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...
Individuals with depression, anxiety, or both who are enrolled in large employer-sponsored health plans have higher out-of-pocket spending than individuals without such diagnoses, according to an issue...
The Blue Cross Blue Shield Association (BCBSA) has partnered with Boys & Girls Clubs of America to address the youth mental health crisis by increasing access to trauma-informed care.
“The...
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...
Blue Cross and Blue Shield of Minnesota (Blue Cross) is improving member access to mental health resources by adding coverage of peer support specialists to commercial plans next year.
“As the...
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...
Payers should consider program design intensity when implementing value-based purchasing contracts, as higher-intensity programs can lead to better care quality and greater spending reductions, a...
Employer-sponsored health plan enrollment among nonelderly Americans will grow after 2025, accompanied by higher private payer premiums, a Health Affairs study found.
The study used Congressional...
More than half of adults experienced problems with their health insurance, with issues ranging from payment discrepancies to limited mental healthcare coverage, a KFF survey found.
The survey was...
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...
CMS’s Office of the Actuary reported that the average annual growth in national healthcare spending between 2022 and 2031 will exceed the average annual growth in gross domestic product...
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...
A federal appeals court approved an agreement between parties in Braidwood Management v Becerra, preserving the mandate requiring health plans to cover preventive care services based on recommendations...
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...
AHIP offered four recommendations to the Senate Finance Committee on Consolidation and Competition (the Committee) to support healthy competition and lower healthcare spending in the healthcare...
