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[16] [1] Dr. Robert Graham was the first administrator of the Health Resources and Services Administration. [24] In November 2019, Thomas Engels was appointed administrator of the Health Resources and Services Administration, [25] replacing administrator George Sigounas. Engels left the post on January 20, 2021. [26]
Medicaid spending rose by $7 billion (2%) in part because of more persons enrolled due to the Affordable Care Act. Unadjusted for timing shifts, in 2017 Medicare spending was $595 billion and Medicaid spending was $375 billion. [31] Medicare covered 57 million people as of September 2016. [32]
As of 2023, PBMs managed pharmacy benefits for 275 million Americans and the three largest PBMs in the US, CVS Caremark, Cigna Express Scripts, and UnitedHealth Group’s Optum Rx, make up about 80% of the market share covering about 270 million people [4] [5] with a market of almost $600 billion in 2024.
However, many health care providers took advantage of the system by offering unnecessary services to a larger number of patients and then billing the government. In the face of increasing loss and the need for cost containment, NHI changed the payment system from fee-for-service to a global budget, a kind of prospective payment system, in 2002.
By most standards, the status of maternal healthcare in the United States is not where it should be. A June 2024 report by the Commonwealth Fund states that the United States maternal mortality ...
Since then, HEW, has been reorganized as the Department of Health and Human Services (HHS) in 1980. This consequently brought Medicare and Medicaid under the jurisdiction of the HHS. [8] In March 1977, the Health Care Financing Administration (HCFA) was established under HEW. [9] HCFA became responsible for the coordination of Medicare and ...
Few doctors choose to get certified to dispense the medication, and those who do work under rigid federal caps on how many patients they can treat. Some opt not to treat addicts at all. According to state data, more than 470 doctors are certified in Kentucky, but just 18 percent of them fill out 80 percent of all Suboxone prescriptions.
Medicaid also covers long-term services and supports, including both nursing home care and home- and community-based services, for those with low incomes and minimal assets; the exact qualifications vary by state. Medicaid spent $215 billion on such care in 2020, over half of the total $402 billion spent on such services. [6]