Healthcare Dive

MAY 30, 2024

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

Medicaid 247

Medicaid Medicaid Medicare Medicare 247

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 264

Medicaid Medicaid 264

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 195

Medicaid Medicaid 195

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 306

Medicaid Medicaid Hospitals 306

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 306

Medicaid Medicaid Health Insurance 306

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 254

Medicaid Medicaid Hospitals 254

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 328

Medicaid Medicaid COVID-19 Governance 328

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 173

Medicaid Medicaid 173

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 306

Medicaid Medicaid ACA 306

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 321

Medicaid Medicaid 321

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 262

Medicaid Medicaid Health Outcomes 262

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

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 162

Medicaid Medicaid 162

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 162

Medicaid Medicaid Hospitals 162

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 128

Medicaid Medicaid COVID-19 Public Health 128

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 276

Medicaid Medicaid 276

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 321

Medicaid Medicaid 321

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 306

Medicaid Medicaid 306

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 315

Medicaid Medicaid 315

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 279

Medicaid Medicaid 279

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 298

Medicaid Medicaid 298

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 173

Medicaid Medicaid Health Insurance 173

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 162

Medicaid Medicaid 162

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 293

Medicaid Medicaid COVID-19 Public Health 293

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

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

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 246

Medicaid Medicaid 246

Fierce Healthcare

JULY 12, 2024

Colorado stands out among the 10 states that have disenrolled the highest share of Medicaid beneficiaries since the U.S. Colorado stands out among the 10 states that have disenrolled the highest share of Medicaid beneficiaries since the U.S.

Medicaid 114

Medicaid Medicaid Health Insurance Governance 114

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 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 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 240

Medicaid Medicaid US Department of Health and Human Services COVID-19 240

Healthcare Dive

MARCH 13, 2024

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

Medicaid 182

Medicaid Medicaid 182

Healthcare Dive

NOVEMBER 15, 2022

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

Medicaid 290

Medicaid Medicaid 290

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 279

Medicaid Medicaid 279

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 279

Medicaid Medicaid COVID-19 279

Healthcare Dive

JULY 22, 2024

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

Medicaid 298

Medicaid Medicaid 298

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 263

Medicaid Medicaid 263