Payer

Highmark Wholecare has increased its Medicaid membership by nearly 25 percent since August, growing to more than 375,000 members. 

At least 28 states increased Medicaid reimbursement rates for behavioral health services in 2022, or plan to in 2023, according to a report from Kaiser Family Foundation. 

Surgeon General Vivek Murthy, MD, said the stories he heard from clinicians in a recent listening session about the challenges prior authorizations pose were "deeply touching and I'd say disturbing as well."

The number of uninsured people in the United States is declining, with gains in coverage concentrated among young people, Latino people and American Indians/Alaska Natives, according to new data from HHS. 

Many co-op insurance plans, created by the ACA, struggled to stay afloat. Montana's Mountain Health Co-op is still thriving, however, anchored by a desire for a competitive market and unique benefits, the Montana Free Press reported Jan. 16. 

HHS and CMS have spoken to Illinois officials to discuss "serious issues" raised in a November report about Centene's foster care contract performance, the Chicago Sun-Times reported Jan. 13.  

UnitedHealth Group is planning to integrate more behavioral and home health services into its care delivery strategy as the company continues to expand its value-based care offerings.

UnitedHealthcare is projecting 900,000 more Medicare members in 2023 across its individual, group and D-SNP lines of business.

UnitedHealth Group says a so-called 'tripledemic' of respiratory diseases in late 2022 had no noticeable impact on U.S. healthcare costs.

From new studies to court rulings and contract disputes, here are 10 Medicare Advantage updates Becker's has reported since Jan. 3.