South Dakota voters approved a measure to expand the state's Medicaid program under the ACA, but a slow rollout could occur, a Georgetown professor told Kaiser Health News Nov. 10.
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Clover Health CEO Andrew Toy told investors Nov. 7 that the company is reducing its participation in CMS' ACO Reach model by two-thirds.
UnitedHealth Group's acquisition of home-health firm LHC Group is reportedly on track to be completed by December. The deal is one of several large mergers and acquisitions conducted by the company this year.
CenterWell, Humana's primary care organization, will open three primary care clinics for older adults in Louisville, Ky., as it continues to expand its footprint.
CareFirst BlueCross BlueShield has named Matthew Snyder, former senior vice president of internal audit, compliance and risk management at Centene, as its first chief risk officer.
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Ohio's Summit County has 87 Medicare Advantage plan options to choose for 2023, more than twice the national average of 43, according to a Nov. 10 report from the Kaiser Family Foundation.
From Pennsylvania passing a bill to streamline the process, to 95 percent of hospitals reporting increased staff time seeking approvals, here are eight stories about prior authorization that Becker's has reported since Sept. 20.
A majority of Medicare Advantage plans use some kind of alternative payment model, a survey from the Healthcare Payment Learning and Action Network found.
Bright Health is ending its Medicare Advantage plans in Florida, leaving California as the sole state where the insurer is offering plans.
The Arkansas Department of Human Services has launched a grant program for community-based organizations to assist the state's Medicaid beneficiary outreach efforts ahead of the eventual end of the COVID-19 public health emergency.