The Louisiana Department of Health will award five payers contracts to administer its state Medicaid program.
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California is reforming its Medicaid program, Medi-Cal, to address social determinants of health — a move that shifts state-sponsored health coverage toward whole-person health, according to CalMatters.
Rochester, Minn.-based Mayo Clinic is no longer allowing some Medicare Advantage beneficiaries to schedule appointments, according to the Star Tribune.
Software glitches from Sunshine Health resulted in tens of thousands of disadvantaged children's healthcare claims being delayed for about three months, according to the Tampa Bay Times.
CMS updated Medicaid's coverage of an early-detection lung cancer screening Feb. 10, a move that would expand coverage nationwide.
Excellus BlueCross BlueShield is distributing $30 million across 31 New York providers to invest in quality improvements, according to a news release shared with Becker's.
Payers' medical benefits ratios — the percentage of premium revenue spent on medical services — have fluctuated with the flow of the COVID-19 pandemic, resulting in industrywide increases.
The Louisiana Department of Health renewed its contract with Louisiana Healthcare Connections, a Centene subsidiary, on Feb. 14.
The Federal Trade Commission will vote Feb. 17 whether to investigate the anticompetitive impacts of pharmacy benefit managers on independent pharmacies.
Payers have been calling the Medicare Advantage market a competitive, but highly-desirable one.