HealthPayerIntelligence News

50% of MN Adults Were Uninsured Following Medicaid Disenrollment

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Half of adults who experienced Medicaid disenrollment in Minnesota were uninsured six months after losing coverage, raising concerns about eligibility redeterminations that recently resumed. The...

Medicaid Supplemental Payments Are Inefficient, Demand Change

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Medicaid supplemental payments are not need-based and often leave certain states with excess funds, demonstrating that the processes involved in these payments need to change, according to an issue...

HHS Proposal Could Boost Health Insurance Coverage for DACA Recipients

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The US Department of Health and Human Services (HHS) has released a proposal that would expand access to health insurance coverage for Deferred Action for Childhood Arrivals (DACA) recipients. The...

AHIP Marketing Campaign Targets Pharma’s Prescription Drug Pricing

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AHIP has launched a marketing campaign targeting pharmaceutical companies and the role of prescription drug pricing in healthcare spending. “Let’s be clear, Big Pharma continues to...

Anthem, Valley Health Resolve Lawsuit Over Past-Due Payments

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Regional health system Valley Health has reached a settlement agreement with Anthem Blue Cross and Blue Shield, resolving a dispute over past-due payments for healthcare claims, according to a press...

CVS Health ACO Partnership Expands Value-Based Care in Long Island

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CVS Health is partnering with Catholic Health to expand value-based care for Medicare beneficiaries through the ACO Realizing Equity, Access, and Community Health (REACH) program. Under the ACO REACH...

Humana Funds UNF Program Expansion to Address Food Insecurity

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Humana has partnered with an academic institution to expand a program that assists seniors with food insecurity challenges. Meals on Wings is a program at the University of Northern Florida (UNF),...

CMS Approval Expands School-Based Health Services in Illinois

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The Centers for Medicare and Medicaid Services (CMS) has approved a state plan amendment (SPA) in Illinois to expand school-based health services for children with Medicaid. The SPA will allow...

Public-Private Program Boosts Uninsured Access to COVID-19 Vaccines

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In an effort to maintain access to coronavirus vaccines for uninsured Americans, HHS has introduced a public-private partnership with pharmaceutical companies. The partnership, known as the “HHS...

Importance of Increased Activity to Lower Rates of Chronic Conditions

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Great news for those who enjoy walking: increasing daily step counts doesn’t just improve people’s fitness — it can also reduce their risk of chronic disease. A new study from the All...

Why Addressing Stress is the Foundation for Improved Health Outcomes

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When it comes to improving population stress levels, there’s one movement that really gives us hope: We can empower individuals with information, tools, and insights to take better control of...

Experts Assess the Effects of the No Surprises Act on Surprise Billing

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The No Surprises Act may have successfully defended consumers from surprise billing but requires reworking in other areas, an issue brief from Urban Institute and the Robert Wood Johnson Foundation...

Adjusting Medicare Drug Price Negotiation Criteria May Increase Savings

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Adjusting eligibility criteria for Medicare prescription drug price negotiation under the Inflation Reduction Act to include drugs with biosimilars and allow for drug selection based on net spending...

HHS Guidance Increases Care Access for Incarcerated Medicaid Beneficiaries

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The US Department of Health and Human Services (HHS), through the Centers for Medicare and Medicaid Services (CMS), has released guidance to help states boost access to healthcare for incarcerated...

83% of Consumers Are Interested in Health Savings Accounts for Non-HDHPs

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Many consumers would be interested in a type of account that was like a health savings account (HSA) in its construction but able to be attached to plans other than high deductible health plans...

HHS Finalizes Notice of Benefit and Payment Parameters for 2024

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The Department of Health and Human Services (HHS) has released the HHS Notice of Benefit and Payment Parameters for 2024 final rule which addressed network adequacy, plan selection, special enrollment...

How Specialty Pharmacies Compare to Provider, Hospital on Drug Pricing

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AHIP released updated data on drug pricing increases, comparing hospital costs and the prices that physician offices pay compared to specialty pharmacies. The payer organization analyzed price...

Coverage Gaps, Uninsurance Tied to Unmet Vision Care Needs

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Health insurance coverage gaps and uninsurance were associated with a higher risk of unmet vision care needs among adults in Ohio, indicating the importance of continuous coverage, a study published in...

Humana Continues to Address Housing Stability with $40M Investment

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Humana is investing $40 million in affordable housing development, furthering its national commitment to improve housing stability for health plan members. This round of funding brings the...