The Future of the Medicaid Expansion under PPACA
January 23, 2012 by admin
Filed under Healthcare Reform, Medicaid, PPACA
Headlines regarding the pending Supreme Court case on the Patient Protection and Affordable Care Act (PPACA) tend to focus on the future of the individual mandate in national health reform. Critics argue that the commerce clause cannot be used to force individual citizens to purchase health insurance. Quite simply, they argue the clause cannot legitimately be used to regulate such activity.
Medicaid Quality Measures Announcement Mirrors Efforts in Other Programs
January 9, 2012 by admin
Filed under CMS, Health and Human Services (HHS), Healthcare Reform, Medicaid
While some states initiated strong quality enhancement programs (complete with quality bonuses and extra member assignments) years back in their Medicaid programs, most states have been ignoring their abysmal quality track record. Now, more states are doing something about it and waking up to the appallingly low results whether in their fee-for-service (FFS) or managed care programs.