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Feds Say California May Have Spent Nearly $1B On Ineligible Medi-Cal Beneficiaries

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The potentially improper payments occurred in 2014 and 2015, when the state says it was under pressure from a massive influx of new applicants due to the Affordable Care Act鈥檚 Medicaid expansion.

Is Trump Pushing Health Insurance Innovation Or An ACA Rollback?

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The Trump administration offered states specific examples of how they could change the way they implement the Affordable Care Act. Critics say it could drive up premiums for many.

Billions In 鈥楺uestionable Payments鈥 Went To California鈥檚 Medicaid Insurers And Providers

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The money was paid on behalf of more than 400,000 people who may have been ineligible for the public program, a state audit found. One had been dead for four years before payments stopped.

Marketplace Subsidies May Be Option In 2020 For Plans That Skirt Obamacare

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The new guidance allows states to ask for waivers from provisions in the Affordable Care Act governing not only subsidies, but also the benefits insurers must offer in all their plans.

Subsidios del mercado se podr铆an usar para planes que no cumplen con el Obamacare

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Los estados podr铆an utilizar fondos federales para otorgar subsidios a las personas que compran planes de salud de corto plazo, bajo una nueva de la administraci贸n Trump.

Medicare For All? CMS Chief Warns Program Has Enough Problems Already

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Seema Verma, who heads the Centers for Medicare & Medicaid Services, tells private insurance officials that a push by some Democrats to expand Medicare would only increase troubles the program already faces.

Podcast: KHN鈥檚 鈥榃hat The Health?鈥 Falling Premiums And Rising Political Tensions

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In this episode of KHN鈥檚 鈥淲hat the Health?鈥 Mary Agnes Carey of Kaiser Health News, Rebecca Adams of CQ Roll Call, Anna Edney of Bloomberg News and Julie Appleby of Kaiser Health News discuss the Trump administration鈥檚 announcement that average premium prices are falling on the Obamacare marketplaces, the effort by Senate Democrats to reverse rules on short-term health insurance and the focus on protections for people with preexisting conditions in the run-up to midterm elections.

Doctors Give Medicare鈥檚 Proposal To Pay For Telemedicine Poor Prognosis

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Federal officials are proposing that Medicare pay doctors for a 10-minute 鈥渃heck-in鈥 call with beneficiaries. But many doctors already do this for free, and the plan would require a cost-sharing charge of many patients.

As States Try To Rein In Drug Spending, Feds Slap Down One Bold Medicaid Move

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Medicaid drug spending doubled in five years in Massachusetts. The state wanted to exclude expensive drugs that weren’t proven to work better than existing alternatives from its Medicaid plan, but the federal government blocked the effort.

Paper Jam: California鈥檚 Medicaid Program Hits 鈥楶rint鈥 When The Feds Need Info

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Amid the buzz over apps and electronic medical records rescuing modern medicine, California鈥檚 Medicaid program still clings to 1970s-era technology. A reboot may cost half a billion dollars.