Medicaid

Community Health Centers Seek Enrollment Support Amid Medicaid Redeterminations

by Kelsey Waddill

Community health centers serve the communities that are most likely to experience widespread coverage loss once Medicaid redeterminations are underway and they are looking for help in maintaining...

Update on the Massachusetts Medicaid Redetermination Process

by Kelsey Waddill

MassHealth is pursuing a multi-pronged approach to reducing coverage loss during the Medicaid redetermination process, an issue brief from Manatt Health explained. The researchers noted that...

Insurer Competition Contributes to Affordable Care Act Benchmark Premiums

by Kelsey Waddill

The benchmark premium on the Affordable Care Act marketplace rose between 2022 and 2023 after years of decreasing, a study from the Urban Institute found. Observing Affordable Care Act health...

Study Finds Racial Coverage Disparities Following Unemployment

by Victoria Bailey

After becoming unemployed during the COVID-19 pandemic, Medicaid coverage gains helped offset private insurance losses for White individuals but not for Black and Hispanic individuals, highlighting...

Medicaid Eligibility Status Remains Elusive as Continuous Coverage Ends

by Kelsey Waddill

As the era of continuous coverage under the coronavirus public health emergency draws to a close, Medicaid beneficiaries remain unsure about the future of their Medicaid eligibility. “Medicaid...

UPMC Partnership Facilitates Access to Healthcare Services, Coverage

by Victoria Bailey

UPMC Health Plan’s Medicaid managed care plan is partnering with a community-based organization to provide access to navigation assistance that can help connect members to healthcare services and...

Medicaid Expansion Tied to Higher Coverage Gains, Fewer Disparities

by Victoria Bailey

While insurance coverage rates improved for Black, Hispanic, and White adults during the first two years of the COVID-19 pandemic, the gains were more significant in states that had implemented...

States Plan Various Continuity of Coverage Strategies Post-PHE

by Kelsey Waddill

States are responding to the public health emergency unwinding in a variety of ways, with some states placing greater emphasis on continuity of coverage than others, a Kaiser Family Foundation (KFF)...

Medicaid Waivers Reduced Disenrollment Among Autistic Adolescents

by Victoria Bailey

Medicaid waivers that focus on individuals with autism spectrum disorder (ASD) can help reduce disenrollment rates among autistic adolescents, a study published in JAMA Network Open found. Autistic...

How Medicaid Covered Behavioral Health Services in 2022

by Victoria Bailey

Medicaid coverage of behavioral health services in 2022 varied across states, but the majority of state Medicaid programs reported covering at least half of all services, according to an issue brief...

Americans Who Lose Medicaid Post-PHE May Choose Employer-Sponsored Coverage

by Kelsey Waddill

In most states, beneficiaries who lose Medicaid coverage when the public health emergency ends are likely to transition into employer-sponsored health plans, according to a study funded by AHIP from...

Humana Shares Data on Economic Contributions in Florida

by Mark Melchionna

Throughout 2022, Humana provided a high level of financial support to the state of Florida, taking responsibility for many jobs and a large share of wages and taxes. Recent news from Humana...

AHIP Reveals Org to Support Stakeholders during Medicaid Redetermination

by Kelsey Waddill

AHIP has introduced a new outlet for healthcare industry collaboration around the Medicaid redetermination process: the Connecting to Coverage Coalition (CCC). The payer organization and its partners...

Health Insurance Impacts Racial Inequities in Cervical Cancer Diagnoses

by Victoria Bailey

Health insurance coverage may help mitigate racial inequities in advanced-stage cervical cancer diagnoses, according to a study published in JAMA Network Open. Undergoing regular cervical cancer...

How Medicaid Managed Care Orgs Can Better Invest in SDOH Interventions

by Victoria Bailey

Medicaid managed care organizations can leverage financial bonds to help increase funds for social determinants of health interventions and avoid underinvesting, according to research published in...

States with Highest COVID Medicaid Enrollment May See Big Losses Post-PHE

by Kelsey Waddill

With Medicaid continuous enrollment coming to an end on March 31, 2023, states are expected to see a decline in Medicaid enrollment after three years of growth, a Kaiser Family Foundation (KFF)...

MT Medicaid Expansion Leads to More Preventive Care Use, Lower Costs

by Kelsey Waddill

Since Montana’s Medicaid expansion policy went into effect in 2016, the program has seen strong results in its preventive care services utilization efforts and Medicaid spending, according to a...

Humana Will Leave Employer Group Insurance Business to Focus on Public Plans

by Victoria Bailey

Humana has announced plans to leave the employer group insurance business and direct its focus toward its government-funded health plan offerings. The payer’s employer group commercial medical...

HHS Introduces Models for Lowering Prescription Drug Spending

by Kelsey Waddill

The Department of Health and Human Services (HHS) has released three models intended to bring down prescription drug spending for consumers in Medicare and Medicaid. “These selected models will...

The Role of Medicaid Managed Care Organizations in the PHE Unwinding

by Kelsey Waddill

Medicaid managed care organizations have a key role to play in the public health unwinding, a Kaiser Family Foundation (KFF) brief found. The brief’s findings are based on two study components:...