article thumbnail

UnitedHealth bracing for Medicaid redeterminations to resume

Fierce Healthcare

UnitedHealth bracing for Medicaid redeterminations to resume. pminemyer. Fri, 10/14/2022 - 07:30

Medicaid 225
article thumbnail

BCBSA study: Maternal health disparities exist across commercial, Medicaid populations

Fierce Healthcare

BCBSA study: Maternal health disparities exist across commercial, Medicaid populations. pminemyer. Wed, 09/21/2022 - 16:11

Medicaid 239
Insiders

Sign Up for our Newsletter

This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.

article thumbnail

CMS approves waiver to enable California to offer Medicaid coverage to incarcerated individuals

Fierce Healthcare

CMS approves waiver to enable California to offer Medicaid coverage to incarcerated individuals rking Thu, 01/26/2023 - 16:16

Medicaid 188
article thumbnail

Study: Medicaid expansion states saw declines in postpartum hospitalizations

Fierce Healthcare

Study: Medicaid expansion states saw declines in postpartum hospitalizations. rking. Fri, 01/06/2023 - 15:49

Medicaid 163
article thumbnail

Louisiana AG sues UnitedHealth, alleging drug overcharges in Medicaid

Fierce Healthcare

Louisiana AG sues UnitedHealth, alleging drug overcharges in Medicaid. pminemyer. Wed, 04/20/2022 - 17:41

Medicaid 272
article thumbnail

Upcoming Medicaid redeterminations could hamper hospitals, payers

Healthcare Dive

Medicaid eligibility checks beginning in April will likely curb hospital revenue and enrollment growth for payers, Moody's Investors Service said in a report

article thumbnail

'It's finally here': States have long sought Medicaid eligibility redetermination deadline

Fierce Healthcare

It's finally here': States have long sought Medicaid eligibility redetermination deadline. rking. Wed, 12/21/2022 - 16:58

Medicaid 232
article thumbnail

4 ways Medicaid could manage high-price drugs

Fierce Healthcare

4 ways Medicaid could manage high-price drugs. fdiamond. Mon, 11/21/2022 - 15:09

Medicaid 179
article thumbnail

Urban Institute: Most adults unaware of looming Medicaid eligibility redeterminations

Fierce Healthcare

Urban Institute: Most adults unaware of looming Medicaid eligibility redeterminations. rking. Wed, 11/16/2022 - 17:17

Medicaid 178
article thumbnail

CMS aims to streamline Medicaid, CHIP enrollment process

Fierce Healthcare

CMS aims to streamline Medicaid, CHIP enrollment process. rking. Wed, 08/31/2022 - 17:03

Medicaid 206
article thumbnail

Molina closes $60M acquisition of Cigna's Medicaid contracts in Texas

Health Care Dive

Molina is known for being acquisitive, but has been on a recent tear as it looks to capitalize on tailwinds in the Medicaid program

Medicaid 213
article thumbnail

Health centers raise alarm about rolling back Medicaid coverage post-public health emergency

Health Care Dive

The clinics are worried about people with Medicaid coverage being deemed ineligible and losing insurance once states revert back to pre-pandemic Medicaid policies and eligibility, a new survey found

Medicaid 284
article thumbnail

Managed care plans, states can now text Medicaid beneficiaries to warn of enrollment changes

Fierce Healthcare

Managed care plans, states can now text Medicaid beneficiaries to warn of enrollment changes rking Tue, 01/24/2023 - 13:59

Medicaid 164
article thumbnail

CMS extends annual postpartum Medicaid, CHIP coverage to 4 states

Fierce Healthcare

CMS extends annual postpartum Medicaid, CHIP coverage to 4 states. rking. Wed, 05/25/2022 - 16:31

Medicaid 228
article thumbnail

KFF study details the challenges in addressing mental health in Medicaid

Fierce Healthcare

KFF study details the challenges in addressing mental health in Medicaid. fdiamond. Fri, 01/13/2023 - 08:25

Medicaid 165
article thumbnail

Supreme Court nixes appeal on Arkansas' Medicaid work requirements program

Fierce Healthcare

Supreme Court nixes appeal on Arkansas' Medicaid work requirements program. rking. Mon, 04/18/2022 - 11:15

Medicaid 220
article thumbnail

Centene posts $738M in profit for Q3 as Medicare, Medicaid overperform

Fierce Healthcare

Centene posts $738M in profit for Q3 as Medicare, Medicaid overperform. pminemyer. Tue, 10/25/2022 - 07:59

Medicaid 219
article thumbnail

Nevada awards Medicaid contracts to 4 insurers

Health Care Dive

It's a big win for Molina, which will join three incumbents in the state: UnitedHealthcare, Centene and Anthem Blue Cross Blue Shield

Medicaid 219
article thumbnail

Study finds rampant 'phantom' docs on Medicaid network directories in Oregon

Fierce Healthcare

Study finds rampant 'phantom' docs on Medicaid network directories in Oregon. rking. Wed, 07/06/2022 - 16:43

Medicaid 264
article thumbnail

3 providers to pay $22.5M to settle Medicaid fraud allegations in California

Fierce Healthcare

to settle Medicaid fraud allegations in California. 3 providers to pay $22.5M pminemyer. Thu, 12/08/2022 - 16:58

Medicaid 207
article thumbnail

Medicaid coverage for some children might end soon, experts warn

Fierce Healthcare

Medicaid coverage for some children might end soon, experts warn. fdiamond. Thu, 09/22/2022 - 15:22

Medicaid 168
article thumbnail

Judge rules CMS unfairly overturned Georgia's Medicaid work requirements program

Fierce Healthcare

Judge rules CMS unfairly overturned Georgia's Medicaid work requirements program. rking. Mon, 08/22/2022 - 14:58

Medicaid 175
article thumbnail

HHS: 15M people could drop off Medicaid rolls after COVID-19 emergency ends

Fierce Healthcare

HHS: 15M people could drop off Medicaid rolls after COVID-19 emergency ends. rking. Wed, 08/24/2022 - 14:48

Medicaid 250
article thumbnail

Identifying the Right Architecture for a Modern Medicaid System

Fierce Healthcare

Identifying the Right Architecture for a Modern Medicaid System. jpiatt. Thu, 09/08/2022 - 12:26

Medicaid 156
article thumbnail

Elevance Health posts $1.7B in Q2 profit amid strong Medicaid enrollment growth

Fierce Healthcare

in Q2 profit amid strong Medicaid enrollment growth. Elevance Health posts $1.7B pminemyer. Wed, 07/20/2022 - 07:24

Medicaid 250
article thumbnail

Judge strikes down CMS' Medicaid copay rule, handing PhRMA major win

Fierce Healthcare

Judge strikes down CMS' Medicaid copay rule, handing PhRMA major win. rking. Thu, 05/19/2022 - 15:08

Medicaid 250
article thumbnail

Brave Health Raises $40M for Medicaid Virtual Health Platform

HIT Consultant

What You Should Know: – Brave Health , a virtual mental health provider and engagement platform focused on serving Medicaid populations raises $40M in Series C funding round led by Town Hall Ventures , with existing investors Union Square Ventures, City Light Capital and others joining as well.

article thumbnail

Prison Health Care is Broken Under the Medicaid Inmate Exclusion Policy

Bill of Health

As a first step to protecting incarcerated individuals’ right to health, Congress should repeal the Medicaid Inmate Exclusion Policy (MIEP). The MIEP, established in 1965, prohibits Medicaid from covering incarcerated individuals, despite any prior eligibility. By Sarah Wang.

article thumbnail

Study: Only small amount of docs in some Medicaid managed care networks offer care to Medicaid patients

Fierce Healthcare

Study: Only small amount of docs in some Medicaid managed care networks offer care to Medicaid patients. rking. Wed, 05/04/2022 - 15:36

Medicaid 178
article thumbnail

Molina to acquire Wisconsin Medicaid plan in $150M deal

Fierce Healthcare

Molina to acquire Wisconsin Medicaid plan in $150M deal. pminemyer. Thu, 07/14/2022 - 13:55

Medicaid 164
article thumbnail

Aetna misrepresented network to secure Pennsylvania Medicaid contract, lawsuit claims

Fierce Healthcare

Aetna misrepresented network to secure Pennsylvania Medicaid contract, lawsuit claims. pminemyer. Wed, 09/15/2021 - 11:33

Medicaid 218
article thumbnail

Modernizing Medicaid: Avoiding Pitfalls on the Journey to Modularity

Fierce Healthcare

Modernizing Medicaid: Avoiding Pitfalls on the Journey to Modularity. mteefey. Mon, 11/14/2022 - 16:43

Medicaid 130
article thumbnail

Google rolls out search features that aim to make it easier to sign up for Medicaid, Medicare

Fierce Healthcare

Google rolls out search features that aim to make it easier to sign up for Medicaid, Medicare. pminemyer. Wed, 11/23/2022 - 11:12

Medicaid 243
article thumbnail

Maven raises $90M, fueling push into Medicaid, CMO says

Healthcare Dive

Roadblocks for the startup inclulde shifting requirements state-by-state and historically low margins in Medicaid

article thumbnail

Expanded Medicaid coverage may lower kidney-related hospitalizations

Fierce Healthcare

Expanded Medicaid coverage may lower kidney-related hospitalizations. fdiamond. Mon, 11/07/2022 - 13:04

Medicaid 128
article thumbnail

Urban: 18M could lose Medicaid coverage after COVID-19 emergency expires, likely next year

Fierce Healthcare

Urban: 18M could lose Medicaid coverage after COVID-19 emergency expires, likely next year. rking. Tue, 12/06/2022 - 16:07

Medicaid 172
article thumbnail

States expect up to a year to finish Medicaid redeterminations after COVID-19 emergency ends

Fierce Healthcare

States expect up to a year to finish Medicaid redeterminations after COVID-19 emergency ends. rking. Thu, 09/15/2022 - 15:57

Medicaid 205
article thumbnail

State Medicaid Innovations to Support Home Visiting Services

NASHP

States also leverage other state and federal funding, including public insurance financing (Medicaid and the Children’s Health Insurance Program, or CHIP), to support select home visiting services. Medicaid plays a significant role in providing coverage to children and pregnant people.

article thumbnail

Federal data shows ACA, Medicaid coverage kept uninsured rate steady as open enrollment kicks off

Health Care Dive

And the numbers suggest ACA and Medicaid enrollment may be continuing the momentum notched last year as consumers turned to the programs in droves after losing job-based coverage

Medicaid 231
article thumbnail

Eligibility Levels for Pregnancy-Related Coverage in Medicaid and CHIP

NASHP

Eligibility Levels for Pregnancy-Related Coverage in Medicaid and CHIP. Eligibility Levels for Pregnancy-Related Coverage in Medicaid and CHIP Updated April 2022. Map and Chart : State’s Efforts to Extend Medicaid Postpartum Coverage. Policy CHIP Eligibility Medicaid pregnant

article thumbnail

CMS clears Medicaid coverage expansions and bid to close equity gaps in Massachusetts, Oregon

Fierce Healthcare

CMS clears Medicaid coverage expansions and bid to close equity gaps in Massachusetts, Oregon. rking. Wed, 09/28/2022 - 12:32

Medicaid 189
article thumbnail

Better coordination between Medicaid, USDA nutrition program could improve maternal outcomes, survey finds

Fierce Healthcare

Better coordination between Medicaid, USDA nutrition program could improve maternal outcomes, survey finds. agliadkovskaya. Tue, 08/02/2022 - 21:55

Medicaid 209
article thumbnail

Who doesn’t text in 2022? Most state Medicaid programs

Healthcare It News

Postal Service and an online account this summer to connect with Medicaid enrollees about the expected end of the covid public health emergency, which will put many recipients at risk of losing their coverage. West Virginia has more than 600,000 Medicaid enrollees.

Medicaid 196