Healthcare Dive

JUNE 12, 2024

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 277

Medicaid Medicaid Governance 277

Healthcare Dive

JULY 17, 2024

A Pennsylvania pension fund had argued Centene board members failed in their oversight responsibilities and ignored red flags about a Medicaid overbilling scheme.

Medicaid 154

Medicaid Medicaid Fraud 154

Fierce Healthcare

SEPTEMBER 4, 2024

Centene’s business is still impacted by Medicaid redeterminations, a process that began in early 2023, the company said during the Wells Fargo Healthcare Conference. Centene's stock sunk Wednesday after the company highlighted issues it faces surrounding Medicaid redeterminations.

Medicaid 113

Medicaid Medicaid 113

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 297

Medicaid Medicaid Hospitals 297

Healthcare Dive

MAY 29, 2024

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

Medicaid 187

Medicaid Medicaid 187

Healthcare Dive

JULY 26, 2024

Centene continued to deal with a mismatch between Medicaid rates and patient acuity in the second quarter, but still exceeded Wall Street’s expectations thanks to Affordable Care Act growth.

Medicaid 164

Medicaid Medicaid ACA 164

Healthcare Dive

JANUARY 19, 2024

It’s not yet clear how much the new Medicaid managed care contract is worth. The state’s previous contract with insurers, including Centene, allocated $6 billion in funds over five years.

Medicaid 164

Medicaid Medicaid 164

Healthcare Dive

SEPTEMBER 22, 2023

Nearly 500,000 people will regain Medicaid or Children’s Health Insurance Program coverage after being improperly removed from the rolls during redeterminations, according to the HHS.

Medicaid 295

Medicaid Medicaid Health Insurance 295

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.

Medicaid 297

Medicaid Medicaid ACA 297

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 314

Medicaid Medicaid 314

Healthcare Dive

MARCH 1, 2024

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

Medicaid 252

Medicaid Medicaid 252

Healthcare Dive

JUNE 21, 2023

An analysis by KFF found state spending on Medicaid fell during the COVID-19 pandemic even as enrollment soared. But spending will likely increase as the federal government begins to pare back its increased contribution.

Medicaid 318

Medicaid Medicaid COVID-19 Governance 318

Fierce Healthcare

AUGUST 27, 2024

TennCare, the state of Tennessee’s Medicaid program, intentionally prevented families from receiving healthcare coverage and benefits, a federal district judge determined Aug.

Medicaid 119

Medicaid Medicaid 119

Healthcare Dive

MAY 30, 2024

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

Medicaid 235

Medicaid Medicaid Medicare Medicare 235

Healthcare Dive

APRIL 10, 2024

The number of people enrolled in Medicaid soared over the pandemic, but many enrollees may not have known their coverage had continued, new research suggests.

Medicaid 154

Medicaid Medicaid 154

Healthcare Dive

SEPTEMBER 10, 2024

Iowa Total Care, a subsidiary of the St. Louis-based payer, can continue doing business in Iowa’s managed care program, which paid it $2.8 billion in the last fiscal year.

Medicaid 266

Medicaid Medicaid 266

Healthcare Dive

FEBRUARY 21, 2024

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 242

Medicaid Medicaid Hospitals 242

Healthcare Dive

APRIL 23, 2024

In two final rules issued Monday, the CMS also moved to crack down on financing gimmicks used by states and hospitals to increase federal Medicaid funding — though not until 2028.

Medicaid 154

Medicaid Medicaid Hospitals 154

Fierce Healthcare

MAY 30, 2024

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 127

Medicaid Medicaid COVID-19 Public Health 127

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 Public Health 286

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 312

Medicaid Medicaid 312

Healthcare Dive

OCTOBER 3, 2023

The health insurer expected to be offered a contract to manage the care of Medicaid seniors in a new long-term services and supports program, but wasn’t able to stand up a dual-eligible special needs plan in time.

Medicaid 164

Medicaid Medicaid Health Insurance 164

Healthcare Dive

JUNE 1, 2023

A KFF analysis of 11 states found many of the people who have already been removed from the Medicaid program were disenrolled for procedural reasons.

Medicaid 271

Medicaid Medicaid 271

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 254

Medicaid Medicaid US Department of Health and Human Services COVID-19 254

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 290

Medicaid Medicaid 290

Healthcare Dive

MARCH 28, 2024

It’s the “most robust and meaningful” regulation streamlining Medicaid eligibility since the Affordable Care Act was implemented a decade ago, one lawyer said.

Medicaid 154

Medicaid Medicaid 154

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 246

Medicaid Medicaid 246

Healthcare Dive

NOVEMBER 29, 2023

Medicaid enrollees are more likely to understand and be satisfied with their plans, despite reporting poorer health outcomes, according to a new report from KFF.

Medicaid 238

Medicaid Medicaid Health Outcomes 238

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 292

Medicaid Medicaid 292

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 253

Medicaid Medicaid 253

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 284

Medicaid Medicaid 284

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 244

Medicaid Medicaid 244

HIT Consultant

JULY 16, 2024

Anish Sebastian, CEO and Co-founder, Babyscripts A discussion of technology and the Medicaid population inevitably raises the topic of the digital divide — that is, the gap between people who have access to modern information and communications technology (ICTs) and those who don’t. “We But there’s a lot of reasons to be optimistic.

Medicaid 105

Medicaid Medicaid Health Insurance Health Outcomes 105

Healthcare Dive

MARCH 13, 2024

States that have expanded Medicaid for a year after pregnancy might see similar coverage gains, researchers wrote.

Medicaid 173

Medicaid Medicaid 173

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 270

Medicaid Medicaid COVID-19 270

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 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 347

Medicaid Medicaid Public Health 347