More than half of the states that applied to participate in a controversial CMS pilot for dual-eligible beneficiaries have either dropped out or delayed implementation of their programs, according to health policy experts. FULL STORY »
As the deadline nears for Medicare's first accountable care organizations to decide whether they will continue with the initiative, at least one is debating whether to leave. FULL STORY »
By Kathy Wingard / Associated Press | May 07, 2013
The Alabama Legislature passed a sweeping revision to Medicaid that replaces the way the program delivers and pays for care with regional managed care operators. FULL STORY »
One of the last undecided Democratic governors has opted to expand Medicaid. West Virginia Gov. Earl Ray Tomblin announced his intention to urge funding of the expansion by the Democratic-led Legislature after considering it for nearly a year. FULL STORY »
By Jonathan Block | April 20, 2013
| Print Magazine
Policymakers hope moving Medicare- and Medicaid-eligible seniors into managed-care plans will save a lot of money through better coordination of care, but the payoff may not be as big as expected. FULL STORY »
UnitedHealth Group's first-quarter net income dropped 14% as the nation's largest health insurer paid out more for medical claims and booked a smaller gain due to leftover insurance claims. FULL STORY »
North Carolina's $13 billion Medicaid program needs a big dose of private competition that will come from paying a handful of statewide managed-care providers to deliver medical, mental, and dental care to the elderly and disabled for a stable cost, Gov. Pat McCrory said Wednesday. FULL STORY »
Hospitals and insurers are clashing over new research that found surges in hospital inpatient pricing, even as the Obama administration argues that hospital costs are moderating. FULL STORY »
