High-risk medication use was lower among Medicare Advantage beneficiaries compared to those enrolled in traditional Medicare, a study published in JAMA Network Open revealed.
High-risk medications...
Beneficiaries with multiple chronic conditions did not have higher rates of switching between Medicare Advantage and Medicare fee-for-service (FFS), according to a study published in JAMA.
As Medicare...
Medicare Advantage plan payment cuts under the Affordable Care Act (ACA) did not lead to enrollment reductions, suggesting that further payment reform could minimize spending without hurting access to...
Children with special health care needs (CSHCN) may experience access to care barriers as a result of new quantitative Medicaid network adequacy standards, a study published in Health Affairs...
A federal judge has blocked Florida’s ban on Medicaid coverage for gender-affirming care, stating that the rule violated federal law and was politically motivated.
The ban’s inception...
Cash payments that phase out based on income could allow Medicaid beneficiaries to shift away from low-quality care under safety net healthcare coverage to higher-quality care through private payer...
The Medicare Payment Advisory Commission’s (MedPAC) June 2023 report to Congress offered recommendations for addressing disparate Medicare Advantage plan benefits and the future of Medicare...
New York has extended Medicaid postpartum coverage, marking the 35th state that will provide comprehensive coverage to individuals for 12 months after pregnancy, HHS and CMS announced.
“New...
Medicare Advantage overpayments may exceed $75 billion in 2023 due to favorable selection of Medicare Advantage plans, data from the USC Schaeffer Center for Health Policy & Economics...
Inflationary rebates for generic drugs helped offset Medicaid spending from 2017 to 2020, but additional policies are needed to improve generic competition, according to a study published in Health...
Medicaid enrollment among children surged during the coronavirus pandemic, fueled in certain states by policies in the Families First Coronavirus Response Act (FFCRA) that helped maintain coverage, a...
Lawmakers are calling on CMS and HHS to provide additional information on Medicaid redetermination standards following early reports of disenrollments due to administrative issues.
In a letter to HHS...
Coronavirus pandemic policies may have helped curb unmet care, unaffordability in care, and certain care disparities, but these trends could also reflect lower overall care utilization due to...
Rising Medicare enrollment and higher healthcare costs have contributed to significant growth in Medicare spending over the last two decades, according to data from KFF.
Medicare provides health...
States can improve their Medicaid family planning programs by addressing five key areas: eligibility and enrollment, consumer outreach and education support, covered services, confidentiality, and...
The Centers for Medicare and Medicaid Services (CMS) has announced that it will provide Medicare coverage for new Alzheimer’s drugs if they receive traditional approval from the Food and Drug...
States that have extended their Medicaid postpartum coverage periods may be better positioned to protect residents from widespread coverage loss in the wake of the public health emergency’s...
Midwives and birth centers have been associated with improved maternal health outcomes at lower costs to Medicaid, but payment policies and other challenges pose barriers to expanding access to these...
Solidifying access to prenatal vaccines can help minimize maternal health disparities for pregnant people enrolled in Medicaid and the Children’s Health Insurance Program (CHIP). A white paper...
A value-based agreement between Sunshine Health and Johns Hopkins All Children’s Hospital aims to provide Florida Medicaid beneficiaries with improved access to primary care and incentivize...
