BBBA, Medicaid Expansion Could Expand Coverage For HIV Community
In states that have not adopted Medicaid expansion, individuals with HIV have limited access to care, but pending legislation and potential future expansions could change those circumstances, a Kaiser...US Reps Urge CMS to Maintain Medicare Advantage Benefits in 2023
More than 340 members of the US House of Representatives have penned a letter to CMS asking the agency to continue to uphold Medicare Advantage benefits, including stable premium rates and supplemental...Adolescents with SUDs in Medicaid Rarely Get Substance Abuse Care
Adolescents enrolled in Medicaid who had substance abuse-related experiences, including opioid use disorder, had high rates of medical visits but were unlikely to receive substance abuse care,...AHIP, BCBSA Back HHS, Interim Final Rule in Surprise Billing Lawsuit
AHIP and the Blue Cross Blue Shield Association (BCBSA) have filed amicus briefs that support the Department of Health and Human Services (HHS) in the surprise billing lawsuit raised by the Texas...Proposed Law May Lower Employer-Sponsored Health Plan Premiums
The drug inflation rebate provision included in the Build Back Better Act could lead to a $111 billion reduction in employer-sponsored health plan premiums between 2022 and 2031, according to an Urban...How Build Back Better Act Impacts Medicaid Enrollment Churn Rate
If the continuous enrollment policy from the coronavirus pandemic becomes a thing of the past, policymakers will need to find new mechanisms to control the Medicaid enrollment churn rate, a Kaiser...Biden Plan Expands COVID-19 Testing Coverage, Booster Outreach
As the weather gets colder and the Omicron variant of the coronavirus emerges in the United States, the Biden administration has released an action plan that included steps to expand COVID-19 testing...Sponsored Article
Leveraging Patient Access APIs to Optimize Risk Adjustment Efforts
Understanding the risk profile of their member population is essential for payers participating in Medicare programs. Risk adjustment allows the Centers for Medicare & Medicaid Services (CMS) to...Sponsored Article
