Noteworthy News

Archive for April, 2012


Feds Approve Wisconsin Medicaid Cuts

The state of Wisconsin will remove 17,000 people from its Medicaid rolls and increase premiums for some current Medicaid recipients under a plan approved by the federal Centers for Medicare & Medicaid Services (CMS). The state also is seeking federal permission to move 300,000 people into a lower-cost health plan with fewer benefits. Read more about cutbacks in Wisconsin’s Medicaid program in this Milwaukee Journal Sentinel article

Colorado Expands Medicaid Eligibility – Sort of

The state of Colorado is taking advantage of Affordable Care Act incentives to expand eligibility for its Medicaid program. But in a limited way. Most state programs do not cover adults without children because the federal government does not match state spending for such coverage.  Through the Affordable Care Act, however, the federal government now offers such matching funds, so Colorado is expanding Medicaid eligibility to adults without children who earn less than $1080 a year. But there’s a catch. Because of limited state resources, Colorado can only afford to provide such coverage to 10,000 of the approximately 144,000 Coloradans [&hellip

Proposed Medicare Inpatient Regulation Released

The Centers for Medicare & Medicaid Services (CMS) has released its proposed annual Medicare inpatient prospective payment system regulation.  This regulation ultimately will dictate how Medicare pays hospitals when the 2013 fiscal year begins on October 1, 2012. As significant as what this year’s draft regulation says is what it does not say.  Even though eligible hospitals face cuts of as much as 75 percent in their Medicare disproportionate share hospital payments (Medicare DSH) beginning in FY 2014, the proposed regulation addresses neither how Medicare DSH payments might be calculated come 2014 nor how CMS will determine how much uncompensated [&hellip

Illinois Governor to Propose Major Medicaid Cuts

Illinois Governor Pat Quinn plans to propose reducing his state’s Medicaid spending by $2.7 billion.  His proposal calls for $2 billion in spending cuts, including $675 million in payment cuts to providers. Other cuts include changes in eligibility, reduced benefits, additional cost-sharing for beneficiaries, and greater use of managed care for dual eligibles. Read more about the governor’s plan in his own news release, which also includes links to documents describing the cuts in greater detail

Saving by Spending?

A new analysis concludes that spending more money on primary care for Medicare patients could reduce overall Medicare spending by reducing demand for inpatient and post-acute care. In fact, the analysis suggests that every additional dollar spent on primary care for Medicare patients will save six dollars in costs for other Medicare services. Learn more about the analysis presented in the article “Paying More for Primary Care:  Can it Help Bend the Medicare Cost Curve?” by reading this Commonwealth Fund report

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