Healthcare Dive

OCTOBER 26, 2024

Like other payers, Centene flagged a mismatch between patient acuity and payment rates in Medicaid. But the insurer said a diversified portfolio helped it navigate challenges in the third quarter.

Medicaid 307

Medicaid Medicaid 307

Healthcare Dive

FEBRUARY 27, 2025

The 41 states that expanded Medicaid could be asked to spend 25% more to cover care costs if planned cuts are approved by Congress. Some states may cut the expansion program instead.

Medicaid 318

Medicaid Medicaid 318

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 362

Medicaid Medicaid Public Health 362

Healthcare Dive

FEBRUARY 20, 2025

States have increased provider payment rates to address workforce shortages, but they may have to cut back if spending cuts hit Medicaid, according to the health policy researcher.

Medicaid 300

Medicaid Medicaid 300

Healthcare Dive

JULY 18, 2024

The state’s managed care organizations handle health benefits for 90% of its Medicaid beneficiaries each year.

Medicaid 298

Medicaid Medicaid 298

Healthcare Dive

JUNE 21, 2024

Medicaid unwinding has been less than perfect. However, the process has helped states expand Medicaid eligibility to more people and streamline enrollment and outreach, according to a new survey.

Medicaid 274

Medicaid Medicaid 274

Healthcare Dive

JULY 3, 2024

The survey, which included low-income people in Arkansas, Kentucky, Louisiana and Texas, found about half of those who were no longer enrolled in Medicaid became uninsured.

Medicaid 322

Medicaid Medicaid 322

Healthcare Dive

OCTOBER 24, 2024

The presidential election, loss of higher federal funding, inflationary pressures and other challenges are leaving state regulators uncertain about Medicaid’s “new normal.”

Medicaid 284

Medicaid Medicaid 284

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 301

Medicaid Medicaid Hospitals 301

Healthcare Dive

AUGUST 15, 2024

Despite challenges in Medicaid and MA, major insurers still posted large earnings in the second quarter — many helped by growing health services divisions.

Medicaid 293

Medicaid Medicaid Health Insurance Medicare 293

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 318

Medicaid Medicaid 318

Healthcare Dive

NOVEMBER 5, 2024

Dramatic growth in an opaque Medicaid funding mechanism is exacerbating concerns about the program’s fiscal integrity — while spurring financial gains for the hospital industry.

Medicaid 307

Medicaid Medicaid Hospitals 307

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 311

Medicaid Medicaid 311

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 325

Medicaid Medicaid COVID-19 Governance 325

Healthcare Dive

OCTOBER 17, 2024

Executives said the increased costs pressuring its Medicaid business would improve after states updated payment rates to better match member acuity.

Medicaid 261

Medicaid Medicaid 261

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 318

Medicaid Medicaid 318

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 301

Medicaid Medicaid ACA 301

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 265

Medicaid Medicaid Fraud 265

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 284

Medicaid Medicaid Governance 284

HIT Consultant

MARCH 11, 2025

Image by freepik What You Should Know: – A new analysis by the Urban Institute, supported by the Robert Wood Johnson Foundation , reveals that healthcare providers in 41 states that expanded Medicaid eligibility would face significant financial losses if federal funding for Medicaid expansion programs is cut.

Medicaid 91

Medicaid Medicaid Health Insurance Hospitals 91

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 301

Medicaid Medicaid Health Insurance 301

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 300

Medicaid Medicaid 300

Healthcare Dive

FEBRUARY 7, 2025

Most adults on Medicaid are already employed, suggesting few beneficiaries wouldn’t meet a work requirement policy being considered by Republicans in Congress.

Medicaid 258

Medicaid Medicaid 258

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 272

Medicaid Medicaid 272

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 293

Medicaid Medicaid 293

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 274

Medicaid Medicaid 274

Healthcare Dive

MAY 30, 2024

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

Medicaid 244

Medicaid Medicaid Medicare Medicare 244

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 259

Medicaid Medicaid Health Outcomes 259

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 252

Medicaid Medicaid Hospitals 252

Healthcare Dive

OCTOBER 16, 2024

Higher state-directed Medicaid payments in four states could boost HCA and UHS’ profitability in the near term, according to analysts.

Medicaid 253

Medicaid Medicaid 253

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 246

Medicaid Medicaid 246

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 245

Medicaid Medicaid 245

Healthcare Dive

APRIL 7, 2025

The Senate’s budget resolution calls for fewer spending cuts than its House counterpart overall but preserves the $880 billion target for reductions under the House Energy and Commerce Committee.

Medicaid 301

Medicaid Medicaid 301

Healthcare Dive

APRIL 10, 2025

Now, lawmakers will hash out legislation that follows the spending blueprint, which could include cuts to the safety-net insurance program — a potentially unpopular choice among Republican voters.

Medicaid 277

Medicaid Medicaid 277

Healthcare Dive

MARCH 28, 2025

In a letter to Senate Majority Leader John Thune, hundreds of groups said the potential cuts would “shred our nation’s social safety net,” delaying access to care and ultimately drive up healthcare costs.

Medicaid 272

Medicaid Medicaid 272

Healthcare Dive

AUGUST 7, 2024

The slide in the nation’s uninsured rate could become steeper if subsidies in the Affordable Care Act exchanges expire on schedule next year, according to health policy experts.

Medicaid 317

Medicaid Medicaid 317

Healthcare Dive

JULY 22, 2024

The three payers were cut out of the state’s first round of contracts divvied out in April.

Medicaid 317

Medicaid Medicaid 317