicaid Services (CMS) has released its final report on the 2018 open enrollment period for Affordable Care Act (ACA, or Obamacare) policies, touting the cost effectiveness of the new approach. In 2017, CMS spent $100 million in advertising and promotion for open enrollment, coming out to $11 per enrollee; in […]

Read the rest of this entry »
GoTo top Top

Driven by Drug Costs, Health Care Spending Ratchets Up

The price of health care in the United States shot up 2.2 percent in February compared to 1.6 percent overall annual growth in 2016 and 2017, according to statistics gathered and released by health care consultancy Altarum. The lowest annual growth rate — 1.1 percent — came in 2015. At the same same, hospital prices […]

Read the rest of this entry »
GoTo top Top

CMS Blocks Idaho’s Attempt to Circumvent Obamacare

The Centers for Medicare and Medicaid (CMS) yesterday stepped in to void Idaho’s attempt to sell health insurance policies that do not meet the standards of the Affordable Care Act (ACA). CMS Administrator Seema Verma sent a letter to Idaho Gov. C.L. “Butch” Otter, a Republican, and Idaho Department of Insurance Director Dean Cameron saying […]

Read the rest of this entry »
GoTo top Top

HHS Allows States to Ban Planned Parenthood from Medicaid

On Friday, Jan. 19, the Department of Health and Human Services (HHS) announced two major actions — in its words — “to protect life and the conscience rights of Americans.” HHS’ Centers for Medicare & Medicaid Services (CMS) is issuing new guidance to state Medicaid directors restoring state flexibility to decide program standards. The letter […]

Read the rest of this entry »
GoTo top Top

States Can Now Add Work or Job Training Requirements to Medicaid

UPDATE: One day after announcing states could institute work requirements for Medicaid, Kentucky became the first state to do so as CMS approved its 2016 waiver request. The state now requires able-bodied adult recipients to participate in at least 80 hours per month of “employment activities,” which include jobs training, education and community service. The […]

Read the rest of this entry »
GoTo top Top