Author: Andrew Cass

A group of senators is asking CMS to clarify whether Medicaid funds can be used to pay for crisis stabilization in facilities with more than 16 beds.

Farmers Branch, Texas-based Southwestern Health Resources is seeking a more than $900 million increase over the next 32 months in a new contract with Blue Cross Blue Shield of Texas, the Dallas Morning News reported Sept. 29. 

The North Carolina Department of Health and Human Services is delaying the implementation of its Medicaid managed care behavioral health and intellectual/developmental disabilities tailored plans until April 1. 

A new master's program at the Fayetteville-based University of Arkansas has been named after former Arkansas Blue Cross Blue Shield CEO Robert Shoptaw. 

Forty-three percent of working adults in the U.S. are inadequately insured, according to a Sept. 29 Commonwealth Fund report. 

Molina Healthcare of Florida is suspending prior authorization requirements to assist members and providers affected by Hurricane Ian. 

Clover Health President and Chief Technology Officer Andrew Toy will assume the role of CEO in January when founder Vivek Garipalli moves on from the position. 

A Delaware retiree advocacy group is suing the state over its decision to move retired state employees to a Medicare Advantage plan managed by Highmark Delaware, Delaware Public Radio reported Sept. 27. 

Cigna will not implement a paperwork demand that was criticized by the California Medical Association and American Medical Association. 

Nearly half of Medicaid managed care plans' medical loss ratio reports submitted to states were incomplete, according to a report from the HHS inspector general's office.