Healthcare Dive

JULY 26, 2024

Centene continued to deal with a mismatch between Medicaid rates and patient acuity in the second quarter, but still exceeded Wall Street’s expectations thanks to Affordable Care Act growth.

Medicaid 167

Medicaid Medicaid ACA 167

Healthcare Dive

MARCH 13, 2024

The budget request includes proposals for “Medicaid-like” coverage in non-expansion states and future penalties for hospitals that don’t implement cybersecurity standards.

ACA 259

ACA Medicaid Medicaid Hospitals 259

Fierce Healthcare

JUNE 29, 2023

Medicare Advantage (MA) beneficiaries have less choice when it comes to finding a psychiatrist than Medicaid enrollees or those who buy coverage on the Affordable Care Act (ACA) marketplace do, acc | Medicare Advantage continues to grow, and so does the need for beneficiaries to have access to psychiatrists, says a study in Health Affairs.

ACA 108

ACA Medicaid Medicaid Medicare 108

Fierce Healthcare

OCTOBER 19, 2021

Senate bill aims to make it easier for Americans to qualify for coverage such as Medicaid, ACA subsidies. Tue, 10/19/2021 - 16:35.

ACA 104

ACA Medicaid Medicaid 104

Healthcare Dive

FEBRUARY 8, 2023

The insurer said it expects to add some members who are no longer eligible for Medicaid to its ACA exchange plans.

Medicaid 130

Medicaid Medicaid ACA 130

Center for Health Insurance Reform

MARCH 24, 2022

CHIR and our colleagues at the Center for Children and Families (CCF) have published two new resources examining state-level preparations for the end of the COVID-19 public health emergency and the redetermination of the Medicaid eligibility of close to 85 million people.

ACA 95

ACA Medicaid Medicaid COVID-19 95

Modern Healthcare

APRIL 17, 2023

CMS' final rule for ACA exchanges sets plan limits, requires plans to include substance abuse and mental health providers and makes Medicaid's special enrollment period a permanent option.

ACA 95

ACA Medicaid Medicaid 95

Bill of Health

APRIL 13, 2022

When the PHE ultimately expires, this will also trigger the end of the Medicaid continuous enrollment requirement, under which states must provide continuous Medicaid coverage for enrollees through the end of the last month of the PHE in order to receive enhanced federal funding. Continuity of Coverage.

Medicaid 147

Medicaid Medicaid COVID-19 Public Health 147

Healthcare IT Today

DECEMBER 22, 2020

CMS has released a proposed rule that will require Medicaid managed care plans and other insurers offering products on the ACA Exchanges to support the sharing of patient data amongst themselves.

ACA 145

ACA Medicaid Medicaid Medicare 145

Fierce Healthcare

OCTOBER 4, 2021

Missouri starts signing up residents under ACA's Medicaid expansion after legal fight. Mon, 10/04/2021 - 12:37.

ACA 62

ACA Medicaid Medicaid 62

Health Populi

JULY 20, 2021

Furthermore, the flow of medical debt was greater among health citizens living in states that did not expand Medicaid as part of the Affordable Care Act, compared with patients who reside in Medicaid expansion states, according to an original research essay, Medical Debt in the US, 2009-2020 published in JAMA on 20 July 2021.

Medicaid 93

Medicaid Medicaid ACA Doctors 93

Fierce Healthcare

MAY 22, 2024

A key senator is calling on the Centers for Medicare & Medicaid Services (CMS) to crack down on brokers who submit fraudulent enrollments for Affordable Care Act (ACA) plans. |

ACA 116

ACA Medicaid Medicaid Medicare 116

Healthcare Dive

JULY 19, 2023

Although it’s still early in the redeterminations process, Elevance is seeing “encouraging” signs that many Medicaid members who lose coverage are transitioning onto ACA plans, according to its CFO.

ACA 130

ACA Medicaid Medicaid 130

Healthcare It News

JUNE 3, 2022

Since California expanded health coverage under the Affordable Care Act, a large number of people have been mistakenly bounced between Covered California, the state’s marketplace for those who buy their own insurance, and Medi-Cal, the state’s Medicaid program for low-income residents. “This shouldn’t be happening.

Public Health 330

Public Health Health Insurance Professionals ACA COVID-19 330

Fierce Healthcare

JANUARY 24, 2024

million people will be enrolled in an Affordable Care Act during this year's open enrollment period, Centers for Medicare & Medicaid Services (CMS) announced today. More than 21.3 Affordable Care Act enrollment has hit an all-time high, prompting federal officials to recognize its importance to the insurance marketplace today.

ACA 109

ACA Medicaid Medicaid Medicare 109

Healthcare IT Today

JANUARY 14, 2025

While there may be concerns regarding the Affordable Care Act (ACA), its survival seems likely given its established infrastructure and widespread reliance. It’s possible that a renewed focus on cost efficiency and quality improvement could lead to even greater integration of value-based care models within ACA programs.

ACA 83

ACA Medicaid Medicaid Fraud 83

Fierce Healthcare

APRIL 2, 2024

States now can add routine adult dental services as an essential health benefit, the Centers for Medicare & Medicaid Services announced in its 2025 Notice of Benefit and Payment Parameters fina | In its annual Notice of Benefit and Payment Parameters final rule, CMS prioritized dental and prescription drug benefits, network adequacy standardization (..)

ACA 108

ACA Medicaid Medicaid Medicare 108

Kaiser Health News

JANUARY 12, 2024

The ACA also includes subsidies that offset all or part of the premium costs for the majority of low- to moderate-income people who seek to buy their own insurance. residents struggle to afford the deductibles, copayments, or out-of-network fees included in some ACA or job-based insurance plans. of household income. 16 in most states.

Health Insurance 141

Health Insurance ACA Medicaid Medicaid 141

Kaiser Health News

APRIL 16, 2024

In turn, sales agents used the information to either enroll them in ACA plans or switch their existing policies without their consent. Such private sector platforms, which must be approved by the Centers for Medicare & Medicaid Services, streamline enrollment by integrating with the federal ACA marketplace, called healthcare.gov.

ACA 141

ACA Health Insurance Governance Medical Billing 141

Fierce Healthcare

JULY 6, 2023

More than 52,000 low-income adults in Sout­­h Dakota are now eligible for Medicaid, the Centers for Medicare & Medicaid Services (CMS) and the U.S. | Low-income adults in South Dakota are now eligible for expanded Medicaid access under the Affordable Care Act, while 11 states hold out on approving the expansion.

Medicaid 57

Medicaid Medicaid ACA Medicare 57

Center for Health Insurance Reform

OCTOBER 19, 2023

The annual open enrollment period for Affordable Care Act (ACA) Marketplace coverage kicks off November 1 in most states.

ACA 104

ACA Medicaid Medicaid Health Insurance 104

Health Populi

JUNE 18, 2021

workers with private insurance more likely report poor access to health care, greater costs of care, and lower satisfaction with care versus people covered by public health insurance plans — whether Medicaid, Medicare, VHA or military coverage. Health Populi’s Hot Points: U.S. households.

ACA 139

ACA Health Insurance Medicaid Medicaid 139

Center for Health Insurance Reform

SEPTEMBER 9, 2024

As Medicaid unwinding draws to a close, millions of people have had to find new health coverage options, many of them through the Affordable Care Act (ACA) Marketplaces.

Medicaid 59

Medicaid Medicaid ACA Health Insurance 59

American Medical Compliance

APRIL 17, 2024

The following Comprehensive Affordable Care Act (ACA) and Americans with Disabilities Act (ADA) Compliance Training educates healthcare providers on the historical context of both Acts. Expand the Medicaid program to cover all adults with income below 138% of the FPL. Not all states have expanded their Medicaid programs.

ADA 52

ADA ACA Compliance Health Care Reform 52

Innovaare Compliance

APRIL 27, 2023

A perspective on recent industry shifts influencing ACA plan operations in states, which are yet to adopt ACA Medicaid expansion Health Exchange plans covered under ACA (Accountable Care Act) witnessed 36% enrollment growth between 2021 and 2023. This is the sharpest rise in ACA enrollment since inception.

ACA 52

ACA Medicaid Medicaid Health Outcomes 52

Center for Health Insurance Reform

MARCH 31, 2023

The Affordable Care Act (ACA) recently celebrated its 13th anniversary with historic enrollment growth in the health insurance Marketplaces and the lowest-ever recorded uninsured rate.

Health Insurance 97

Health Insurance ACA Medicaid Medicaid 97

Healthcare IT News - Telehealth

AUGUST 29, 2022

Galileo first launched with in-home care for Medicare and Medicaid patients, creating a framework to include social determinants of health in clinical analysis and to bridge gaps in healthcare education. We currently power UnitedHealthcare's Virtual-First ACA Exchange plan in multiple states with more coming in 2023.

Telemedicine 155

Telemedicine ACA Medicaid Medicaid 155

Center for Health Insurance Reform

MARCH 31, 2022

In the proposed Notice of Benefit and Payment Parameters for 2023, the Centers for Medicare & Medicaid Services asked for feedback on how to promote health equity through ACA marketplace operations and plan certification standards.

ACA 94

ACA Health Insurance Medicaid Medicaid 94

Center for Health Insurance Reform

APRIL 29, 2022

As many as 16 million people are expected to lose Medicaid once the COVID-19 public health emergency ends. One-third of these could be eligible for ACA marketplace plans.

Public Health 96

Public Health ACA COVID-19 Health Insurance 96

Center for Health Insurance Reform

NOVEMBER 9, 2022

At the end of the COVID-19 public health emergency, millions of people will lose Medicaid as states resume eligibility determinations.

Public Health 97

Public Health ACA COVID-19 Health Insurance 97

HIT Consultant

FEBRUARY 6, 2025

Eligible Patients for Medicaid, ACA Plans : Through innovative insurance discovery technology, an additional benefit is defining those patients eligible for Medicaid or an ACA plan. This approach optimizes patient experience and ensures providers secure service payment.

ACA 52

ACA Medical Billing Medicaid Medicaid 52

Healthcare Law Blog

APRIL 6, 2022

On April 1, 2022 , the Centers for Medicare & Medicaid Services (“CMS”) announced states may seek to extend Medicaid postpartum coverage from 60 days to one year through a new state plan option offered by the American Rescue Plan Act (“ARPA”). In states that have not expanded Medicaid, however, many postpartum women lose coverage.

Medicaid 52

Medicaid Medicaid ACA Public Health 52

Bill of Health

NOVEMBER 9, 2023

Despite the important enactment in 2010 of the Patient Protection and Affordable Care Act (ACA), which increases access to care by expanding Medicaid eligibility and protecting insurance coverage of people with pre-existing health conditions and disabilities, more than 25 million people remain uninsured.

COVID-19 162

COVID-19 Public Health ACA Health Insurance 162

Healthcare Law Blog

MARCH 25, 2022

Various smaller health insurance issuers have challenged the risk-adjustment program under the Patient Protection and Affordable Care Act (ACA), alleging, among other things, that its underlying methodology favors larger insurers. United States Dep’t of Health & Hum. 20-50963, 2022 WL 807554, at *1 (5th Cir. The Risk-Adjustment Program.

ACA 52

ACA US Department of Health and Human Services Health Insurance Medicaid 52

Center for Health Insurance Reform

APRIL 6, 2022

In addition to filling out our March Madness brackets, the CHIR team reviewed studies on health insurance rates during the pandemic, how the Affordable Care Act (ACA) impacted women’s health coverage, and consumer access to high-quality marketplace plans. Along with the cherry blossoms, new health policy research was in full bloom this month.

ACA 96

ACA Health Insurance COVID-19 Medicaid 96

Jane Sarashon

FEBRUARY 27, 2024

In addition to highlighting the Patient’s Bill of Rights, NABIP’s keynotes and general sessions will speak to similar topics being brainstormed at VIVE this week — including mental health, maternal health, pharmacy and prescription drugs (pricing, PBMs), population health, and Medicare and Medicaid innovations.

ACA 118

ACA Prescription Drug Pricing Health Insurance Hospitals 118

Fierce Healthcare

SEPTEMBER 19, 2023

Troubled insurtech Bright Health must shell out about $380 million to the Centers for Medicare & Medicaid Services (CMS) over the next 18 months, according to a recent

ACA 62

ACA Medicaid Medicaid Medicare 62