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Medicaid


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publication date

Payer
AHIP Announces Medicaid Redeterminations Coalition and Associated Report
Laura Beerman | March 16, 2023
AHIP to lead Connecting to Coverage Coalition, a one-stop shop for multi-stakeholder redetermination resources.
Payer
Medicaid Health Plans Try to Protect Members — and Profits — During Unwinding
Kaiser Health News | March 10, 2023
With states poised to start disenrolling Medicaid enrollees in April who no longer qualify, insurers hope to keep those still...
Finance
Lakeland Regional Medical Center Agrees to $4M Settlement Over Non-bona fide donations
Amanda Schiavo | March 07, 2023
The government accused the healthcare provider of making improper donations.
Payer
CMS Issues Payment and Coverage Guidance as Pandemic Waivers Approach Expiration
Laura Beerman | March 06, 2023
The agency has issued a fact sheet addressing flexibilities authorized during the COVID-19 federal public health emergency (PHE).
Payer
Medicare Advantage Margins Doubled Other Insurance Markets
Jay Asser | March 02, 2023
Analysis of health insurer financial performance in 2021 finds Medicare Advantage (MA) plans had significantly higher gross margins.
Payer
More than 60% of Adults Unaware of Medicaid Eligibility Redetermination
Jay Asser | February 17, 2023
The impending renewal process could mean enrollees are left without coverage.
Payer
Centene to Pay $215M to Resolve Medi-Cal Drug Overcharges
John Commins | February 09, 2023
Centene admits no wrongdoing in the settlement, but will pay back twice the value of its inflated price reporting.
Payer
As Pandemic-Era Medicaid Provisions Lapse, Millions Approach a Coverage Cliff
Kaiser Health News | February 02, 2023
States face steep challenges: making sure they don't disenroll people who are still entitled to Medicaid and connecting the rest...
Payer
HHS Allows States Flexibility to Address Medicaid Beneficiaries' Social Needs
Jay Asser | January 06, 2023
States will have the opportunity to give additional benefits through the use of "in lieu of services and settings."
Payer
3 Providers Will Pay $22.5M to Settle Medi-Cal False Claims Allegations
John Commins | December 08, 2022
Prosecutors say the settlements resolve allegations of an 'organized scheme to wrongfully retain federal funds.'
Payer
2023 Marketplace Coverage: Part 2 — The Transition Arc
Laura Beerman | November 22, 2022
As 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 Services
Jasmyne Ray | November 18, 2022
According to Lena Nilsson, vice president of clinical operations for OSF HealthCare Home Care Services, the home setting is the...
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