The big breakthrough in health care, both in reducing cost of care and in achieving better outcomes, is the disruptive entry of startups that provide coaching to patients.
Since the loss of cost-sharing reduction payments related to coverage on the Affordable Care Act exchanges, insurers have boosted their rates by anywhere from 7 to 38 percent, according to an analysis by the Kaiser Family Foundation.
CMS administrator Seema Verma says the changes would give states an unprecedented level of flexibility to design their Medicaid programs as they see fit.