The Continuing Quest To Integrate Care For Dual-Eligible Enrollees.

For people dually eligible for Medicare and Medicaid, one integrated care plan option is coming to an end. States are planning what to offer next.

Networks Of Support Help Patients Navigate Complex Systems.

As a hub for local collaboration, a Minneapolis, Minnesota, health system empowers patients by giving them resources to address their health-related social needs.

In New Orleans, Navigating Dementia With A Guide.

One health system supports patients and their caregivers during a difficult journey, but few payers cover the services.

Medicare Diabetes Prevention: Enrollment Short Of Projections.

After years of research, Medicare agreed to pay for diabetes prevention programming, but few beneficiaries and providers have enrolled.

After A COVID-19 Vaccine: Collaboration Or Competition?

As COVID-19 vaccines and therapies emerge, critical questions remain about access and affordability around the world.

Fate of Medicaid expansion rests with senators from drug-torn states.

Two senators who represent states at the epicenter of the nation's opioid addiction crisis find themselves at the turbulent center of the Republican drive to repeal and replace Obamacare.

'Willing to take the hits' for speaking out against the GOP repeal bill.

Robert Doherty, the long-time chief lobbyist of the American College of Physicians, has drawn attention for his outspoken criticism of the House Republican legislation to repeal and replace the Affordable Care Act. Doherty is senior vice president for government affairs at the Philadelphia-based ACP, which represents 148,000 internists and internal medical subspecialists. He spoke with Modern Healthcare senior reporter Harris Meyer on May 4, minutes after the House passed the American Health Care Act, or AHCA.

GOP senators likely to pass ACA repeal bill because failure is not an option.

The challenge for Senate Republicans is to make their bill less politically toxic than the House version, but that will require tough calls on taxes and spending.

'Too much money is going into correctional costs for people with untreated mental illness'.

For nearly 20 years, Miami-Dade Circuit Judge Steven Leifman has coordinated the work of state and local agencies in diverting mentally ill people from the jail system and getting them into comprehensive residential and outpatient recovery services. He was a top contender for the new HHS assistant secretary position in charge of mental health and substance abuse policy. In an interview with Modern Healthcare senior reporter Harris Meyer, Leifman described the structural reforms he believes are needed in mental healthcare and what the federal government must do to achieve those improvements.

Mission Health finds solutions for better serving psych patients in the ED.

Mission Hospital has a special holding area for psych patients in its emergency department.

Everyone agrees mental health reform is essential, but will last year's promises be fulfilled?

Most of the systematic change has to be done in each community, with the federal government providing the financing. There's not a silver bullet.

The battle to repeal Obamacare: Winners and losers.

After seven years and many promises, Republican leadership failed to get enough votes to pass legislation that would repeal and replace the Affordable Care Act. The American Health Care Act was pulled before a single vote was cast. The move received mixed reactions from many who had a lot at stake under the bill.

Pick a plan.

Lots of ideas on how to replace certain aspects of the Affordable Care Act have been tossed around in the seven or so years since more right-leaning lawmakers, economists and policy experts began to gripe about the healthcare reform law. Here are some of the suggestions that might come in handy as GOP leaders draft a plan to be presented in the next few weeks. The goal is to introduce a bill before Congress takes a spring break in April.

High anxiety: Healthcare execs want coverage continuity.

While the latest CEO Power Panel poll found a willingness to tinker with models for expanding access to affordable health coverage, a large majority of the leaders oppose any replacement plan that doesn't provide adequate financing for both the insurance and Medicaid expansions.

What did the media miss in the CBO report?

Everyone reported the top-line numbers from the analysis of the House Republicans' American Health Care Act, a bill to repeal and replace the Affordable Care Act. The nonpartisan Congressional Budget Office and the Joint Committee on Taxation estimated the bill would drive up the number of uninsured Americans by 24 million over the next decade and reduce the federal deficit by $337 billion.

Can Republicans compromise with each other to pass ACA repeal bill?

House conservatives want to scale back the bill's coverage while Senate Republicans want to improve it, which would raise the bill's price tag.

GOP anxiety rises as conservatives and moderates split on ACA repeal.

After seven years of promising to repeal and replace the ACA, Republicans have yet to coalesce around a plan, and more party members are facing the consequences of pulling coverage from nearly 20 million Americans.

New HHS Secretary Price faces a crushing inbox.

AS HHS secretary, Dr. Tom Price may be torn between orders to repeal the ACA and pressure from insurers to stabilize the marketplace in order to maintain coverage for 20 million people.