Medicare & Medicaid

Insurers missing potential Medicare enrollees
May 24 | Susan Morse
Plans may be losing out on millions in missing the 20- to 40-percent of buyers who are not ready to sign up for…
Social determinants can cut spending
May 23 | Jeff Lagasse
Those results add to evidence showing support for social service programs can improve community health outcomes and reduce healthcare…
May 23 | Beth Jones Sanborn
As the 2019 transition approaches, finding expertise to support changing payment…
pharmacy benefit managers accountable for drug prices
May 21 | Jeff Lagasse
Specialists say legislation is needed to grow workforce and hold pharmacy benefit managers…
Part D plan sponsors face compliance action on gag orders
May 18 | Susan Morse
CMS existing policy requires plan sponsors to ensure enrollees pay the lesser of the Part D negotiated price or…
Behavioral health workforce faces challenges
May 18 | Jeff Lagasse
More than 44 million American adults have a diagnosable mental health condition, and rates of severe…
Why collaborative ACOs perform better with scale
May 17 | Jeff Lagasse
"The future of accountable care depends on scale," says Lynn Barr, CEO of…
Seema Verma gives update on CMS plans to reduce drug prices
May 15 | Susan Morse
Medicaid waivers will not include lifetime limits, says CMS Administrator Seema Verma.
Affordable Care Act marketplace website
May 15 | Susan Morse
New research suggests members shifting out of Affordable Care Act marketplaces would drive ACA…
Memorial Hermann gets fined by DOJ
May 15 | Beth Jones Sanborn
Memorial Hermann allegedly billed for inpatient services for Medicare beneficiaries that could have been treated…