Payer

Payers and some provider groups are pushing back on a slate of proposed Medicare Advantage regulatory changes from CMS. Here are nine updates about the program Becker's has reported since March 7. 

New York provides the most comprehensive behavioral health coverage to fee-for-service Medicaid beneficiaries, while South Carolina provides the least, according to an analysis published March 17 by Kaiser Family Foundation.

Mississippi Gov. Tate Reeves vetoed a pair of bills that aimed to speed up the prior authorization process and fine health insurers for inequalities in reimbursement rates, the Mississippi Free Press reported March 16. 

Novel therapeutics are innovative pharmaceutical and biotech products that improve clinical outcomes, but payers face many challenges when deciding whether to cover them, according to a new report from the Center for Connected Medicine at Pittsburgh-based UPMC and KLAS Research.

Florida has been supervising Bright Health's operations in the state since last fall and plans to continue until at least May 1.

As CMS prepares to implement tougher risk adjustment data validation audits in Medicare Advantage, payers and providers can take steps to boost their compliance efforts. 

Florida lawmakers are looking to limit residents' ability to sue insurance companies in an effort to decrease costs, the Miami Herald reported March 14.

UnitedHealth Group members have asked a federal appeals court to reassess a former ruling in favor of a UnitedHealth subsidiary they say has led to "disastrous consequences" for employee benefit plans and millions of mental health and addiction patients.

With Medicaid redeterminations set to begin April 1, Google is updating its search engine for beneficiaries to find re-enrollment information where they live. 

Blue Cross and Blue Shield of North Carolina is backing bills in the North Carolina Legislature to allow the payer to move some of its assets to a nonprofit holding company, Business North Carolina reported March 13.