Medicaid information sharing with Immigration and Customs Enforcement officials will pick back up shortly, according to a Nov. 21 CMS notice. “This notice announces CMS policy that CMS will provide certain information to ICE upon request from ICE consistent with…
Author: Elizabeth Casolo
Jenny Smith is the Hawaii Medical Service Association’s new COO and first female president. Her priorities as the organization’s operational lead are not overly fancy, but she does not think that makes them any less important. “If we do not…
California patients are suing Blue Shield of California and Magellan Health over alleged inaccurate mental health provider directories, according to a class-action lawsuit filed Nov. 19. The lawsuit said Blue Shield of California and Magellan work together to administer behavioral…
AHIP published its state-by-state report on health coverage Nov. 12, which includes the average salary for health insurance industry employees across the U.S. Calculations for the average salaries are based on U.S. Census Bureau data from 2022. The District of…
U.S. Sen. Rick Scott, R-Fla., proposed legislation to “stop giving tax dollars to big insurance companies” and instead redirect premium tax credit amounts to people with a Trump Health Freedom Account, which would mirror a health savings account. “My new…
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Trade association AHIP published its state-by-state report on health coverage Nov. 12. The organization identified 697,928 health plan employees and 1,301,167 insurance-related employees across the country based on U.S. Census Bureau 2022 data. Here are how many health plan employees…
U.S. Reps. Kathy Castor, D-Fla., Brian Fitzpatrick, R-Pa., and Debbie Wasserman Schultz, D-Fla., have reintroduced a bill to widen access to lung cancer screenings, according to a Nov. 20 news release. The bill prevents Medicaid, traditional Medicare, Medicare Advantage, and…
Independent Health is joining MVP Health Care, another nonprofit insurer based in New York. Sharing assets is one reason for the member substitution agreement, but there is another opportunity for the organizations. Pharmacy Benefit Dimensions is a subsidiary of Independent…
Insurers carry out chart reviews to verify alignment between medical records and information submitted by providers. While these reviews can help payers understand a beneficiary’s needs and increase payments to accommodate anticipated costs, they could also be used inappropriately. “Chart…
Gold Coast Health Plan appointed Suma Simcoe as COO, effective Oct. 15, according to an Oct. 30 news release. Ms. Simcoe joined GCHP from L.A. Care Health Plan and was previously at Molina Healthcare. She has a record of launching…