The US Department of Health and Human Services (HHS) released new resources through CMS, aiming to improve the quality of care that Medicaid and the Children’s Health Insurance Program (CHIP)...
The Association for Community Affiliated Plans (ACAP) has initiated a center designed to spur new ideas about how to address social determinants of health, according to a press release that...
AHIP acknowledged the need for improved oversight for certain Medicare Advantage quality metrics but also argued that federal reporting on Medicare Advantage plans has been inaccurate in the...
The children’s uninsurance rate may escalate after the end of the public health emergency, barring policy changes, according to an article published by Urban Institute.
The researchers used...
The expiration of the American Rescue Plan Act (ARPA) premium subsidies and the return of Medicaid redeterminations will likely result in 2023 premium rate changes for individual and small group health...
Beneficiaries may face barriers to substance abuse care when states impose prior authorizations for substance use disorder treatments, but a broad range of policies can influence Medicaid...
The US Department of Health and Human Services (HHS) has released a fact sheet elucidating the fallout of the impending American Rescue Plan’s premium subsidy expiration, including higher...
While reviewing health care spending statistics between White and Black Medicaid enrollees, JAMA researchers found disparities that showed lower service use and lower Medicaid spending among the Black...
The implementation of the Affordable Care Act coincided with some improvements in patient experience and access to care for low-income enrollees, but did not significantly impact their care utilization...
CMS and the US Department of Health and Human Services (HHS) announced that three states plus Washington, DC have received approvals for plans to extend Medicaid postpartum coverage for a full year due...
The Office of Inspector General (OIG) has discovered that Medicare’s race and ethnicity data was less accurate for minority groups—particularly for those who identify as American Indian or...
Medicare Advantage enrollment is on the rise across the United States, with more than 100 congressional districts boasting Medicare Advantage coverage of 50 percent or higher, according to an...
As states and payers prepare for coronavirus public health emergency waivers to end, experts are recommending redesigning the Medicaid renewal processes, specifically ex parte rates, according to a...
Overall, lesbian, gay, bisexual, and transgender (LGBT) Medicaid beneficiaries experienced similar care access as heterosexual beneficiaries and privately insured individuals, but LGBT individuals were...
By implementing a $5,000 spending cap in traditional Medicare, policymakers might be able to halve out-of-pocket healthcare spending for high-spending Medicare beneficiaries, but they risk an increase...
CMS is considering using savings from low Medicare spending in Medicare Part B to offset beneficiaries’ 2023 Medicare Part B premiums.
The agency released a report examining whether CMS should...
Federal agencies and healthcare stakeholders have a renewed focus on addressing social determinants of health and health-related social needs as the COVID-19 pandemic highlighted the importance of...
HHS and CMS leaders have voiced their affirmation of four states that recently expanded Medicaid and Children’s Health Insurance Program (CHIP) postpartum coverage.
California, Florida,...
Insurer participation in the Affordable Care Act marketplace may contribute to a lack of health equity, at least in the early days of the Affordable Care Act individual marketplace, a study published...
Most Medicaid programs offer coverage for basic maternal health services and many have initiatives planned to expand the scope of benefits, according to a report from the Kaiser Family Foundation...
