Access to Care

English Proficiency Can Impact Care Disparities, Coverage Rates

by Kelsey Waddill

Limited English proficiency (LEP) can significantly stunt a patient’s ability to communicate with doctors and receive care, which results in broader care disparities along racial and ethnic...

Medicare Advantage Plan Payment Cuts Did Not Impact Enrollment Growth

by Victoria Bailey

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...

BCBSA Will Invest $10M to Address Youth Mental Health Crisis

by Victoria Bailey

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...

Judge Blocks FL Ban on Medicaid Coverage for Gender-Affirming Care

by Victoria Bailey

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 MN Commercial Plans Will Cover Peer Support Specialists

by Victoria Bailey

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 Could Help Medicaid Beneficiaries Obtain Better Coverage

by Kelsey Waddill

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...

KFF: Over Half of Insured Adults Face Problems with Health Insurance

by Victoria Bailey

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...

5 Strategies for Designing a Medicaid Family Planning Program

by Kelsey Waddill

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...

Coverage Rates Equalize For LGBT Community, But Disparities Remain

by Kelsey Waddill

Coverage rates in the LGBT community have improved since the Affordable Care Act went into effect and the Supreme Court ruled on marriage equality, but access to care barriers remain, according to a...

Blue Cross MA Expands Mental Health Resources, Provider Network

by Victoria Bailey

Blue Cross Blue Shield of Massachusetts (Blue Cross) continues to expand mental health resources for members, as spending on mental health services totaled over $1 billion in 2022. Since the start of...

Midwives, Birth Centers Improve Maternal Health Outcomes in Medicaid

by Victoria Bailey

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...

Healthcare Organizations Oppose UHC’s GI Prior Authorization Program

by Victoria Bailey

More than 170 healthcare organizations have urged UnitedHealthcare not to implement its gastrointestinal (GI) endoscopy prior authorization program, stating that it will hurt patients and limit access...

Partnership to Improve Care Access for Florida Medicaid Beneficiaries

by Mark Melchionna

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...

Improve Coverage, Health Equity By Diversifying Broker Recruitment

by Kelsey Waddill

When Access Health CT (AHCT), Connecticut’s marketplace, published its health equity report, leaders of the state health insurance marketplace knew that something needed to change. In a state that ranks among the healthiest and...

Blue Cross MA Expands Primary Care Network Amid Provider Shortages

by Victoria Bailey

Blue Cross Blue Shield of Massachusetts (Blue Cross) has added three physician groups to its primary care network to increase member access to care amid provider shortages. Most Blue Cross members...

Anthem Blue Cross Grants $400K to Boost Maternal Health Outcomes

by Victoria Bailey

The Anthem Blue Cross Foundation has granted $400,000 to a nonprofit organization in Fresno County, California, to help improve maternal health outcomes and reduce pre-term births among women who have...

Payer Invests in Helping Young Adults Find Work After Foster Care

by Kelsey Waddill

Blue Cross of North Carolina (Blue Cross NC) announced a program that focuses on supporting children who are aging out of foster care through employment. “Our Apprenticeship Program provides...

1.7M Beneficiaries May Lose Coverage Under Medicaid Work Requirements

by Victoria Bailey

Around 1.7 million Medicaid beneficiaries could potentially lose coverage and $10.3 billion in spending would shift from federal to state governments if Medicaid work requirements were implemented, an...

UHC Grants $275K to Address Social Determinants of Health for Foster Kids

by Victoria Bailey

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, Study Finds

by Victoria Bailey

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...