Medicaid
publication date
Payer
2023 Marketplace Coverage: Part 2 — The Transition ArcAs the public health emergency extends (PHE) into 2023, payers dominating both Medicaid and the Exchanges will continue to win...
Post-Acute
4 Questions With OSF HealthCare Executives on Home Care ServicesAccording to Lena Nilsson, vice president of clinical operations for OSF HealthCare Home Care Services, the home setting is the...
Payer
Gov. Newsom Touts $10/Mo Covered California PlansNinety percent of the Californians in the plan receive financial assistance.
Payer
Access to Medi-Cal's Long-Term Care Services Falls ShortOnly 16% Medi-Cal recipients estimated to be eligible for Community-Based Adult Services were served by the program in 2020.
Payer
Medi-Cal Expansion Covered 286K Undocumented PeopleProponents of the expansion says the expense to the state is justified financially.
Payer
OIG: Medi-Cal Made $15.7M in Unallowable Capitation PaymentsThe California Department of Health Care Services agrees with the audit findings.
Innovation
Montana Backs Away From Innovative Hospital Payment Model. Other States Are Watching.The plan established maximum amounts the health plan would pay for all inpatient and outpatient services.
Payer
How Activate Care and The Gorge Collaborate to Support Oregon Medicaid Innovation"At the end of the day, data is the currency of healthcare?being able to understand and show how healthcare actually...
Payer
Campaigning ramps up as South Dakota voters decide on Medicaid expansionSouth Dakota is one of 12 states that have not expanded eligibility for their Medicaid programs, and the only state...
Payer
Centene Gave Thousands to Georgia Leaders' Campaigns While Facing Medicaid Overbilling QuestionsSt. Louis-based Centene Corp. says it's working to settle Medicaid billing issues with nine states.
Payer
3 Reasons Why Blue Shield of California Is Suing DHCSThe insurer, which just filed suit in California's State Superior Court, was one of four to appeal the state's recent...
Payer
Blue Shield of California Campaigns Against Medi-Cal 'Failed' Contracting ProcessThe payer has complained that the skewed process has allowed the state to award contracts to 'national, for-profit companies beholden...