Payer

CMS has approved Illinois' proposal to expand Medicaid payments for school-based healthcare services. 

More than 14 million people could lose their dental coverage as Medicaid redeterminations begin, according to data from the CareQuest Institute for Oral Health. 

Reduced Medicare and Medicaid payments are having more physicians considering reducing those patient bases, according to Medscape's "Physician Compensation Report" for 2023.  

CMS is allowing states to apply for new waivers that will allow their Medicaid programs to cover services to assist inmates prior to their exit from carceral facilities.

Many ACA individual plan members incur same-day costs for preventive services, a study in Health Affairs found. 

UnitedHealthcare's Medicare Advantage numbers keep growing, and CMS issued new regulations to simplify prior authorizations and crack down on misleading marketing in the program. 

In a recent survey of consumers, 66 percent of participants indicated that access to more accurate provider information would increase their trust in their health plan.

UnitedHealthcare's plans to implement a gold-card program in 2024 might cut another 10 percent of its prior authorization volumes on top of a 20 percent reduction that will roll out this summer, UnitedHealthcare CEO Brian Thompson said during UnitedHealth Group's…

On-label use of new drugs to treat Type 2 diabetes are well managed by current authorization requirements, UnitedHealthcare's CEO Brian Thompson said. 

CMS' risk adjustment changes won't slow down UnitedHealth Group's long-term growth in the program, CEO Andrew Witty told investors.