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It's been more than seven months since the first states began the process of unwinding the continuous Medicaid enrollment period in place for three years during the pandemic, resulting in state agencies and beneficiaries reporting major operational challenges and exacerbated…

New York has fined five Medicaid managed care plans a total of $2.6 million following an examination of their reimbursement of behavioral health claims that found "repeatedly and inappropriately denied claims" or failure to pay for services at rates required…

Portland-based Oregon Health & Science University and Aetna have averted a looming contract split. 

UnitedHealth Group's board of directors authorized a $1.88 per-share cash dividend to be paid on Dec. 12. 

Blue Cross Blue Shield of Massachusetts' plan to remove 14,000 prior authorization requirements for home care services is a response to the capacity crisis in the state's hospitals, the payer's chief medical officer Sandhya Rao, MD, told NPR affiliate WBUR…

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