Medicaid supplemental payments are not need-based and often leave certain states with excess funds, demonstrating that the processes involved in these payments need to change, according to an issue...
The US Department of Health and Human Services (HHS) has released a proposal that would expand access to health insurance coverage for Deferred Action for Childhood Arrivals (DACA) recipients.
The...
The Centers for Medicare and Medicaid Services (CMS) has approved a state plan amendment (SPA) in Illinois to expand school-based health services for children with Medicaid.
The SPA will allow...
Adjusting eligibility criteria for Medicare prescription drug price negotiation under the Inflation Reduction Act to include drugs with biosimilars and allow for drug selection based on net spending...
The US Department of Health and Human Services (HHS), through the Centers for Medicare and Medicaid Services (CMS), has released guidance to help states boost access to healthcare for incarcerated...
The US Department of Health and Human Services (HHS) has announced plans to improve health insurance coverage for Deferred Action for Childhood Arrivals (DACA) recipients, offering access to Affordable...
Medicare beneficiaries under age 65 reported more cost concerns, worse access to care, and lower care satisfaction compared to older beneficiaries, indicating that the program may not successfully meet...
Losing eligibility for Medicaid supplemental insurance was associated with racial care disparities among beneficiaries with incomes above 100 percent of the federal poverty level (FPL), a study...
Personalized outreach could improve enrollment in the lowest-cost Affordable Care Act plans among low-income households, a study published in Health Affairs found.
Using the Covered California...
More Medicare beneficiaries are purchasing Medicare Supplement insurance, as the share of individuals with the additional coverage option grew from 38 percent to 41 percent in 2021, an AHIP report...
CMS has extended the Medicare Advantage value-based insurance design (VBID) model for an additional five years, with plans to implement changes that address beneficiaries’ social determinants of...
Total Medicaid expansion could prevent massive coverage losses in nonexpansion states as Medicaid redeterminations restart, an issue brief from the Kaiser Family Foundation found.
The researchers used...
CMS has finalized a Medicare Advantage rule that aims to increase marketing oversight, streamline prior authorization requirements, and improve access to affordable prescription drugs.
“The...
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...
Healthcare utilization was lower in Medicare Advantage compared to traditional Medicare, but clinical quality performance was higher in the private program, a study published in Health Affairs...
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...
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...
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...
Owning related businesses was associated with higher healthcare expenditures for Medicare Advantage plans, pointing to some of the consequences of vertical integration, a report from the USC-Brookings...
Medicare Advantage beneficiaries face more financial barriers than Medicare Supplement beneficiaries, but plan satisfaction is high for both groups, an eHealth report found.
The report reflects survey...
