Healthcare Dive

NOVEMBER 8, 2023

Medicare Advantage stars, Medicaid redeterminations, individual exchange growth and GLP-1s. Many payers beat Wall Street expectations in the quarter, despite ongoing utilization concerns. Other hot topics?

Health Insurance 273

Health Insurance Medicaid Medicaid Medicare 273

Healthcare Dive

SEPTEMBER 1, 2022

Iowa will soon have three health insurers to manage its $7 billion Medicaid program.

Medicaid 286

Medicaid Medicaid Health Insurance 286

Fierce Healthcare

JULY 12, 2024

Colorado stands out among the 10 states that have disenrolled the highest share of Medicaid beneficiaries since the U.S. Colorado stands out among the 10 states that have disenrolled the highest share of Medicaid beneficiaries since the U.S.

Medicaid 117

Medicaid Medicaid Health Insurance Governance 117

Fierce Healthcare

MARCH 27, 2024

The Centers for Medicare & Medicaid Services (CMS) released a final rule Wednesday to help individuals obtain and retain Children's Health Insurance Program (CHIP) coverage. | In a final rule set to take effect in two months, CMS is streamlining its Medicaid and CHIP eligibility, enrollment and renewal processes.

Medicaid 109

Medicaid Medicaid Health Insurance Medicare 109

HealthIT Answers

JUNE 7, 2024

By Chris Emper - On April 22, CMS released an 895-page final regulation titled, “Medicaid and Children’s Health Insurance Program Managed Care Access, Finance, and Quality.” The post New CMS Regulation Establishes Maximum Appointment Wait Time Standards for Medicaid appeared first on Health IT Answers.

Medicaid 105

Medicaid Medicaid Health Insurance Compliance 105

Kaiser Health News

JANUARY 12, 2024

Still, “we know from surveys and other data that, even 10 years on, a lot of people are unaware there are premium subsidies available through ACA marketplaces,” said Sabrina Corlette , co-director of the Center on Health Insurance Reform at Georgetown University. 1 and runs until Jan. 16 in most states.

Health Insurance 140

Health Insurance ACA Medicaid Medicaid 140

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

Fierce Healthcare

JULY 2, 2024

The Department of Health and Human Services (HHS) is helping incarcerated adults and children obtain access to Medicaid or Children’s Health Insurance Program (CHIP) coverage before they leave a pr | HHS is extending Medicaid and CHIP coverage to incarcerated individuals that are soon to be released in five states.

Medicaid 76

Medicaid Medicaid Health Insurance 76

HIT Consultant

JULY 16, 2024

Anish Sebastian, CEO and Co-founder, Babyscripts A discussion of technology and the Medicaid population inevitably raises the topic of the digital divide — that is, the gap between people who have access to modern information and communications technology (ICTs) and those who don’t. “We But there’s a lot of reasons to be optimistic.

Medicaid 105

Medicaid Medicaid Health Insurance Health Outcomes 105

Center for Health Insurance Reform

MAY 16, 2023

The Affordable Care Act established health insurance Marketplaces to facilitate enrollment in comprehensive and affordable health insurance. Most states rely on the federal government to run their Marketplace, but recently, several states have expressed interest in taking over Marketplace operations.

Health Insurance 98

Health Insurance Governance Medicaid Medicaid 98

Bill of Health

APRIL 13, 2022

The COVID-19 Public Health Emergency (PHE) expires at the end of this week, with Department of Health and Human Services (HHS) Secretary Xavier Becerra expected to renew the PHE once more to extend through mid-July. This policy improves coverage and helps reduce churn , which is associated with poor health outcomes.

Medicaid 147

Medicaid Medicaid COVID-19 Public Health 147

HIT Consultant

NOVEMBER 8, 2021

Jessica Altman, Pennsylvania’s insurance commissioner sums it up well : “When we talk about bringing something back to state control, that is a real narrative that can appeal to both sides of the aisle. There is nothing political about making health insurance more affordable.”.

Health Insurance 98

Health Insurance Medicaid Medicaid Governance 98

Center for Health Insurance Reform

JUNE 3, 2022

Our colleagues at the Georgetown Center for Children & Families examine the new marketplace network adequacy standards and how they compare to Medicaid's standards. Continue reading → The post Standards for Provider Network Adequacy in Medicaid and the Marketplaces appeared first on Center on Health Insurance Reforms.

Medicaid 98

Medicaid Medicaid Health Insurance 98

Center for Health Insurance Reform

MARCH 20, 2023

As states resume conducting Medicaid and CHIP re-determinations of eligibility, the U.S. As millions of people transition from Medicaid to private insurance coverage, they could experience disruptions in critical health care services.

Medicaid 94

Medicaid Medicaid Health Insurance Public Health 94

Center for Health Insurance Reform

APRIL 15, 2022

A recently published report from Georgetown's Center on Health Insurance Reforms and Center for Children & Families finds significant differences in standards for network adequacy between Medicaid and Marketplace plans, as well as gaps in oversight.

Medicaid 96

Medicaid Medicaid Health Insurance 96

Compliance Now

AUGUST 10, 2023

As background, according to federal Health Insurance Portability and Accountability Act (HIPAA) rules, individuals have 60 days from losing CHIP and Medicaid eligibility to elect coverage under their group plan. The real potential of this number growing daily is what has prompted the Agencies to issue this “request.”

Medicaid 100

Medicaid Medicaid Compliance COVID-19 100

Compliance Now

AUGUST 10, 2023

As background, according to federal Health Insurance Portability and Accountability Act (HIPAA) rules, individuals have 60 days from losing CHIP and Medicaid eligibility to elect coverage under their group plan. The real potential of this number growing daily is what has prompted the Agencies to issue this “request.”

Medicaid 100

Medicaid Medicaid Compliance COVID-19 100

HIPAA Journal

APRIL 6, 2022

An audit of Connecticut’s Health Insurance Exchange, Access Health CT, by the state auditor has revealed Access Health CT suffered 44 data breaches over the last 3.5 Access Health CT said it is also strengthening its internal purchasing policies and procedures and will be revising its contract procurement policy.

Health Insurance 129

Health Insurance HIPAA Medicaid Medicaid 129

HIT Consultant

AUGUST 24, 2023

Contrary to perception, access to broadband and mobile phones are not the greatest barrier to digital health among Medicaid recipients. They access the internet at the same rates as other insured populations , and in many ways are more engaged with their smartphones because they are disproportionately dependent on them.

Medicaid 97

Medicaid Medicaid Doctors COVID-19 97

Fierce Healthcare

SEPTEMBER 26, 2023

Medicaid expansion will launch in North Carolina on Dec. 1, adding more than 600,000 people to the state’s health insurance system, Gov. Roy Cooper, the state anticipates more than 600,000 people will be eligible under Medicaid expansion. Roy Cooper announced Monday. Deemed a major victory for Gov.

Medicaid 75

Medicaid Medicaid Health Insurance 75

Center for Health Insurance Reform

AUGUST 8, 2022

Many of those losing their Medicaid eligibility after the COVID-19 public health emergency will have illnesses or conditions requiring uninterrupted access to health care services.

Medicaid 98

Medicaid Medicaid COVID-19 Public Health 98

Center for Health Insurance Reform

APRIL 20, 2022

It will be "all hands on deck" for state officials once the public health emergency ends and up to 16 million people face the loss of their Medicaid coverage.

Health Insurance 104

Health Insurance Public Health Medicaid Medicaid 104

HIPAA Journal

JUNE 8, 2023

The Iowa Department of Health and Human Services has announced there have been three separate breaches of the protected health information of Iowa Medicaid recipients in the past two months – two hacking incidents and an impermissible disclosure, all three of which involved third-party contractors.

Medicaid 90

Medicaid Medicaid Ransomware Health Insurance 90

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

HIT Consultant

NOVEMBER 9, 2023

Director of Healthcare Strategy, LexisNexis Risk Solutions During the peak of the Covid-19 pandemic, over 10 million Americans enrolled in Medicaid – nearly a 14% increase from the beginning of 2020. A month before the public health emergency ended on May 11, 2023, 87 million individuals were enrolled in Medicaid.

Medicaid 64

Medicaid Medicaid Health Insurance COVID-19 64

Modern Healthcare

AUGUST 18, 2022

States would have to track Medicaid and Children's Health Insurance Program quality metrics starting in fiscal 2024.

Medicaid 79

Medicaid Medicaid Health Insurance 79

HIPAA Journal

NOVEMBER 21, 2022

million being defrauded from Medicaid, Medicare, and private health insurance programs. Five state Medicaid programs, two Medicare Administrative Contractors, and two private health insurers were tricked into changing the bank account details for payments. million, and $6.4 million, and $6.4

Medicaid 88

Medicaid Medicaid Medicare Medicare 88

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

HIPAA Journal

APRIL 14, 2023

The Iowa Department of Health and Human Services (DHHS) has confirmed that the personal information of 20,800 Iowans who receive Medicaid was exposed in a cyberattack at a subcontractor of one of its business associates between June 30, 2022, and July 5, 2022. It is currently unclear how many individuals have been affected.

Medicaid 108

Medicaid Medicaid Ransomware HIPAA 108

Center for Health Insurance Reform

DECEMBER 8, 2022

States are expected to resume redeterminations of Medicaid eligibility in early 2023, resulting in a projected 15 million people losing access to Medicaid. Ensuring these individuals transfer to another source of coverage smoothly and seamlessly is a particular challenge for states.

Medicaid 70

Medicaid Medicaid Health Insurance Public Health 70

Kaiser Permanente

JANUARY 27, 2022

Medicaid provides health coverage to eligible low-income adults, children, pregnant women, elderly adults and people with disabilities. Medicaid is administered by states, according to federal requirements and is jointly funded by states and the federal government. Kaiser Permanente’s Participation in Oregon Health Plan.

Health Insurance 52

Health Insurance Medicaid Medicaid Governance 52

HIPAA Journal

MARCH 15, 2023

FHKC is a state-created entity that offers health and dental insurance to children in Florida between the ages of 5 and 18. FHKC receives Medicaid funds and state funds for providing health insurance programs for children in Florida.

Health Insurance 84

Health Insurance HIPAA Due Diligence Fraud 84

Center for Health Insurance Reform

DECEMBER 8, 2023

Several state-based Marketplaces have deployed innovating programs to keep people covered during the Medicaid unwinding.

Medicaid 98

Medicaid Medicaid 98

Kaiser Permanente

JANUARY 1, 2022

Medicaid and the Children’s Health Insurance Program (CHIP) have served as critical supports to children, pregnant women, parents, seniors, and individuals with disabilities – covering 80 million individuals during the COVID-19 pandemic. Since February 2020, Medicaid enrollment has grown sharply to cover an additional 9.9

Medicaid 92

Medicaid Medicaid Medicare Medicare 92

Health Populi

JUNE 26, 2023

People love being health-insured, but their negative experiences with health plans create serious burdens on patients-as-consumers. The 2023 Kaiser Family Foundation Survey of Consumer Experiences with Health Insurance updates our understanding of and empathy for insured peoples’ Patient Administrative Burdens (PAB).

Health Insurance 62

Health Insurance Doctors COVID-19 Medical Billing 62

Center for Health Insurance Reform

AUGUST 28, 2023

A massive coverage transition is underway for millions of people who have relied on Medicaid throughout the COVID-19 pandemic. After a three-year pause, states have begun disenrolling residents from Medicaid, leaving millions of people in need of new coverage.

Medicaid 98

Medicaid Medicaid COVID-19 98

Fierce Healthcare

APRIL 23, 2024

Medicaid managed care plans and the Children’s Health Insurance Program (CHIP) will be subject to new wait time standards and quality ratings requirements, the Centers for Medicare & Medicaid S | CMS defended implementing stronger rules over nursing home staffing as well as explained its thoughts behind Medicaid access and managed care rules.

Nursing Homes 116

Nursing Homes Nurses Medicaid Medicaid 116