Organizations representing payers say tougher auditing standards CMS will impose on Medicare Advantage plans could create higher premiums and fail to target fraud. Others say the new rule, which eliminates the fee-for-service adjuster, doesn't go far enough.
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New Mexico has canceled its current Medicaid contract procurement process as the state's Human Services Department director and Medicaid director depart.
Molina Healthcare named Frank Clepper as plan president for the payer's Nebraska operations.
CMS is opening an ACA special enrollment period for those losing healthcare coverage after the end of Medicaid's continuous enrollment provision.
CMS will implement stricter audits of Medicare Advantage plans, a move that could leave payers on the hook for billions of dollars in repayments to the federal government.
HHS is proposing a new pathway for no-cost contraceptive coverage for employees of organizations with religious objections to covering these services.
State Medicaid departments had been waiting for more than a year for certainty of when the unwinding of Medicaid's continuous coverage provision would begin, according to Kate McEvoy, executive director of the National Association of Medicaid Directors.
A bipartisan group of senators are once again pushing for new regulations around the pharmacy benefit manager industry.
Blue Shield of California is launching a virtual-first health plan in partnership with care navigation platform Accolade.
HealthPartners has promoted Kathy Johnson to senior vice president and CFO of the company's health plan.