Some states are considering exiting the federal Medicaid program. Texas and other states are in the news regarding a potential Medicaid opt-out as is South Carolina.
We believe this is not practical and is probably more of a political stand than anything else. Given the large percentage of costs that the Feds pay, it is not clear how the States could fund their programs. What would happen to those on Medicaid? What is clear is that the tension over spending on health care is moving to a new level.
In light of new regulatory measures, health plans and providers need smart strategies comply with ICD-10 and the underlying EDI standard HIPAA 5010. An Assessment and Implementation plan developed by your in-house team in collaboration with experienced advisors is one good way to reduce the risk of spending more than you have to to meet these mandates by October 1, 2013.