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 320

Medicaid Medicaid COVID-19 Governance 320

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 300

Medicaid Medicaid ACA 300

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 317

Medicaid Medicaid 317

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 239

Medicaid Medicaid Health Outcomes 239

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 314

Medicaid Medicaid 314

Healthcare Dive

MARCH 13, 2024

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

Medicaid 176

Medicaid Medicaid 176

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 293

Medicaid Medicaid 293

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 167

Medicaid Medicaid Health Insurance 167

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

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 254

Medicaid Medicaid 254

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 294

Medicaid Medicaid 294

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 286

Medicaid Medicaid 286

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

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

Fierce Healthcare

MARCH 27, 2024

The Centers for Medicare & Medicaid Services (CMS) released a final rule Wednesday to help individuals obtain and retain Children's Health Insurance Program (CHIP) coverage. | In a final rule set to take effect in two months, CMS is streamlining its Medicaid and CHIP eligibility, enrollment and renewal processes.

Medicaid 109

Medicaid Medicaid Health Insurance Medicare 109

Healthcare Dive

MARCH 18, 2024

The CMS doesn’t require states to report data on outcomes or care denials, and has made “delayed” progress on plans to analyze the information and make it public, according to the Government Accountability Office.

Governance 302

Governance Medicaid Medicaid 302

Electronic Health Reporter

MARCH 19, 2024

Selecting an inpatient drug rehab accepting Medicaid is vitally important to individuals looking for treatment, yet each facility offers different approaches and may impose different requirements upon individuals – some may need extra documentation or […] The article Choosing the Right Outpatient Drug Rehab That Accepts Medicaid appeared (..)

Medicaid 91

Medicaid Medicaid 91

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 Public Health 240

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 237

Medicaid Medicaid 237

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 232

Medicaid Medicaid 232

Healthcare Dive

APRIL 12, 2024

Overall, 31% of people with a completed renewal were removed from the safety-net insurance program, while 69% had their coverage renewed, according to KFF.

Medicaid 226

Medicaid Medicaid 226

Fierce Healthcare

APRIL 15, 2024

Insurers Humana, Centene and Elevance Health were selected as the three statewide Medicaid contract awardees in Florida on April 12. Just three insurers earned statewide contracts for Florida's state-run managed care program, but UnitedHealth, Aetna and Molina were not selected.

Medicaid 104

Medicaid Medicaid 104

Fierce Healthcare

APRIL 10, 2024

Almost all community health centers (95%) are reporting Medicaid disenrollment, influencing the level of care provided to individuals that rely on these locations. States have handled the Medicaid redetermination process with varying degrees of success. A new study looks at how community health centers have been impacted.

Medicaid 98

Medicaid Medicaid 98

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 346

Medicaid Medicaid Public Health 346

Healthcare Dive

NOVEMBER 15, 2022

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

Medicaid 281

Medicaid Medicaid 281

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 273

Medicaid Medicaid COVID-19 273

Healthcare Dive

APRIL 15, 2024

Meanwhile, Centene, Elevance and Humana held onto statewide contracts. The reprocurement was especially positive for Centene, which had been expected to lose market share, analysts said.

Medicaid 304

Medicaid Medicaid 304

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 272

Medicaid Medicaid 272

Fierce Healthcare

JANUARY 29, 2024

The Medicaid and Chip Payment and Access Commission (MACPAC) voted in favor of seven recommendations during a meeting Jan. Medicaid advisers want to overhaul the denials and appeals process, partly by implementing a clinician-led independent review. 26 that would reshape how beneficiaries are able to appeal for care.

Medicaid 117

Medicaid Medicaid 117

Fierce Healthcare

MARCH 20, 2024

Large-scale Medicaid disenrollment in Tennessee nearly 20 years ago led to increased total crime rates, a new study by the National Bureau of Economic Research found. |

Medicaid 113

Medicaid Medicaid 113

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 248

Medicaid Medicaid 248

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 190

Medicaid Medicaid 190

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

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 IT News - Telehealth

FEBRUARY 22, 2024

Brightside Health will be entering into new and expanded payer partnerships to support telemental healthcare access through Medicare and Medicaid, teaming with companies such as Blue Shield of California, CareOregon and Centene.

Medicaid 117

Medicaid Medicaid Medicare Medicare 117

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 188

Medicaid Medicaid 188