Medicaid
publication date
Revenue Cycle
7 Lessons Learned from LVMC's $5M Settlement
The Lompoc Valley Medical Center (LVMC) is out $5 million from a recent false claims settlement?and there are several critical...
Payer
Cigna Announces 2024 Marketplace Plans
As the insurer limits expansion, what will others do amidst premium increases and continued enrollment growth?
Payer
3 Takeaways from Payers' Q2 Earnings Reports
Most major health insurers are so far experiencing positive results in the face of unknowns.
Innovation
LA Health Plan Launches Program to Improve Healthcare for the Homeless
The health plan is issuing more than $4 million in grants to nine organizations through an innovative program to improve...
Finance
CA Offers Lifeline to 17 Troubled Hospitals
Hospital officials blame low Medi-Cal rates for saddling many hospitals with financial losses.
Payer
OIG: 40 State CHIPs Left $641M in Drug Rebates on the Table
The estimate included $125.5 million for states and $515.7 million for the federal government.
Payer
More than One-Third of Medicaid Members Haven't Heard from Their Health Plan About Renewal
Seniors especially are slipping through the cracks without guidance on maintaining their coverage and benefits.
Finance
Hospitals Ask Congress to Delay ACA Medicaid Funding Cuts — For the 14th Time
It is unlikely the reductions will occur this year, if history is any indication.
Finance
Unnecessary Healthcare Services Cost Colorado Patients and Insurers $134M
New analysis of low value care in the state looks at utilization and how it affected spending.
Payer
Medicaid Managed Care Has High Rates of Prior Authorization Denials
A report by the Office of Inspector General (OIG) finds Medicaid managed care members may not be receiving all medically...
Finance
Industry Groups in California Vie for New Medicaid Money
Top state health officials say they plan to plow most of the money into higher payments for doctors, hospitals, and...
Payer
Elevance Health Nets $1.9B in Profits in Promising Q2
The payer saw "encouraging" signs that Medicaid members losing coverage are transitioning into Affordable Care Act (ACA) exchange plans.