America's Health Insurance Plans is criticizing an April 27 report from the HHS Office of Inspector General that found Medicare Advantage Organizations sometimes delayed or denied enrollees' access to services even though the request met Medicare coverage rules.
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Kentucky and Oregon are creating basic health plan programs to make coverage more affordable to low-income residents, Politico reported April 30.
New England residents have the best access to high-quality prenatal and maternal care, according to a recent study from ValuePenguin.
Georgia's plan to bypass the federal ACA marketplace and instead have residents shop through private agents has been suspended by the Biden administration.
GuideWell and Highmark Ventures led a $35 million funding round for kidney population health management company Healthmap Solutions.
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Global investment in insurtech companies broke records in nearly every category in 2021, including total funds invested, deals made, international participation, "unicorn" (companies valued at $1 billion or more) creation, number of companies that went public and the largest single…
CMS issued its final 2023 Medicare Advantage and Part D rule that aims to expand access to care and improve health equity through lower out-of-pocket prescription drug costs and improved consumer protections, according to an April 29 press release.
CMS on April 1 expanded Medicaid and Children's Health Insurance Program coverage to allow state plans to offer postpartum care for 12 months.
Medicare reimbursement rates should not be the standard to which commercial insurance rates are created, according to the American Hospital Association.
From several state audits revealing Medicaid billing errors to an attorney general accusing UnitedHealth of inflating drug costs, here are eight recent stories involving improper Medicaid reimbursements: