Healthcare Dive

JANUARY 26, 2023

Medicaid eligibility checks beginning in April will likely curb hospital revenue and enrollment growth for payers, Moody's Investors Service said in a report

Medicaid 299

Medicaid Medicaid Hospitals 299

Healthcare Dive

MARCH 27, 2023

The expansion puts an end to a decade-plus political battle in North Carolina over Medicaid and illustrates mounting support for the program

Medicaid 236

Medicaid Medicaid 236

Healthcare Dive

FEBRUARY 21, 2023

About 64% of adults in a Medicaid-enrolled family said they did not know they may lose coverage once pandemic-era policy ends and eligibility checks resume on April 1, a survey from the Robert Wood Johnson Foundation found

Medicaid 309

Medicaid Medicaid 309

Bill of Health

JANUARY 26, 2022

As a first step to protecting incarcerated individuals’ right to health, Congress should repeal the Medicaid Inmate Exclusion Policy (MIEP). The MIEP, established in 1965, prohibits Medicaid from covering incarcerated individuals, despite any prior eligibility. By Sarah Wang.

Medicaid 276

Medicaid Medicaid Health Care Reform ACA 276

Healthcare Dive

NOVEMBER 15, 2022

Roadblocks for the startup inclulde shifting requirements state-by-state and historically low margins in Medicaid

Medicaid 269

Medicaid Medicaid 269

Healthcare Dive

MARCH 15, 2023

Google also shared an a updated version of its medical artificial intelligence that can answer clinical questions at an “expert” level at its annual healthcare event on Tuesday

Medicaid 317

Medicaid Medicaid 317

Healthcare Dive

NOVEMBER 18, 2022

Rushika Fernandopulle discussed how remote work trends are affecting the business, One Medical’s ongoing shift toward risk and its interest in Medicaid

Medicaid 268

Medicaid Medicaid 268

Healthcare Dive

MARCH 16, 2023

Some states are proposing to unwind Medicaid coverage more slowly, while others are moving more quickly to focus on reducing budgetary costs, according to a survey from the Kaiser Family Foundation

Medicaid 269

Medicaid Medicaid 269

Healthcare Dive

FEBRUARY 21, 2023

Short-term plan operators will likely ramp up their marketing in April to nab new consumers from the Medicaid churn, but health policy experts largely aren't concerned

Medicaid 300

Medicaid Medicaid 300

Healthcare Dive

MARCH 31, 2023

States can begin disenrolling ineligible beneficiaries from Medicaid on April 1, in an event the CMS has called the biggest health coverage transition since the first ACA open enrollment

ACA 130

ACA Medicaid Medicaid 130

Healthcare Dive

JANUARY 4, 2023

Five insurers will now receive lucrative contracts to provide managed care services, starting in 2024, in the country's largest Medicaid market

Medicaid 212

Medicaid Medicaid 212

Healthcare Dive

DECEMBER 20, 2022

Lawmakers are rushing to speed passage of the $1.7 trillion omnibus spending package as they near a Friday deadline for government funding

Medicaid 316

Medicaid Medicaid Medicare Medicare 316

Healthcare Dive

AUGUST 26, 2022

The managed care organizations already held Medicaid contracts with the state, but the overhaul in counties served is causing one payer to consider appealing the proposed contracts

Medicaid 223

Medicaid Medicaid 223

Kaiser Health News

JANUARY 6, 2022

South Dakota voters will decide in November whether the state should become the 39th to expand Medicaid under the Affordable Care Act, a move that would provide coverage to 42,000 low-income residents. It would apply to the Medicaid initiative in November.

Medicaid 137

Medicaid Medicaid ACA Governance 137

The Health Law Firm Blog

FEBRUARY 11, 2023

Board Certified by The Florida Bar in Health Law On October 1, 2021, a former dental office manager was sentenced to 12 months in prison for her role in a Medicaid fraud scheme. By George F. Indest III, J.D., M.P.A.,

Medicaid 52

Medicaid Medicaid Fraud Medicare 52

Healthcare Dive

DECEMBER 6, 2022

Many people who are currently enrolled in Medicaid will transition to other coverage, but 3.8 million people will completely lose insurance, according to the Robert Wood Johnson Foundation

Medicaid 253

Medicaid Medicaid COVID-19 253

Healthcare Dive

SEPTEMBER 1, 2022

Iowa will soon have three health insurers to manage its $7 billion Medicaid program

Medicaid 247

Medicaid Medicaid Health Insurance 247

The Health Law Firm Blog

DECEMBER 19, 2022

By George F. Indest III, J.D., M.P.A., Board Certified by The Florida Bar in Health Law On August 24, 2022, managed healthcare company, Centene Corporation, agreed to pay $19 million to the State of Washington to settle fraud allegations.

Medicaid 52

Medicaid Medicaid Overpayments Overpayment 52

The Health Law Firm Blog

JANUARY 28, 2023

On October 1, 2021, a former dental office manager was sentenced to 12 months in prison for her role in a Medicaid fraud scheme. By Carole C. Schriefer, J.D. Mahsa Azimirad, was the office manager for Universal Smiles, a D.C.-based based dental practice, according to the U.S.

Medicaid 52

Medicaid Medicaid Fraud Medicare 52

Healthcare Dive

MAY 26, 2022

At question is whether insurers will be able to shift Medicaid members who lose coverage to subsidized marketplace plans

Medicaid 209

Medicaid Medicaid 209

Bill of Health

APRIL 13, 2022

When the PHE ultimately expires, this will also trigger the end of the Medicaid continuous enrollment requirement, under which states must provide continuous Medicaid coverage for enrollees through the end of the last month of the PHE in order to receive enhanced federal funding.

Medicaid 137

Medicaid Medicaid Health Care Reform ACA 137

Healthcare Dive

DECEMBER 21, 2022

Four insurers that lost out on lucrative contracts in the state’s first-ever competitive process are challenging the managed care provider selections

Medicaid 275

Medicaid Medicaid 275

Healthcare Dive

JANUARY 24, 2022

Resuming the process of determining whether people are still eligible for Medicaid may sound easy, but stakeholders caution it's much more nuanced than flipping a switch, and poor planning risks massive enrollment losses

Medicaid 264

Medicaid Medicaid 264

Healthcare Dive

APRIL 19, 2022

Children are at highest risk in Texas, Florida and Georgia when states resume checking Medicaid eligibility after the public health emergency expires, Georgetown University researchers found

Medicaid 317

Medicaid Medicaid Public Health 317

The Health Law Firm Blog

NOVEMBER 29, 2022

By George F. Indest III, J.D., M.P.A., Board Certified by The Florida Bar in Health Law On August 24, 2022, managed healthcare company, Centene Corporation, agreed to pay $19 million to the State of Washington to settle fraud allegations.

Medicaid 52

Medicaid Medicaid Overpayments Overpayment 52

Healthcare Dive

SEPTEMBER 1, 2022

The proposal comes as states begin to notify Medicaid beneficiaries about potential losses of coverage due to the impending end of the COVID-19 public health emergency

Medicaid 195

Medicaid Medicaid Public Health COVID-19 195

The Health Law Firm Blog

NOVEMBER 7, 2022

By George F. Indest III, J.D., M.P.A., Board Certified by The Florida Bar in Health Law On August 24, 2022, managed healthcare company, Centene Corporation, agreed to pay $19 million to the State of Washington to settle fraud allegations.

Medicaid 52

Medicaid Medicaid Overpayments Overpayment 52

Healthcare Dive

APRIL 19, 2022

On Monday, the high court said the requirements were now moot given the Biden administration's dismissal of the policies, and sent them back to the trial court with instructions to dismiss prior judgments

Medicaid 361

Medicaid Medicaid 361

The Health Law Firm Blog

OCTOBER 14, 2022

By George F. Indest III, J.D., M.P.A., Board Certified by The Florida Bar in Health Law On August 24, 2022, managed healthcare company, Centene Corporation, agreed to pay $19 million to the State of Washington to settle fraud allegations.

Medicaid 52

Medicaid Medicaid Overpayments Overpayment 52

Healthcare Dive

MAY 25, 2022

The proposal, signaling growing support for expansion among state lawmakers after years of opposition, would add 600,000 low-income adults to the safety net health insurance program

Medicaid 233

Medicaid Medicaid Health Insurance 233

The Health Law Firm Blog

OCTOBER 18, 2022

Board Certified by The Florida Bar in Health Law The nation's largest Medicaid insurer, Centene, has agreed to pay $165.6 million to Texas to resolve claims that it overcharged the state’s Medicaid program for pharmacy services. By George F. Indest III, J.D., M.P.A.,

Medicaid 52

Medicaid Medicaid Overpayments Overpayment 52

Healthcare Dive

MAY 3, 2022

Some doctors listed in managed care provider network directories didn't file any Medicaid claims over the course of a year, according to new research published in Health Affairs

Medicaid 206

Medicaid Medicaid Doctors 206

Healthcare Dive

SEPTEMBER 14, 2022

The program supports the 988 national hotline and is part of President Joe Biden's strategy to combat the country's mental health crisis

Medicaid 264

Medicaid Medicaid 264

Healthcare Dive

AUGUST 15, 2022

The payer acquired Wisconsin-based Inclusa on the heels of its $2.8 billion divestiture of Kindred at Home's hospice and personal care units

Medicaid 272

Medicaid Medicaid 272

The Health Law Firm Blog

AUGUST 24, 2022

By George F. Indest III, J.D., M.P.A.,

Medicaid 52

Medicaid Medicaid Overpayments Overpayment 52