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Medicaid Expansion Improves Access to Care, Population Health

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States that did not opt into Medicaid expansion under the Affordable Care Act (ACA) experienced worse emergency access to acute care hospitals compared to states that did, according to recent...

Supreme Court Hears Case on Affordable Care Act Constitutionality

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At 10am EST on November 10, the Supreme Court heard the oral arguments in the California v Texas regarding the Affordable Care Act’s constitutionality. The case is pivotal as the outcomes could...

CMS Releases Vaccine Coverage Plan, Medicare Reimbursement Rate

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CMS has released its Medicare reimbursement rate and official coverage strategy for the coronavirus vaccine when one is approved. For more coronavirus updates, visit our resource page, updated...

CMS Rescinds Controversial Medicaid Fiscal Accountability Rule

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Concerns over provisions of the Medicaid Fiscal Accountability Rule (MFAR) have compelled CMS to rescind the rule proposed last November. In a tweet late Monday, CMS Administrator Seema Verma...

UnitedHealth Gives $5M to Support Healthcare Workers During COVID-19

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The United Health Foundation is partnering with the CDC Foundation, Direct Relief, and the American Nurses Foundation to support the nation’s healthcare workers during the COVID-19 pandemic. For...

Centene Program Helps Providers with Grant Writing, Business Loans

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Centene has created a support program to assist its network providers with grant writing, small business loan applications, and other key activities. For more coronavirus updates, visit...

COVID-19 to Impact Employer-Sponsored Health Plans for 3.5M

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New analysis paints a bleak picture for millions of workers covered by employer-sponsor health plans due to coronavirus-related layoffs. For more coronavirus updates, visit our resource page,...

COVID-19 Recession to Increase Uninsurance Rates, Test Medicaid

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As the economic impact of the coronavirus pandemic continues to worsen, uninsurance rates will increase rapidly and place unprecedented strain on Medicaid programs and the ability of uninsured...

COVID-19 Projected to Drive Increased Costs for Consumers, Employers

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A new report warns of rising premiums and out-of-pocket expenses for beneficiaries resulting from healthcare spending to combat the COVID-19 pandemic. Covered California, the state’s health...

Latest Coronavirus Updates for the Healthcare Community

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Editors across the Xtelligent Healthcare Media network of sites will be providing ongoing coverage of the COVID-19 pandemic and its impact on healthcare in the United States. Our team will be...

How Are Payers Covering COVID-19 Testing for High-Risk Patients?

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Updated 03/13/2020: This article has been updated to include information from a CMS FAQ regarding essential health benefit coverage. Updated 3/27/2020: Since this article was originally published...

CMS Releases Finalized Rule on Interoperability

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CMS has released the next phase of the 21st Century Cures Act on interoperability. The rule, which was expected to be announced at HIMSS20 before the conference was canceled, supports the...

Proposed Medicare Advantage Changes Address Drug Pricing, ESRD

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CMS has proposed changes to Medicare Advantage that will increase plans’ revenues by 0.93 percent. The proposed rule would extend Medicare Advantage eligibility to those diagnosed with...

CMS Releases Medicaid Block Grant With Drug, Benefit Flexibilities

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Updated 1/30/20: This article has been updated to include a statement from Avalere. The Trump Administration announced a Medicaid block grant initiative called Healthy Adult Opportunity, which serves...

CMS: Medicare Will Cover Genetic Diagnostics For Certain Cancers

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Medicare will now cover Next Generation Sequencing for beneficiaries with inherited ovarian or breast cancer in order to improve their precision medicine treatment options, CMS...

Supreme Court OKs Public Charge, Immigrants On Medicaid May Be Denied Entry

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The Supreme Court has approved the public charge rule, which denies immigrants green cards and visas if they have used or are expected in the future to use Medicaid or other public benefits. The...

Community Data Informs Payer Philanthropy for Housing Stability

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Poor or unstable housing contributes to a myriad of negative health outcomes. Developmental risks in young children, asthma exacerbations, and increased rates of depression are just a few of the...

HCCI Adds Blue Cross Blue Shield Claims Data to National Database

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The Health Care Cost Institute and Blue Health Intelligence, a data division of Blue Cross Blue Shield Association, have struck a multiyear data partnership that will see the latter’s medical...

Humana Lawsuit Alleges Drug Price Manipulation Against Drug Makers

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Humana filed a 600-page lawsuit against 37 pharmaceutical companies over an alleged conspiracy to drive up the cost of generic drugs. Among the defendants are industry giants such as Teva...

WellCare, Kentucky Homeplace Partnership Reduces Emergency Room Use

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A partnership between WellCare and Kentucky Homeplace showed a reduction in emergency room utilization and cost of care. The partnership aimed to help over 2,000 residents of rural Kentucky with...