ACA enhanced tax credits may best be described as a “will they or won’t they” — will Congress extend them past the end of the year, or are they on track to expire? While an extension could happen, the outcome…
Author: Elizabeth Casolo
Cigna is joining a handful of other payers in CMS’ health technology “ecosystem,” according to a news release from the company. The CMS website said participants in the ecosystem agree to align on an interoperability framework for healthcare data and…
The American College of Physicians published recommendations for managed care Nov. 25 in the group’s flagship journal, Annals of Internal Medicine. Managed care plans, like HMOs and PPOs, are insurance models that focus on mitigating costs and utilization while maintaining…
The Illinois Department of Healthcare and Family Services launched home-visit coverage for pregnant and parenting Medicaid enrollees, effective Nov. 21. Under the initiative, the state covers some prenatal visits, including sessions for health education, blood pressure monitoring, behavioral health screenings,…
HHS is appealing a judgment that vacated CMS’ Medicare Advantage Risk Adjustment Data Validation program final rule, according to a Nov. 21 filing in the U.S. District Court for the Northern District of Texas. The 2023 final rule allowed CMS…
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“Affiliation” is a buzzword in insurer partnerships. It may seem ambiguous, but this is a standard term for nonprofit M&A-type activity. A CareSource spokesperson told Becker’s that the nonprofit does not always use the term “acquisition,” instead calling an agreement…
A Medicare tool for adjusting risk underpredicts mortality and overpredicts spending for rural beneficiaries, according to research from the Philadelphia-based Leonard Davis Institute of Health Economics at the University of Pennsylvania. The study, published in the September 2025 issue of…
Blue Cross and Blue Shield of Minnesota will no longer offer gym memberships for Medicare beneficiaries at YMCA of the North and at Life Time, as of Jan. 1, both gym operators and the insurer confirmed to Becker’s. About 26,000…
Nearly 70% of Medicaid enrollees diagnosed with an opioid use disorder did not receive appropriate medications — such as buprenorphine, methadone or naltrexone — within 180 days of diagnosis, according to a study published Nov. 23 in The American Journal…
Legally residing refugees and asylees will face new challenges with accessing health insurance coverage. The 2025 budget law will cut Medicaid spending by about $1 trillion over 10 years, and Medicaid data usage by Immigration and Customs Enforcement is slated…