Medicaid in the News

Florida settles lawsuit over pediatric Medicaid patients’ access to care -Modern Healthcare

D.C. Must Fix Lingering Medicaid Problems – Courthouse News Service

Woman publicly shames Florida Governor Scott for anti-abortion bill, Medicaid cut -Fox 59

Bentley: Medicaid will try cuts before he considers special session

“They don’t care,” Nursing home residents, staff challenging proposed Oklahoma Medicaid cuts –

Medicare Advantage Rate Hike: What to Expect

CMS has finalized a number of payment and policy changes to the Medicare Advantage and Part D prescription drug programs for 2017, including a slight payment increase to health insurers who offer Medicare Advantage plans.(Becker’s Hospital CFO)

The U.S. is raising payments to the insurers by 0.85 percent on average, according to a statement Monday from the Centers for Medicare and Medicaid Services, down from the 1.35 percent boost proposed in February. Payments to individual insurers can vary, because CMS gives individual plans quality bonuses and premiums are adjusted based on where enrollees live and how sick they are. (Bloomberg)

Over the past several weeks, lawmakers, insurers, employers and others had expressed concern that the policy would shift more costs onto beneficiaries, and wouldn’t give employers and insurers enough time to adjust their coverage plans for 2017. (Morning Consult)

The Better Medicare Alliance said it’s “deeply concerned” by the upcoming changes to retiree coverage. But AHIP CEO Marilyn Tavenner — a former administrator of CMS — struck a more moderate tone. “Following this overwhelming bipartisan Congressional outreach, CMS took steps to mitigate the negative impact of policy changes related to risk adjustment and encounter data,” Tavenner allowed. “Yet, more can be done to ensure stability for more than three million seniors who depend on Medicare employer retiree plans.”(Politico)


Managed Care News Feed – Monday

CMS proposes Medicaid change – Modern Medicine

Medicaid Not Big Enough? Obama Administration Proposes $100 Billion More Spending –

Medicaid and the Entitlement Reform Debate–

CMS proposes pay raise for Medicare Advantage plans – Washington Post

CMS proposes payment changes for group Medicare Advantage plans -Employee Benefit News

Feds increase push to keep seniors out of nursing homes

Final Medicare Advantage rates largely shun health plan lobbying -Modern Healthcare

CMS pitches smaller increase for Medicare Advantage payment rate – Healthcare Finance

Health care adds 503,000 jobs in just one year – Politico