CMSCulture

Charitable Premium Assistance: Helping the needy or just plain greedy?

A few months back this story caught my eye: Insurers, hospitals clash over help paying ACA plan premiums. It describes an issue where insurers believe that hospitals are steering patients who are eligible for Medicaid or Medicare to private plans by subsidizing their premiums through charitable organizations. On the surface, that actually sounds like a nice

CMSInnovation

Replay: Medicaid Open IT with Open Health News

On this episode of The #hcbiz Show! we talk with  Roger A. Maduro and David Perara of Open Health News about the $7.5 Billion/yr Medicaid Open Health IT initiative. The state-based Medicaid Management System infrastructure is woefully out-of-date, disconnected, and increasingly expensive to maintain. Many of the platforms are 30-40 years old and were written in the