Affordable Care Act marketplace premiums have dropped for the third consecutive year and themes are emerging as the marketplace becomes more stable, a recent Urban Institute report found.
“In...
Gross margins and medical loss ratios from 2020 may confirm that payer profitability increased during the coronavirus pandemic, according to a brief from Kaiser Family Foundation.
The researchers...
Those enrolled in Medicare who are ineligible for Medicaid are less likely to have supplemental coverage, leading to high cost-sharing limiting patient access to care, according to a new study...
In order to support rural and Black maternal healthcare, HHS has offered states the option to extend maternal Medicaid coverage and Illinois is the first state to receive approval for the amendment,...
Medicaid and Children’s Health Insurance Program (CHIP) enrollment increased through November 2020, as anticipated, Kaiser Family Foundation data note.
“Increases in enrollment reflect...
Blue Cross and Blue Shield of North Carolina (Blue Cross NC) initiated enrollment in its new Medicaid managed care plan known as Healthy Blue, the payer announced.
The Medicaid managed care plan has a...
Reducing racial care disparities and promoting health equity are key functions of Medicaid managed care organizations, particularly in the context of the coronavirus pandemic, an issue brief from...
Dual eligible beneficiaries—individuals who are eligible for both Medicaid and Medicare benefits—still experience challenges navigating the two programs and would benefit from an integrated...
Update 3/10/2021: This article has been updated to accurately reflect Mark Friedberg's argument that care disparities in the payer industry were the result of a lack of equity measures...
Congress passed a $1.9 trillion relief package to support the nation’s coronavirus pandemic response efforts and the law could have particular significance for Medicaid and CHIP programs.
The...
As policymakers decide the fate of Medicaid work requirements, the impacts of these policies are becoming more clear, particularly their effects on low-income women, a Kaiser Family Foundation (KFF)...
Although children enrolled in Medicaid managed care plans increased over the past seventeen years, children’s preventative care rates still fall short of the Centers for Medicare and Medicaid...
Aetna has challenged Oklahoma’s picks for its Medicaid managed care program, SoonerSelect, stating that there were flaws in the bid review process.
“Aetna understands and appreciates the...
An audit of North Carolina’s Department of Health and Human Services (DHHS) revealed that the department failed to properly conduct Medicaid provider credentials verifications and other key...
The special enrollment period on the Affordable Care Act marketplace opened to boost healthcare coverage during the coronavirus pandemic, but familiar barriers—namely, cost—could still...
Given the positive social determinants of health impacts that Medicaid managed care organizations have achieved in Medicaid programs, policymakers should offer them greater flexibility to maximize that...
All Americans should have healthcare coverage and six steps can make universal coverage a reality, according to several significant healthcare organizations and entities including America’s...
Medicaid expansion is responsible for a significant decline in uninsurance rates between 2011 and 2018 among young adults, especially those who faced social determinants of health, according to a new...
The Biden administration has reversed CMS policy on Medicaid work requirements, according to letters the agency sent to multiple Medicaid programs.
In a letter to Wisconsin’s Medicaid director...
Humana announced the launch of a Medicare Advantage (MA) value-based care model for hospice patients, which aims to improve care coordination.
The program comes as part of a four-year...
