Are Healthcare Provider Challenges to Medicaid Cuts Dead?

By Stephen D. Rose
Health Care Attorney and Owner
Garvey Schubert Barer

With the demise of the Boren Amendment, healthcare providers and Medicaid recipients have searched for an effective avenue to challenge state proposed Medicaid rate reductions that threaten access to healthcare services by Medicaid beneficiaries. With the implementation of the Affordable Care Act and significant expansion of Medicaid beneficiaries expected in the very near future, whether healthcare providers and Medicaid recipients can challenge Medicaid rate reductions takes on added importance. On May 24, 2013, the Ninth Circuit drastically reduced the legal avenues that can be taken to challenge Medicaid rate reductions. Managed Pharmacy Care v. Sebelius, ___ F.3d ___ (9th Cir. 2013) (Managed Pharmacy Care), significantly weakened the ability of healthcare providers and Medicaid recipients to challenge Medicaid rate reductions. Read article

Stethescope on Financial Graphs with Calculator

New State Restrictions on Stop-Loss Policies Threaten Self-Funding

By David Snodgrass, CLU, ChFC
President and Chief Executive Officer
Healthcare Management Administrators
Read article

Alaska Healthcare News Feed

Adults Students in Seminar Raising Hands

Teaching Managers to be Leaders: A Practical, Hands-on Approach

By Marcey Uday-Riley, MSW, CPT
Partner
IRI Consultants
Read article

Two nurses examining xray film with doctor

Collaborative Negotiation for Health – A Win/Win Equation

By Kim Adams
Principal
Heart of the Matter Consulting
Read article