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Centene looks beyond Medicaid redeterminations

Healthcare Dive

The nation's largest Medicaid insurer expects to return to normal operations this year, though redeterminations continue to dog Centene through a mismatch between rates and acuity.

Medicaid 304
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MACPAC wants Congress to force states to disclose Medicaid financing streams

Healthcare Dive

The influential advisory group has been lobbying the federal government to collect more detailed information on how states loop providers into funding Medicaid for almost a decade.

Medicaid 260
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Move over, Medicare Advantage — UnitedHealth, Centene flag higher Medicaid utilization concerns

Healthcare Dive

Worries about higher-than-expected medical spending have reached Medicaid, as redeterminations spark turbulence in the program.

Medicaid 247
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Minnesota’s Medicaid program to block for-profit insurers from participation

Healthcare Dive

The ban initially only affects UnitedHealthcare, which is the sole for-profit managed care organization with a Medicaid contract in the state.

Medicaid 195
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Molina loses Medicaid contract in Virginia

Healthcare Dive

It’s the second recent Medicaid state loss for Molina, despite executives expressing confidence about the insurer’s ability to retain contracts.

Medicaid 264
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UnitedHealth projects shaky Medicaid redetermination aftermath

Fierce Healthcare

UnitedHealth is predicting an upcoming “disturbance” among its Medicaid programs as members continue to disenroll after the COVID-19 public health emergency. UnitedHealth gave an overview of areas in which the insurer can improve upon, how Medicaid redeterminations will affect the company and thoughts on OptumRx.

Medicaid 128
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CMS finalizes rule to cut Medicaid DSH payments for some hospitals

Healthcare Dive

Under the new definition, hospitals can only receive disproportionate share hospital Medicaid reimbursements for beneficiaries who are primarily insured by the safety-net program.

Medicaid 254