Public Health

Payers Alert Communities About Medicaid Redetermination Renewal

October 12, 2022 - Alliance of Community Health Plans (ACHP) shared how its community health plan members are preparing Medicaid enrollees for the Medicaid redetermination process in a fact sheet. The redetermination process occurs on an annual basis when Medicaid assesses enrollees’ eligibility for the program. The process requires enrollees to disclose their...


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Top Challenges, Benefits of At-Home Coronavirus Testing Coverage

by Kelsey Waddill

In the first quarter of 2022, payers witnessed significant changes in at-home coronavirus testing coverage with mixed reactions. These changes—and the influence of the coronavirus pandemic on preventive care—present both...

Payer Extends COVID-19 Treatment, Telehealth Benefits Through 2021

by Hannah Nelson

To ensure care access as the pandemic continues, Blue Cross and Blue Shield of Minnesota has extended eligibility for telehealth benefits and COVID-19 treatment waivers through the end of this...

Payers Assist States in Contact Tracing, Despite Consumer Distrust

by Kelsey Waddill

Medica, a non-profit health plan, has partnered with the Minnesota Department of Health to conduct contact tracing for the state. For more coronavirus updates, visit our resource page, updated...

How UPMC Coordinates Compounding Social Determinants of Health

by Emily Sokol, MPH

Payers can no longer ignore the social determinants of health that impact its member’s lives. Countless studies have linked housing, food insecurity, transportation, and access to care to...

Best Practices to Address Opioid Use Disorder for Medicaid Directors

by Emily Sokol, MPH

The overdose death rate from prescription opioids rose by 12 percent from 2016 to 2017, urging states to address opioid use disorders. As the opioid epidemic shows no signs of slowing, healthcare...

Cigna, Other Payers Stop Public Health Option in Connecticut

by Kyle Murphy, PhD

Connecticut State Comptroller Kevin Lembo confirmed midweek that proposed legislation to establish a public option in the state is dead following resistance from major payers. One payer, in...

After Buying Aetna, CVS Health Commits $100M to Address SDOHs

by Jennifer Bresnick

With its $69 billion acquisition of Aetna in the books, the newly expanded CVS Health is now investing heavily in developing and deploying new models to address community wellness and the social...

BCBS Minnesota Launches Prediabetes Prevention Campaign

by Thomas Beaton

Blue Cross Blue Shield (BCBS) of Minnesota is launching a prediabetes prevention campaign to lessen the rate of diabetes in local communities, the payer announced in a press release. Titled “Reverse...

UnitedHealthcare of WI Grants $100K to Community Disability Groups

by Thomas Beaton

UnitedHealthcare Community Plan of Wisconsin awarded four non-profit community health organizations a total of $100,000 to enhance healthcare access and resources for individuals with...

Humana Foundation Awards $735K To Improve Community Health

by Thomas Beaton

The Humana Foundation announced awards totaling $735,000 to help South Florida nonprofits to help improve community health. As part of the payer’s philanthropic pursuits, the grants are being...

NCQA Proposes New Changes to HEDIS Quality Measures in 2017

by Vera Gruessner

The National Committee for Quality Assurance (NCQA) is looking to broaden a number of HEDIS quality measures for the 2017 edition, according to a news release from NCQA. These changes include the...