The Biden administration announced a historic boost in funding for the Affordable Care Act marketplace Navigator program.
The US Department of Health and Human Services (HHS) and CMS have set...
Around 15 million beneficiaries will lose Medicaid coverage when the program’s continuous enrollment provision ends with the COVID-19 public health emergency (PHE), according to a report from the...
Major Medicare Advantage plans paid a 27 percent higher cost for the median in-network outpatient dialysis treatment between 2016 and 2017, according to an article published in Health Affairs.
The...
Virginia Medicaid beneficiaries experienced fewer financial concerns during the coronavirus pandemic due to Medicaid expansion, according to self-reported data published by Health Affairs.
“Our...
State Medicaid programs’ adoption of and investment in home and community-based service waivers for seniors grew in the past 20 years, an article in Health Affairs found.
“Our results...
CMS has released a proposed rule that aims to establish reporting requirements and standardize quality measures across Medicaid and the Children’s Health Insurance Program (CHIP) to help identify...
When federal funding for the Navigator program was reduced significantly, private companies did not make up for the lack of outreach, according to a study published in JAMA Network Open.
“Many...
HHS and CMS announced that Hawaii, Maryland, and Ohio have been approved to extend Medicaid postpartum coverage for 12 months after pregnancy, increasing maternal healthcare access for an additional...
Medicaid expansion can alter the characteristics of states’ Medicaid populations, which is a factor that policymakers need to consider when formulating standards for quality of care and patient...
CMS has issued guidance for state Medicaid programs about how to use the Medicaid health home benefit to support children with complex medical conditions.
“This new state plan option is about...
The maximum out-of-pocket limit in Affordable Care Act (ACA) marketplace plans is rising faster than enrollee wages and salaries, a Peterson-KFF Health System Tracker found.
Researchers used data from...
The preventive care coverage requirement under the Affordable Care Act (ACA) helped improve no-cost access to care, including cancer screenings, vaccines, and contraceptive care, according to an Urban...
The Oregon Medicaid program’s provider directories may have included hundreds or thousands of providers who never saw Medicaid enrollees, according to a Health Affairs...
Affordable Care Act (ACA) marketplace premiums will increase by five to ten percent in 2023, with payers attributing premium growth to rising healthcare prices and utilization rates, according to...
Despite the growing number of people receiving healthcare coverage from Medicaid, Medicaid beneficiaries faced barriers to accessing cancer care at high-quality facilities, a study published in JAMA...
Around 850,000 women could lose health insurance coverage and reproductive healthcare access in 2023 if policymakers do not extend the premium tax credits under the American Rescue Plan Act (ARPA),...
Parent companies that offer Medicare Advantage plans may generate substantial profits through operating related businesses that are not subject to medical loss ratio limitations, according to a report...
Most states expect seniors and people with disabilities to lose Medicaid coverage once the COVID-19 public health emergency (PHE) ends, citing income changes and the inability to contact beneficiaries...
Under Medicare Part D, more than half of the beneficiaries were liable for paying the entire out-of-pocket cost of their generic prescription drug, according to an analysis from Avalere.
Avalere...
Medicare-eligible individuals continue to find original Medicare enrollment processes confusing and may overestimate their healthcare literacy, a report conducted by Sage Growth Partners...
