In its June 2022 report to Congress, MACPAC laid out ways that states can improve the integration of Medicare and Medicaid coverage for dually eligible individuals.
“Fully integrated models are...
As states and payers prepare for coronavirus public health emergency waivers to end, experts are recommending redesigning the Medicaid renewal processes, specifically ex parte rates, according to a...
Overall, lesbian, gay, bisexual, and transgender (LGBT) Medicaid beneficiaries experienced similar care access as heterosexual beneficiaries and privately insured individuals, but LGBT individuals were...
Private insurance supports a large portion of nonelderly adults with mental health conditions and substance use disorders, according to a study by Kaiser Family Foundation (KFF).
Mental health...
Members of the LGBTQ+ community reported varying experiences of discrimination in the health insurance industry but indicated that payer health equity may be improving, according to a survey from...
Federal agencies and healthcare stakeholders have a renewed focus on addressing social determinants of health and health-related social needs as the COVID-19 pandemic highlighted the importance of...
Most Medicaid programs offer coverage for basic maternal health services and many have initiatives planned to expand the scope of benefits, according to a report from the Kaiser Family Foundation...
Member engagement may be lacking for Medicaid plans, as only 56 percent of beneficiaries reported receiving helpful information about Medicaid redetermination or re-enrollment, according to a survey...
CareOregon and the Alliance for Culturally Specific Behavioral Health Providers have developed an alternative payment model that seeks to empower culturally specific provider services.
The newest...
Editor's Note 05/13/2022: This article has been corrected to indicate that AIDS Alabama and CHLPI filed an administrative complaint against Alabama Medicaid. A previous version said that the...
Medicaid can help reduce youth homelessness among individuals with behavioral health needs by expanding coverage, incentivizing cross-agency coordination, and increasing plan oversight and...
Anthem has finalized its acquisition of Integra Managed Care, the payer announced.
Integra is a managed care company that offers managed long-term care plans. The organization serves four areas in the...
The Massachusetts Medicaid program can use a variety of strategies that it might implement in order to reduce coverage loss after the public health emergency lifts, according to a brief from the Blue...
Around one-third of primary care and specialty physicians that contracted with Medicaid managed care plans saw fewer than ten Medicaid beneficiaries over a year, suggesting that network adequacy...
CenCal Health, a Medicaid plan in California, is employing a pay for performance model to improve quality of care, called the Quality Care Incentive Program.
“The new Quality Care Incentive...
CMS has released its strategy for health equity, which is the first pillar in the agency’s strategic vision.
“Advancing health equity is the core work of the Centers for Medicare &...
Noncitizens are more likely to be uninsured, including immigrants who are lawfully present in the US, a Kaiser Family Foundation (KFF) issue brief determined.
In 2020, 24 percent of the nonelderly...
Medicaid expansion was associated with a significant increase in health insurance coverage for low-income individuals with recent criminal legal involvement, according to a study published in JAMA...
The uninsured population may increase by more than 3 million if policymakers do not extend the premium tax credits under the American Rescue Plan Act (ARPA), according to an Urban Institute issue...
In general, Medicaid managed care organizations (MCOs) have better provider network adequacy standards at the federal level than marketplace qualified health plans (QHPs), but standards varied...
