Medicaid
Interplay Between Comorbidities, Insurance Coverage and Pneumonia in Children
Very young children with comorbidities as well as those who are on Medicaid develop more pneumococcal disease than ...
JULY 15, 2023

CMS Proposes One-Time $9 Billion Restitution To Fix Years of 340B Underpayments
One year after a 2022 Supreme Court decision that the CMS did not have the authority to lower reimbursement rates ...
JULY 14, 2023

COA Survey Shows Majority of Practices Not Currently Planning to Participate in Enhancing Oncology Model
A recent survey shows that most independent practices are not planning to participate in the upcoming Enhancing ...
JUNE 29, 2023

It’s Time for Universal Electronic PAs, But What’s the Best Way to Get There?
Two health policy experts are calling for a universal ePA system that works for all patients covered by Medicare, ...
JUNE 2, 2023

Comment on Medicare Prescription Drug Inflation Rebate Program Guidance
CMS is seeking comment from the public about the Medicare Prescription Drug Inflation Rebate Program, which was ...
FEBRUARY 10, 2023

Expansion of Medicaid Benefits Associated With Reduced Cancer Mortality Rates
The improved cancer survival attributed to expanded Medicaid coverage following the enactment of the 2014 ...
NOVEMBER 11, 2022

American Rescue Plan Spending Extended for Certain Medicaid Services
A Medicaid extension enables more home and community health services.
JUNE 10, 2022

Medicaid Moves To Gain Control Over Drug Prices
State Medicaid programs have been winning some key battles in the fight against soaring drug prices, including a ...
DECEMBER 2, 2020

Will States Take More Action on Prescription Drug Pricing?
Between Medicaid, state employee benefit plans and the individual and small group commercial market, U.S. states ...
OCTOBER 23, 2020

Massachusetts Medicaid Program Makes the Most of Supplemental Rebate Authority
Within the past two years, Medicaid programs in eight states have been given authority by CMS to negotiate for ...
OCTOBER 22, 2020

Antivirals Among Medicaid’s Most Costly Drugs
HCV, HIV drugs top Medicaid drug spend, but some generics costly, too.
AUGUST 2, 2016

Washington Medicaid Must Pay for HCV Drugs, Judge Rules
Judge orders Washington state Medicaid to broaden coverage for Harvoni and other costly HCV drugs.
JUNE 10, 2016
