Healthcare Dive

JULY 13, 2023

Nearly two million people have been disenrolled from Medicaid to date, but it’s too early to get a full picture of redeterminations’ effect on vulnerable Americans, experts say.

Medicaid 236

Medicaid Medicaid 236

Healthcare Dive

MAY 24, 2023

The notice of proposed rulemaking recommends that the CMS and states get a drug price verification survey tool to verify prices and negotiate for expensive drugs under Medicaid.

Medicaid 220

Medicaid Medicaid 220

Healthcare Dive

APRIL 28, 2023

The agency wants to create maximum waiting times for certain appointments in addition to requiring stronger quality monitoring and reporting standards for Medicaid and CHIP managed care plans.

Medicaid 277

Medicaid Medicaid 277

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 303

Medicaid Medicaid 303

Healthcare Dive

JULY 20, 2023

Medicaid managed care organizations studied by the HHS’ Office of the Inspector General denied one out of every eight requests for prior authorization in 2019, and most states don’t regularly monitor whether denials are appropriate.

Medicaid 216

Medicaid Medicaid 216

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 242

Medicaid Medicaid 242

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 271

Medicaid Medicaid 271

Healthcare Dive

FEBRUARY 9, 2023

million Medicaid members when pandemic protections end and states to resume eligibility checks. The forecast comes as its competitor, Centene, expects to lose as many as 2.2

Medicaid 234

Medicaid Medicaid 234

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. Specifically, states that have expanded Medicaid could save $4.7

Medicaid 286

Medicaid Medicaid COVID-19 Health Insurance 286

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 274

Medicaid Medicaid 274

Healthcare Dive

JULY 28, 2023

The payer lost 262,700 Medicaid members in the second quarter, dropping its total Medicaid lives to just over 16 million.

Medicaid 130

Medicaid Medicaid 130

Fierce Healthcare

SEPTEMBER 29, 2023

The Centers for Medicare & Medicaid Services (CMS) sent a letter to state health officials Friday reminding states they must provide 12 months of continuous coverage to children under the age o | The Biden administration and federal health agencies are telling states to uphold continuous eligibility for children in Medicaid and CHIP.

Medicaid 97

Medicaid Medicaid Medicare Medicare 97

Healthcare Dive

JULY 27, 2023

Despite concerns about high early levels of disenrollments, the payer lost 93,000 Medicaid members during the second quarter — well within forecasts, CEO Joe Zubretsky said.

Medicaid 130

Medicaid Medicaid 130

Healthcare Dive

JULY 20, 2023

Since April, the CMS has halted Medicaid eligibility checks in 12 states to address issues causing procedural disenrollments, according to officials.

Medicaid 182

Medicaid Medicaid 182

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 223

Medicaid Medicaid 223

Healthcare It News

APRIL 15, 2022

Postal Service and an online account this summer to connect with Medicaid enrollees about the expected end of the covid public health emergency, which will put many recipients at risk of losing their coverage. State Medicaid agencies for months have been preparing for the end of the public health emergency.

Medicaid 230

Medicaid Medicaid US Department of Health and Human Services Public Health 230

Healthcare Dive

MAY 25, 2023

The Kaiser Family Foundation survey found many enrollees weren’t sure whether states are now allowed to remove people from the program, and 27% wouldn’t know where to look for coverage if they ineligible for Medicaid.

Medicaid 187

Medicaid Medicaid 187

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 266

Medicaid Medicaid COVID-19 266

Healthcare Dive

NOVEMBER 15, 2022

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

Medicaid 270

Medicaid Medicaid 270

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 330

Medicaid Medicaid Public Health 330

Fierce Healthcare

AUGUST 30, 2023

In a letter sent to all states (PDF), the Centers for Medicare & Medicaid Services ( | As more Medicaid beneficiaries are wrongly kicked off the program, CMS is requiring states to reevaluate its eligibility systems and auto-renewal process.

Medicaid 132

Medicaid Medicaid Medicare Medicare 132

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

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 231

Medicaid Medicaid 231

HIT Consultant

AUGUST 24, 2023

Contrary to perception, access to broadband and mobile phones are not the greatest barrier to digital health among Medicaid recipients. With the infrastructure to deliver remote care already in place, it’s often the most sensible solution for both Medicaid patients and providers. population.

Medicaid 97

Medicaid Medicaid Health Insurance Doctors 97

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 187

Medicaid Medicaid COVID-19 Public Health 187

Healthcare Dive

AUGUST 3, 2023

The uninsured rate fell to a record low in March, but Medicaid eligibility checks could reverse that progress, according to experts.

Medicaid 130

Medicaid Medicaid 130

Healthcare Dive

JUNE 30, 2023

Georgia’s overhaul of its state Medicaid program begins on Saturday. By only enacting a partial expansion, the state is forgoing $1.1 billion in federal funding and harming access to coverage, according to a new report.

Medicaid 130

Medicaid Medicaid 130

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 218

Medicaid Medicaid Doctors 218

Compliance Now

AUGUST 10, 2023

As background, according to federal Health Insurance Portability and Accountability Act (HIPAA) rules, individuals have 60 days from losing CHIP and Medicaid eligibility to elect coverage under their group plan. A flyer employers can share with employees who are enrolled in Medicaid or CHIP and may lose their coverage.

Medicaid 100

Medicaid Medicaid Health Insurance HIPAA 100

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. Continuity of Coverage.

Medicaid 141

Medicaid Medicaid COVID-19 Medicare 141

Fierce Healthcare

SEPTEMBER 26, 2023

Medicaid expansion will launch in North Carolina on Dec. Roy Cooper, the state anticipates more than 600,000 people will be eligible under Medicaid expansion. 1, adding more than 600,000 people to the state’s health insurance system, Gov. Roy Cooper announced Monday. Deemed a major victory for Gov.

Medicaid 69

Medicaid Medicaid Health Insurance 69

Healthcare Dive

SEPTEMBER 1, 2022

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

Medicaid 251

Medicaid Medicaid Health Insurance 251

Healthcare Dive

AUGUST 23, 2023

Three Floridians, including two children, filed a lawsuit against the state on Tuesday alleging it illegally cut their Medicare coverage without proper notice.

Medicaid 230

Medicaid Medicaid Medicare Medicare 230

Healthcare IT News - Telehealth

JANUARY 11, 2023

The Kaiser Family Foundation recently looked at state trends with regard to expanding access to telehealth-based behavioral care during the pandemic and found that states see telemedicine as a key component of maintaining access to behavioral healthcare for Medicaid enrollees. WHY IT MATTERS. ON THE RECORD.

Medicaid 144

Medicaid Medicaid Medicare Medicare 144

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 210

Medicaid Medicaid 210

Healthcare IT News - Telehealth

MARCH 18, 2022

Norden is particularly passionate about funding companies focused on the Medicaid population – a traditionally tricky and often ignored area. You are passionate about funding companies focused on the Medicaid population – a traditionally tricky and often ignored area. What's happening in this area of digital health?

Medicaid 208

Medicaid Medicaid COVID-19 Telemedicine 208

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. Kristi Noem, a Republican, strongly opposes Medicaid expansion, even though the federal government picks up most of the cost.

Medicaid 135

Medicaid Medicaid ACA Hospitals 135