Florida officials are defending their Medicaid redetermination process after health advocacy groups asked Gov. Ron DeSantis for a pause after about 250,000 residents were disenrolled from the program, Florida Politics reported May 24.
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North Carolina legislators approved a bill that would allow Blue Cross Blue Shield of North Carolina to reorganize, adding a new nonprofit parent company.
With Medicaid redeterminations underway nationwide, CMS is urging states to ensure they do not terminate coverage for eligible individuals.
A minimum of 80 percent of Medicaid beneficiaries disenrolled from the program were booted for procedural reasons in nine states, according to a June 29 report from KFF.
An alternative to UnitedHealthcare's imminent gastroenterology endoscopy prior authorization policy was rejected by representatives from three GI societies, who said that they were "not in a position to appropriately evaluate the UHC proposal with the limited information presented."
New payer contracts Becker's has reported in 2023:
Here are the ongoing payer-provider contract disputes and splits Becker's has reported in 2023.
The Blue Cross Blue Shield Association has named Sondra Imperati as vice president of brand strategy.
Insurance regulators in Massachusetts are examining Point32Health after the company reported a data breach affecting its Harvard Pilgrim commercial and Medicare Advantage plans, State House News Service reported May 29.
June 26 update: The University of Utah Health and Regence BlueCross BlueShield reached a multi-year deal to preserve coverage for Regence members at University of Utah Health facilities.