FOCUS OF THE WEEK
Could Florida Be Up Next in the Medicaid Expansion Queue?
Florida's Republican Governor, Rick Scott, tried and failed to expand Medicaid in 2013. Now, a coalition of hospital, business, and community leaders are advocating for private option-style expansion. CMS will have to decide how far it is willing to bend before President Obama leaves office.
Amid Managed Care Reforms, Alabama’s Governor Hints at Possible Medicaid Expansion
Fresh off re-election, Governor Robert Bentley moved this week to name 6 groups to coordinate managed care in Medicaid, as part of a cost-saving strategy he launched in 2012. But the bigger news has been his reversal on expanding the program; as in other Southern states, hospitals have been pressing for the change to solve fiscal problems.
GOP Governors Who Block Medicaid Expansion May Be at Odds With Their Own Party, Poll Shows
The employer and individual mandates, not Medicaid expansion and state-run exchanges, are what raised the ire of Republicans who gave opinions on the ACA in the most recent Kaiser poll.
A High-Profile Bundled Payment Experiment at MD Anderson
MD Anderson and United Healthcare bring experiments with bundled payment models in cancer care to a new area: head and neck cancers.
California Lawsuit Blames Managed Care Network Inadequacy for Patient’s Permanent Injury
An attorney for the patient said this is the first lawsuit that alleges actual harm over inadequate networks, not just lack of access. California has had its share of growing pains through ACA expansion and its simultaneous expansion of managed care in its Medicaid program.
Final Day for ACA Open Enrollment for Coverage to Take Effect January 1, 2015
After a quieter open enrollment period, HHS officials give a final call for current customers to make changes to existing plans.
Amid Healthcare Successes, Iowa Official Sees “Storm Clouds” in 2015
Iowa quietly and successfully implemented a unique form of Medicaid expansion and revamped mental health services in 2014. But will budget problems unravel all the good news next year?
CMS Updates Patient’s Rights Rule to Reflect DOMA’s Demise
The rule being published tomorrow not only grants same-sex spouses the right to act as medical decision-makers, but it also requires Medicare and Medicaid providers to inform patients of these rights.
California Medicaid Acquisition a Sign of the Times, as Managed Care Goes After Growth
Blue Shield of California seeks regulatory approval to buy Care1st, which would give the larger insurer a rapidly growing Medicaid plan. Commercial carriers are expected to eye Medicaid plans as a source of growth, especially in states that have approved expansion.
ASH Presents Second Round of Tests, Treatments to Question Under Choosing Wisely Initiative
Overuse of scans, transfusions, and the length of time on anticoagulants received attention in the latest round of recommendations presented Monday, as part of the initiative across medicine to improve patient care with an eye toward controlling costs.