Greenville, N.C.-based ECU Health — a collaboration between East Carolina University and Vidant Health — will start leaving UnitedHealthcare’s network April 29, according to the insurer. If an agreement is not reached, ECU Health, including Vidant Medical Group, will be…
Author: Elizabeth Casolo
New York City-based Mount Sinai released a 34-minute podcast on March 13, detailing the health system’s contracting dispute with Anthem. “At Thanksgiving, [Anthem] inexplicably just said, ‘We are not doing anything we agreed to, and we’re not talking to you…
Continuous glucose monitors have been gaining traction among Medicare Advantage members with Type 2 diabetes, according to a study published in the Journal of Managed Care & Specialty Pharmacy‘s March edition. The Humana Healthcare Research team and Joseph Ross, MD,…
Almost every Medicare Advantage beneficiary in a plan that ended coverage for 2026 had at least one other MA prescription drug plan available this year, according to a March 13 KFF analysis. MA pullbacks, further illustrated by enrollment dips, have…
A Kansas Senate bill introduced in February is aiming to broaden Children’s Health Insurance Program eligibility in the state. SB 271 strives to raise the income threshold for CHIP eligibility from 250% of the federal poverty line, removing the prior…
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On March 12, Indiana Gov. Mike Braun signed a bill that would transfer nursing home residents with a stay duration of at least 100 days from Medicaid managed care to fee for service. The transitions will begin July 1, 2027.…
CMS plans to transition to an independent dispute resolution “gateway” during the second half of 2026, according to a March 16 email shared with Becker’s. The federal agency will move away from single-use web forms, instead relying on “a secure,…
Rhode Island Gov. Dan McKee, a Democrat, issued an executive order March 12 to address healthcare affordability in the wake of losing ACA enhanced subsidies. He plans to model other states’ approaches to maximizing federal financial assistance and lowering premiums…
CMS Administrator Mehmet Oz, MD, is not only encouraging AI use across his agency but also with Medicare beneficiaries, he said in a recent interview with HIMSS President and CEO Hal Wolf. “Why wouldn’t we, within a year, be able…
Minnesota’s House of Representatives passed HF3378 in a 107-27 vote March 12, which aims to grant lawmakers access to the full, unredacted Optum report on the state’s Medicaid program. Optum has been acting as a third-party auditor for Minnesota in…