Payer

Centene could end 2023 with no four-star rated Medicare Advantage contracts, CEO Sarah London told investors on a July 28 call. 

CMS has approved a proposal from California to eliminate asset tests for Medicaid eligibility. 

Early data from Medicaid redeterminations is in line with Centene's expectations for membership losses, executives told investors. 

Molina Healthcare's Medicaid membership declined 93,000 in the second quarter, which was well within expectations, CEO Joe Zubretsky said on the company's July 27 earnings call, according to a transcript from Seeking Alpha. 

Payers are seeing rising costs in the Medicare Advantage population, and lawmakers are proposing reforms to the program's prior authorization process. 

Centene recorded $1.06 billion in net income in the second quarter of 2023 after recording a $172 million loss during the same period last year, according to the company's earnings report released July 28.

Michigan will give Medicaid enrollees an extra month to return enrollment forms before their coverage is terminated through 2024, the state's department of health and human services said July 26. 

Nevada will liquidate Friday Health Plans, making it the last of the seven states to shut down the defunct payer. 

North Carolina Gov. Roy Cooper's administration has said the state's Medicaid expansion will take effect Oct. 1, but the Legislature has not approved the funding needed to launch the program, Politico reported July 26. 

Medicaid redeterminations have thrown state agencies and millions of vulnerable people into chaos nationwide, a situation being described as an "emerging disaster," according to a July 27 column in the Los Angeles Times by Michael Hiltzik, a Pulitzer prize-winning reporter…