Medicaid

GA’s Affordable Care Act Exchange Model Moves to Public Comment

by Kelsey Waddill

CMS has confirmed that Georgia’s Section 1332 state innovation waiver, which changes the Affordable Care Act exchange model, is complete. The waiver will now move into a public comment...

How States Handled Medicaid LTSS Coverage, Benefits for COVID-19

by Kelsey Waddill

Most states have had to expand their Medicaid long-term supports and services coverage and benefits in order to protect some of the most vulnerable populations from the coronavirus, which could have...

How to Assess Potential COVID-19 Employer-Sponsored Insurance Loss

by Kelsey Waddill

Coronavirus-related employer-sponsored insurance losses could be loser than initially expected, although it’s still unclear due to a lack of definitive data, according to a report from the Robert...

Louisiana Will Issue New Medicaid Managed Care RFP, Ends Protest

by Kelsey Waddill

Louisiana Department of Health will issue a new request for proposals (RFP) for Medicaid managed care organization contracts, ending a bitter legal battle over the 2019 RFP process, the department...

Many Working-Age Americans Face Unstable Coverage, Medical Debt

by Kelsey Waddill

Two out of every five working-age adults in the first half of 2020 had unstable healthcare coverage and a third faced medical debt, a Commonwealth Fund study recently uncovered. The survey is a part...

Consumer Assistance Remains Key to Medicaid, ACA Enrollment Process

by Kelsey Waddill

Around one-fifth of Americans continue to rely on consumer assistance to navigate their healthcare coverage options, but not all of them can access the help that they need, a Kaiser Family Foundation...

MO Passes Medicaid Expansion, Second State to Expand Amid COVID-19

by Kelsey Waddill

Missouri will move forward with its Medicaid expansion amendment, as 53 percent of the nearly 1.3 million voters approved the measure, local news outlets reported. The state is the second to expand...

COVID-19 May Impact Employer-Sponsored Plans Less Than Expected

by Kelsey Waddill

The blow to employer-sponsored plans in the final three quarters of 2020 could be lower than anticipated largely because coronavirus impacts have concentrated on lower income populations, Robert Wood...

Molina Healthcare to Acquire Passport Health Plan Medicaid Plans

by Kelsey Waddill

Molina Healthcare (Molina) will acquire the Passport Health Plan (Passport) Medicaid and dual special needs plan, Molina announced. The healthcare companies have agreed to a price of around $20...

Appeals Court OKs 3-Year Short-Term Limited Duration Health Plans

by Kelsey Waddill

The US District Court of Appeals for the District of Columbia Circuit upheld the Trump Administration’s decision to extend the potential duration of short-term limited duration health plans. The...

UnitedHealth Group’s Q2 Report Reveals Payer Progress, Priorities

by Kelsey Waddill

UnitedHealth Group was the first major payer to release it second quarter earnings report, offering insight into how the coronavirus pandemic impacted the payer industry following the first quarter...

Payers Recommend More Federal Funds for MA, Medicaid, Employers

by Kelsey Waddill

America’s Health Insurance Plans (AHIP) and Blue Cross Blue Shield Association (BCBSA) have called on Congress to ensure access to coronavirus care and healthcare coverage through federal...

NC Starts Medicaid Transformation Program, Sidesteps Expansion

by Kelsey Waddill

North Carolina’s legislature has decided to put off Medicaid expansion for another year, but passed a Medicaid transformation bill to continue the transition from fee-for-service to privatized...

Collaboration, Patient Education Key to Increasing Medicaid Coverage

by Emily Sokol, MPH

The recent surge in furloughed employees and unemployed individuals is bringing to light one major problem: how are these people going to get health insurance? Made worse by the growing pandemic,...

Most Furloughed Workers Still Covered by Employer-Sponsored Plan

by Kelsey Waddill

Overall, nationwide healthcare coverage levels have remained steady because many furloughed workers are still receiving healthcare coverage through an employer-sponsored plan, Commonwealth Fund...

OK Becomes First State to Adopt Medicaid Expansion During COVID-19

by Kelsey Waddill

Oklahoma is now the first state to turn to Medicaid expansion during the coronavirus pandemic, a state ballot determined. The vote passed by a margin of less than one percentage point, local news...

Private Payers Face More Medicaid Competition on ACA Marketplaces

by Kelsey Waddill

Private payers are facing steeper competition from Medicaid health plans on the Affordable Care Act marketplaces, a Robert Wood Johnson Foundation study found. Researchers surveyed six...

CMS Proposed Rule Redefines Payer Value-Based Payment Negotiations

by Kelsey Waddill

CMS has proposed a rule that allows payers to adopt new value-based payment models for gene therapies. “CMS’s rules for ensuring that Medicaid receives the lowest price available for...

6 Fixes to Improve Medicaid Coverage Access Amid COVID-19

by Kelsey Waddill

New York’s experience during the Great Recession could inform its approach to coronavirus Medicaid during the pandemic, a recent report from the United Hospital Fund suggested. For more...

Total Medicaid Expansion May Cut Uninsurance, Uncompensated Care

by Kelsey Waddill

If all of the nonexpansion states adopted Medicaid expansion, thus establishing total Medicaid expansion nationwide, there would be a 28 percent reduction in uninsurance, the Urban Institute found in...