Uninsured individuals in the state of Massachusetts face a variety of barriers to healthcare coverage, including real and perceived eligibility gaps and a complex health insurance landscape, a report...
UnitedHealthcare Community Plan of North Carolina is granting $275,000 to three local organizations to help address social determinants of health for children in kinship and foster care.
“Caring...
Medicare Advantage provider directories are inaccurate, hindering beneficiaries’ access to mental healthcare, according to a secret shopper survey conducted by the Senate Finance Committee.
When...
Regulatory barriers present significant hurdles for uninsured immigrants seeking healthcare coverage, a report from the Urban Institute and the Robert Wood Johnson Foundation (RWJF) found.
The...
After underpaying the medical group for essential care, UnitedHealthcare has been ordered to pay $91.2 million to Envision Healthcare (Envision).
An independent three-member panel of the American...
Basic Health Programs (BHPs) can streamline coverage and increase coverage continuity for certain populations, but the cost to states will vary, a report from the Urban Institute shared.
“The...
Half of all Medicare beneficiaries are enrolled in Medicare Advantage, according to the most recent enrollment data from CMS.
The CMS data found that, as of January 2023, 30.19 million of the 59.82...
As CMS sunsets the Medicare-Medicaid plan model, Congress and the agency will need to take steps to expand the Medicare-Medicaid Coordination Office (MMCO) oversight capabilities and protect the...
Implementing a public insurance option would not significantly impact hospital spending, nor would it exacerbate racial disparities in care access for Black and Hispanic populations, an Urban Institute...
Payers with larger market shares tend to have lower prices nationally, a study published in Health Affairs confirmed.
The researchers used data from Turquoise Health, a company that collects hospital...
Updated 5/2/2023: This article's title has been updated to say "States Use Managed Care, PACE, FAIs to Boost Dual Eligible Care Coordination." A previous version misspelled the acronym FAI as...
Average monthly premiums for Medicare Advantage and Part D plans have increased in 2023, and fewer beneficiaries selected zero-dollar premium plans, a report from eHealth, Inc. found.
eHealth’s...
The Centers for Medicare and Medicaid Services (CMS) has released two proposed rules that would establish national access standards for Medicaid managed care plans and increase transparency of Medicaid...
Employers agree that behavioral healthcare is a critical element of employer-sponsored health plan benefits, but more than three in ten found their payer’s behavioral healthcare benefits...
Around 21 million Americans could face barriers to health insurance coverage if Congress passes the debt ceiling bill that includes Medicaid work requirements, according to an analysis from the US...
Depending on the Medicaid disenrollment rate after the public health emergency, the public payer program could lose anywhere from 8 million to over 24 million Medicaid enrollees, a Kaiser Family...
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 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...
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 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...
