CMS officials are urging states to double-down on efforts to prevent people from unnecessarily losing Medicaid coverage.
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Medicare Advantage plan enrollees have lower expenses than those with similar risk scores who remain in traditional Medicare, but payments to the program are based on traditional Medicare, according to a whitepaper from researchers at the University of Southern California…
Prior authorization changes and paperless policies led UnitedHealth Group to cut its paper usage by 1 billion pieces, according to the company's sustainability report.
Potentially hundreds of homeless individuals in Florida were signed up for ACA exchange plans they could not afford in a fraud scheme, according to a June 13 report from KFF Health News.
South Dakota Medicaid Director Sarah Aker will depart her role in July to serve as director of North Dakota Health and Human Services' medical services division.
More than 1 million people have been disenrolled from Medicaid as part of the redeterminations process, according to KFF.
Centene CEO Sarah London said technology and artificial intelligence could bring positive changes to the healthcare industry in the coming years, according to a June 9 report from Fortune.
Ten providers recently posted job listings seeking leaders in payer contracting and relations.
Some health insurers are cracking down on off-label prescriptions of new weight loss drugs such as Ozempic, The Washington Post reported June 12.
CMS' proposed rules to improve drug price transparency in Medicaid is a "positive step" toward controlling costs, Kate McEvoy, executive director of the National Association of Medicaid Directors, told Becker's.