Author: Rylee Wilson

Molina Healthcare had the highest overall prior authorization denial rates in 2019 among the seven largest Medicaid managed care organizations, according to an audit from HHS' Office of Inspector General. 

CMS has required around a half-dozen states to pause procedural terminations to correct errors through the Medicaid redetermination process, CMS officials told reporters on a July 19 press call. 

Elevance Health is expecting many members who have lost Medicaid to transition to other forms of coverage, executives told investors on a second-quarter earnings call. 

California's health plan costs for state employees and retirees are rising at an "unsustainable" rate, state officials said. 

Oklahoma Health Care Authority CEO Kevin Corbett will resign July 31. 

Molina Healthcare named Aaron Dunkel as plan president in Kansas. 

HHS' Office of Inspector General raised concerns about the rate of prior authorization denials in Medicaid managed care and a lack of state oversight of these denials in an audit published July 17. 

CMS is ramping up efforts to connect over 2 million people who have been disenrolled from Medicaid coverage to ACA plans. 

Friday Health Plan members in Colorado must enroll in new insurance by Aug. 31 to avoid a gap in coverage, the state's division of insurance said July 17. 

Medicare Advantage overpayments may be higher than the Medicare Payment and Advisory Commission estimates, a June study from researchers at the Los Angeles-based University of Southern California found.