Following Georgia and Pennsylvania’s recent approvals to expand Medicaid postpartum coverage, beneficiaries in more than half of all states can now access maternal healthcare services for 12...
Consumers can start checking out Affordable Care Act marketplace health plans ahead of the 2023 open enrollment season, the Biden Administration announced.
“All families have the right to...
AHIP has introduced race and ethnicity data collection standardization recommendations for demographic data collection with the aim of empowering health equity efforts nationwide.
“Robust,...
Home health value-based purchasing was associated with lower utilization and spending and slight improvements in quality of care, an analysis published in the JAMA Health Forum found.
The researchers...
CMS and the Department of Health and Human Services (HHS) have initiated certain elements of the Inflation Reduction Act related to biosimilars.
On October 3, 2022, the statements from the Inflation...
The Department of Health and Human Services (HHS) has approved two Medicaid section 1115 demonstration initiatives that aim to offer continuous coverage to children and seek to address social...
Medicare Part B premiums and deductibles will decrease in 2023, while Part A costs will rise, according to a fact sheet released by CMS.
Medicare Part B offers coverage for physician services,...
The Biden administration announced a historic boost in funding for the Affordable Care Act marketplace Navigator program.
The US Department of Health and Human Services (HHS) and CMS have set...
CMS has released a proposed rule that aims to establish reporting requirements and standardize quality measures across Medicaid and the Children’s Health Insurance Program (CHIP) to help identify...
HHS and CMS announced that Hawaii, Maryland, and Ohio have been approved to extend Medicaid postpartum coverage for 12 months after pregnancy, increasing maternal healthcare access for an additional...
CMS has issued guidance for state Medicaid programs about how to use the Medicaid health home benefit to support children with complex medical conditions.
“This new state plan option is about...
UnitedHealth Group has dedicated $25 million toward a fund that will bolster development projects for mixed-income housing to address social determinants of health in New England.
The fund is called...
Given the 18 percent denial rate for in-network claims in 2020, payers on the Affordable Care Act marketplace should offer more robust transparency around data reporting for in-network claims denials,...
The US Department of Health and Human Services (HHS) released new resources through CMS, aiming to improve the quality of care that Medicaid and the Children’s Health Insurance Program (CHIP)...
Despite CMS efforts to expand oversight of Medicaid managed care direct payments and the US Government Accountability Office’s (GAO’s) previous recommendations to improve processes, the...
Updated 6/28/2022: This article has been updated to include statements from the Association for Community Affiliated Plans (ACAP), Robert Wood Johnson Foundation, and the American...
The US Department of Health and Human Services (HHS) has approved the “Colorado Option,” a Section 1332 state innovation waiver amendment intended to address health equity in the Centennial...
Community health plans and safety net health plans have a crucial role to play in advancing health equity, according to a report from the Association for Community Affiliated Plans...
CMS and the US Department of Health and Human Services (HHS) announced that three states plus Washington, DC have received approvals for plans to extend Medicaid postpartum coverage for a full year due...
The Office of Inspector General (OIG) has discovered that Medicare’s race and ethnicity data was less accurate for minority groups—particularly for those who identify as American Indian or...
