Oregon Gov. Tina Kotek, a Democrat, assembled an advisory group to address Medicaid sustainability, according to a draft charter document obtained by Oregon Public Broadcasting. Representatives from the Oregon Health Authority, CareOregon, Health Share of Oregon, Kaiser Foundation Health Plan…
Author: Elizabeth Casolo
Republicans on the House Ways and Means Committee are considering a bill that aligns with President Donald Trump’s pitch to directly send ACA healthcare subsidies back to consumers, a source told Politico. The source spoke on the condition of anonymity…
The Office of the New York City Comptroller approved the NYC Employees PPO plan, according to a Nov. 14 news release. Under the new health plan, EmblemHealth and UnitedHealthcare will take over the contract from GHI Comprehensive Business Plan, under…
Over 8,700 Bronx residents partook in New York City-based EmblemHealth’s community diabetes wellness program in its first year, according to a Nov. 12 news release from the insurer. The program offers screenings, nutrition workshops and individualized support, hosting 109 events…
Aetna’s new “level of severity inpatient payment” Medicare policy is now set to kick off next year instead of Nov. 15, according to a Nov. 6 company document. As part of the reimbursement approach, Aetna will approve inpatient stays without…
Advertisement
Bend, Ore.-based St. Charles Health System will remain in network with PacificSource, according to a Nov. 13 news release. The commercial contract will last for two years, whereas the Medicare Advantage contract will last for one year. St. Charles has…
Worcester, Mass.-based UMass Memorial Health and Blue Cross Blue Shield of Massachusetts agreed on a three-year contract set to take effect Jan. 1, according to the insurer. Almost 200,000 UMass Memorial patients are insured by BCBS of Massachusetts. The current…
Business services provider Conduent faced a data breach going into 2025, leaving insurers scrambling. According to the company, the breach could have revealed members’ names, social security numbers, insurance information and medical data. Here are three updates on how the…
During fiscal year 2025, Medicaid enrollment dipped while spending grew, according to a Nov. 13 KFF brief. The nonprofit organization hired Health Management Associates to consult state Medicaid directors across the country on recent trends. Florida, Kansas and Mississippi did…
Elevance Health is pushing to maintain its health plan contract for New York City employees, according to a Nov. 13 Bloomberg article on the court filings. The news outlet spotted an appeal in the case that was briefly public. The…