Expanding health plan variety in state Medicaid programs may not lead to improved Managed Medicaid performance. Managed Medicaid performance does not increase as state Medicaid programs introduce more health plan variety, but a single health […]
This week, it was announced that a former employee of a Southern California ambulance company had been sentenced to prison for his role in a scheme to defraud Medicare. 54-year-old Aharon Aron Krkasharyan of Los […]
Can a state agency set lower Medicaid reimbursement rates for out-of-state hospitals without discriminating against interstate commerce? The Ninth Circuit answered that question “yes” in Asante v. California Department of Health Care Services, ___ F.3d […]
A federal whistleblower complaint alleges that a major California insurer failed to pay an estimated $89 million in taxes on premium revenue as required under the Affordable Care Act. The complaint against Blue Shield of […]
Congress in 2017 failed to “repeal and replace” the Affordable Care Act. But the health law has been changed in many other ways over the past year and a half. Some changes were made by […]
On Thursday, the Trump administration released new proposed rules to carry out an executive order the President signed in October expanding association health plans to self-employed individuals and small businesses. Supporters of the proposed rule […]
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