Almost four months after the Medicaid continuous enrollment provision ended, CMS has paused coverage redeterminations in at least six states.
In a press call on July 19, CMS Administrator Chiquita...
The Centers for Medicare and Medicaid Services (CMS) has approved proposals to expand behavioral health services for Medicaid beneficiaries in California and Kentucky through community-based mobile...
Despite increasing rebates, the net price of Humira for Medicaid and commercial health plans in 2020 remained high above the launch price, according to a study published in JAMA Network Open.
The...
Updated 8/24/2023: This article has been updated to reflect that the share of healthcare spending on low value care was highest in commercial health plans. Previously, the article framed...
Limited English proficiency (LEP) can significantly stunt a patient’s ability to communicate with doctors and receive care, which results in broader care disparities along racial and ethnic...
Children with special health care needs (CSHCN) may experience access to care barriers as a result of new quantitative Medicaid network adequacy standards, a study published in Health Affairs...
A federal judge has blocked Florida’s ban on Medicaid coverage for gender-affirming care, stating that the rule violated federal law and was politically motivated.
The ban’s inception...
Cash payments that phase out based on income could allow Medicaid beneficiaries to shift away from low-quality care under safety net healthcare coverage to higher-quality care through private payer...
Employer-sponsored health plan enrollment among nonelderly Americans will grow after 2025, accompanied by higher private payer premiums, a Health Affairs study found.
The study used Congressional...
More than half of adults experienced problems with their health insurance, with issues ranging from payment discrepancies to limited mental healthcare coverage, a KFF survey found.
The survey was...
New York has extended Medicaid postpartum coverage, marking the 35th state that will provide comprehensive coverage to individuals for 12 months after pregnancy, HHS and CMS announced.
“New...
Inflationary rebates for generic drugs helped offset Medicaid spending from 2017 to 2020, but additional policies are needed to improve generic competition, according to a study published in Health...
Medicaid enrollment among children surged during the coronavirus pandemic, fueled in certain states by policies in the Families First Coronavirus Response Act (FFCRA) that helped maintain coverage, a...
Lawmakers are calling on CMS and HHS to provide additional information on Medicaid redetermination standards following early reports of disenrollments due to administrative issues.
In a letter to HHS...
Coronavirus pandemic policies may have helped curb unmet care, unaffordability in care, and certain care disparities, but these trends could also reflect lower overall care utilization due to...
States can improve their Medicaid family planning programs by addressing five key areas: eligibility and enrollment, consumer outreach and education support, covered services, confidentiality, and...
New York-based health plan Healthfirst has launched a campaign to help members navigate health insurance renewals in a post-public health emergency (PHE) world.
During the COVID-19 PHE, Healthfirst...
States that have extended their Medicaid postpartum coverage periods may be better positioned to protect residents from widespread coverage loss in the wake of the public health emergency’s...
Midwives and birth centers have been associated with improved maternal health outcomes at lower costs to Medicaid, but payment policies and other challenges pose barriers to expanding access to these...
Solidifying access to prenatal vaccines can help minimize maternal health disparities for pregnant people enrolled in Medicaid and the Children’s Health Insurance Program (CHIP). A white paper...
