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The Other Washington Could Hold the Key to Medicare's Cost Crisis
Washington state won't pay for medical procedures that are unsafe, unproven or cost too much. Why can't Medicare do that?
A recent federal assessment of Medicare’s fiscal health contained a shred of good news — the public health insurance program for the elderly is burning through cash at a slightly slower rate than expected. Yet declining health care costs haven’t bought much time. According to that May report by the Boards of Trustees for Medicare, the program is slated to run out of money in 2026, only two years later than previously forecast.
In order to cut costs and put Medicare on a stronger footing, many health policy experts say the program must stop covering procedures that do little to improve patient health or are not worth the price tag. But the Centers for Medicare and Medicaid Services (CMS), the agency that administers the program, has for the most part failed to implement such cost-cutting measures, because its authority is limited, cuts are controversial and Congress frequently interferes.
Read the full story here: http://bit.ly/16uAWCs
Source: The Center for Public Integrity
Unlocking Access: Exploring Mental Health Care Among Medicaid Managed Care Enrollees
January 23rd 2025On this episode of Managed Care Cast, we speak with the author of a study published in the January 2025 issue of The American Journal of Managed Care® to examine the association between quantitative network adequacy standards and mental health care access among adult Medicaid enrollees.
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Executive Orders Suggest Swift Pivot in Managed Care and Health Policy
January 22nd 2025President Donald Trump's initial executive orders target previous efforts to reduce health care costs, pandemic preparedness, and international partnerships, showing a stark contrast to the Biden administration.
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