States Try Ways to Modernize Medicaid Ahead of Coverage Expansion
The Kaiser Commission on Medicaid and the Uninsured releases a report showing progress five states have made in improving health care delivery through Medicaid. This blog post is by Chad Perman, a...
View ArticleWant To Cut Costs in Medicaid? Integrate Care for Those Suffering From...
The costs of care skyrocket for Medicaid patients who have substance abuse and mental health problems. The effort to control costs must start with individualized, integrated plans for these patients....
View ArticleSupreme Courts Will Consider Arguments About Constitutionality of Expanding...
The Supreme Court agreed to consider arguments from the group of 26 states that health reform's Medicaid expansion is unconstitutional. While the Supreme Court's decision to hear arguments against the...
View Article26 States File Supreme Court Brief on Medicaid Expansion
Two months ahead of oral arguments, opponents to health reform submit rationale to Court. Now that the Supreme Court has agreed to take on the issue of the health reform law, the Medicaid expansion is...
View ArticleMaryland Looks to Health Enterprise Zones to Reduce Disparities
Urban development idea translated to health care In the ever renewing efforts to find ways to improve care, Kaiser News reports that leaders in Maryland have latched onto Health Enterprise Zones (HEZ)...
View ArticleLouisiana Leading the Way on Medicaid Continuity of Coverage
Streamlined approach and a shift in focus may be a model for national reform Health reform offers the promise to develop a more modern approach to enrolling and retaining people in public programs....
View ArticleHealth Reform Law's Final Day in Court
Day 3 wrapped up the unprecedented case With everything on the line, both sides gave their closing arguments for and against the law on Wednesday. Most notably, the justices questioned the parties...
View ArticleCommunity Health Centers Quietly Adjust to Quality Era
Funding of Federally Qualified Health Centers now tied to performance improvement. According to a USA Today-Kaiser Health News report, community health centers receiving federal funding will be...
View ArticleDr. Shantanu Agrawal
Promote until: Thu, 05/14/2015Intro text: What are the key priorities for CMS’s Center for Program Integrity? How is it moving beyond the “pay and chase” approach to combating fraud, waste, and abuse?...
View ArticleDr. Shantanu Agrawal on Combating Fraud, Waste & Abuse in Healthcare
Dr. Shantanu Agrawal leads the Center for Program Integrity with the Centers for Medicare and Medicaid Services. He joined me on The Business of Government Hour to discuss his efforts in combating...
View ArticleFall 2015 Magazine
From forging a unity of effort in homeland security to strategizing the U.S. Army of tomorrow; to pursuing affordable housing, eliminating fraud, waste, and abuse in healthcare, and securing...
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A Conversation with Shantanu Agrawal, M.D., Director, Center for Program...
Magazine edition: Fall 2015 Magazine New Approaches to Program Integrity: A Conversation with Shantanu Agrawal, M.D., Director, Center for Program Integrity, Centers for Medicare and Medicaid Services,...
View ArticleHHS Dispatches Medicaid Expertise to Help Cash-Strapped States
HHS officials are traveling to the states to engage in a little Medicaid diplomacy. The Department of Health and Human Services is delivering personnel to the states in an attempt to manage Medicaid...
View ArticleReport: Opting Out of Medicaid Would Bring Serious Repercussions
A report commissioned by the Texas Legislature paints a bleak picture of life in the state without Medicaid. A recent report commissioned by the Texas legislature estimates the impact on the state if...
View ArticleGovernors: Thanks for Health Reform Flexibility, But No Thanks
Governors tell lawmakers that they need flexibility in the Medicaid expansion under health reform. On Capitol Hill yesterday, it became clear that administration efforts to provide flexibility on...
View ArticleRegulators Face Tough Task in Deciding Essential Benefits
Regulators hope to come up with an essential benefits plan by the end of the year. Governors say it is the "linchpin" for health reform's cost effects in the states. Health policy experts are calling...
View ArticleMedicaid Managed Care Movement Gains Steam
Several states are eyeing managed care for their Medicaid recipients in an attempt to cut costs and prepare for the Medicaid expansion under health reform. The Medicaid managed care movement has...
View ArticlePrimary Care Shortages Under Health Reform to Hit South, Mountain West Hardest
Shortages of primary care physicians in the South and Mountain West will make it difficult for patients to find primary care under health reform. Kaiser Health News reports today that shortages of...
View ArticleMemo Finds HHS Secretary Has Wide Legal Authority to Issue Waivers on Medicaid
CRS memo finds that HHS secretary has wide authority to grant waivers to states on Medicaid maintenance of effort requirements under health reform. A Congressional Research Service memo directed to...
View ArticleCuts in Medicaid Reimbursements Making it Difficult to Find Specialist Care
Medicaid patients are having hard time find specialists to care for them as states trim reimbursement rates around the country. A New York Times story from over the weekend makes an important point...
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