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CMS wants to crack down on unauthorized Medicaid spending. Here's how.

November 14, 2019


CMS on Tuesday released a proposed rule intended to increase transparency around states' supplemental Medicaid payments and financing arrangements by establishing new reporting requirements.

Another appeals court upholds CMS' controversial 2017 DSH payment rule

November 14, 2019


A second federal appeals court last week reversed a lower court's ruling and upheld a 2017 rule that changed how CMS calculates Medicaid disproportionate-share hospital payments to ensure providers are not doubly compensated for care costs covered by third-party insurers.

This patient's surgery was fully covered by his insurance. So how did he wind up with a $11,000 bill?

November 13, 2019


In 2018, 63-year-old Tom Saputo was transported via air ambulance to receive a life-saving double lung transplant, but while the operation was fully covered by Saputo's health insurance, the air ambulance ride was out of his health plan's network and left Saputo with an $11,524.79 bill.

Researchers now have access to new Medicaid, CHIP data

November 12, 2019


CMS on Thursday announced that the agency for the first time is releasing certain data on Medicaid and CHIP utilization and payments as part of an effort to improve health care research.

What yesterday's elections mean for health care

November 6, 2019


The results are pouring in for Tuesday's gubernatorial and legislative elections held in Kentucky, Mississippi, and Virginia—and they suggest Medicaid changes could be coming in some of those states.

Georgia gov. proposes partial Medicaid expansion, work requirements

November 6, 2019


Georgia Gov. Brian Kemp (R) on Monday announced a proposal to seek the federal government's permission to implement a partial Medicaid expansion with work requirements in the state.

What today's elections mean for health care

November 5, 2019


Gubernatorial and legislative elections being held Tuesday in Kentucky, Mississippi, and Virginia, as well as a gubernatorial election that will be held later this month in Louisiana, could decide whether hundreds of thousands of U.S. residents have access to Medicaid coverage.

Judge temporarily blocks policy to deny visas to immigrants without health coverage

November 5, 2019


A federal judge on Saturday temporarily blocked a Trump administration policy under which the federal government would deny immigrants visas if they cannot prove they can afford to cover their medical expenses or that they will be enrolled in health coverage.

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