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States with the highest rates of children enrolled in Medicaid
New Mexico has the highest rate of youth enrollment in Medicaid/CHIP, while Utah has the lowest, according to new data published by KFF. -
Value-based program saved BCBS North Carolina $650M
Blue Cross and Blue Shield of North Carolina's Blue Premier program has saved nearly $650 million in healthcare costs since it was launched in 2019, the insurer said in an Aug. 22 news release. -
California system latest to side-eye Medicare Advantage
San Diego-based Scripps Health is the latest health system weighing the costs and benefits of Medicare Advantage, The San Diego Union-Tribune reported Aug. 21. -
Employer-sponsored insurance costs to rise 8.5% for 2024: Report
Employers will pay more than $15,000 on average for each employee's healthcare in 2024, according to ananalysis from consulting firm Aon. -
People losing Medicaid face misleading marketing in search for new coverage
People searching for insurance online after losing Medicaid coverage face misleading advertising for limited-benefit plans, a report from the Georgetown University Center for Health Insurance Reforms in Washington, D.C., found. -
Top Medicare Advantage plans for member satisfaction, per J.D. Power
SCAN Health Plan, UPMC and Humana have some of the top-rated Medicare Advantage plans in the country's largest markets, according to J.D. Power. -
Medicaid disenrollments surpass 5 million: 4 things to know
At least 5.2 million people have been disenrolled from Medicaid as of Aug. 21, and 74 percent of those disenrollments have been for procedural reasons, according to data from KFF. -
Medicare Advantage beneficiaries use less post-acute care than those with traditional Medicare: Study
Medicare Advantage enrollees were less likely to report receiving post-acute care after hospitalization than their counterparts in traditional Medicare, a study published Aug. 18 in JAMA Health Forum found. -
States ranked by average annual family health insurance premium
Florida employees with employer-sponsored health insurance paid the highest average annual family premiums in 2022, while Hawaii employees had the lowest premiums, according to new data published by KFF and sourced from the Agency for Healthcare Research and Quality. -
States with the highest health insurance costs for employers
Alaska employers that offer health insurance to their employees paid the highest average annual family premiums per employee in 2022, while North Carolina employers paid the lowest premiums, according to new data published by KFF and sourced from the Agency for Healthcare Research and Quality. -
100 things to know about Medicaid
Medicaid is in the midst of an unprecedented unwinding of continuous coverage requirements. The program is also expanding in some states and adding postpartum coverage. -
CVS Health to lay off 521 Aetna employees
CVS Health will lay off 521 Aetna employees, according to WARN Act documents filed Aug. 18. -
150 things to know about the 'Big 6' health insurers
Here are 150 things to know about UnitedHealth Group, Elevance Health, CVS Health, Cigna Group, Humana and Centene — six leading health insurers in the U.S. -
Blue Shield of California's PBM shakeup won't hurt earnings, CVS execs say
CVS Health said Blue Shield of California's decision to swap CVS Caremark for Amazon Pharmacy and Mark Cuban's Cost Plus Drug Co. will have an "immaterial impact" on the company's long-term outlook. -
5 payers with co-branded Medicare Advantage plans
Co-branded Medicare Advantage plans shared between two organizations are nothing new, but payers continue to dive into new partnerships in an effort to reach more niche populations across a variety of settings. -
Lawmaker launching investigation into Medicaid prior authorization denials
U.S. Rep. Frank Pallone Jr. is launching an inquiry into prior authorization denials by Medicaid managed care organizations. -
Medicaid in the headlines: 10 recent updates
CMS warned states about their compliance with Medicaid redetermination guidelines, and Medicaid expansion in North Carolina is hitting roadblocks. -
Blue Shield of California shrugs CVS for Mark Cuban, Amazon pharmacies
Blue Shield of California chose Mark Cuban Cost Plus Drug Co. and Amazon Pharmacy on Aug. 17 as its preferred pharmacy networks. -
Another House bill takes aim at prior authorizations
Tennessee Rep. Mark Green has introduced a bill targeting prior authorization requirements in Medicare and Medicare Advantage, as well as prior authorization fixes for Medicare prescription drug plans. -
7 payers expanding to new markets
Payers are planning moves to new markets in 2024.
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