Rates of "churn" are high among Medicaid recipients who also qualify for Medicare, mostly due to administrative burdens, an analysis published Nov. 30 by Kaiser Family Foundation found.
Payer
From South Dakota voters approving a ballot measure to Georgia moving ahead with a plan with work requirements, here are five recently Medicaid expansion stories reported on by Becker's:
Many local Medicare Advantage markets are largely controlled by one payer, according to the American Medical Association.
Experts and advocates say Medicare is not adequately covering substance abuse treatment for older adults, Roll Call reported Nov. 30.
Humana is projecting at least 100,000 more Medicare Advantage members in 2023 than it originally predicted.
A three-judge arbitration panel in Florida ruled that UnitedHealthcare must award $10.8 million to a TeamHealth clinician group for underpayments from 2017 to 2020.
Highmark Health's strong performance in its insurance division this year has offset losses reported Nov. 30 by the healthcare delivery side of its business.
Medicaid policy experts think North Carolina could be the next state to expand Medicaid, Politico reported Nov. 30.
From striking a deal to sell Magellan Specialty Health to allegedly delivering "unacceptable" performance for its Medicaid managed care contract for Illinois foster youths, here are nine stories about Centene that Becker's has covered since Oct. 31.
Some payers are exiting markets because of economic challenges, while others have been asked to leave by regulators. Here are 11 market exits taking effect in 2023.
