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AHIP backs legislation expanding Medicare Advantage supplemental benefits
Two lawmakers are introducing legislation that would expand the scope of supplemental benefits offered in Medicare Advantage. -
AHIP, health systems on opposite sides of No Surprises Act debate
Payers and providers don't agree on much when it comes to the No Surprises Act dispute resolution process. -
New Mexico orders payers to expand behavioral health access
New Mexico's superintendent of insurance has ordered payers operating in the state to expand access to behavioral health services, the Albuquerque Journal reported Sept. 19. -
Some health plans slow to cover new COVID booster
Updated COVID-19 boosters have started rolling out to pharmacies nationwide, but some individuals are reporting a high price tag associated with getting a shot. -
Oregon to establish basic health program for lower income adults
Oregon is asking CMS to approve a basic health program for lower-income individuals who make too much to qualify for Medicaid, a move that could raise premiums prices on the state's individual insurance market. -
Hawaii pausing Medicaid terminations in wake of wildfires
Hawaii is pausing Medicaid disenrollments for all Hawaii residents for the remainder of 2023 in the wake of the Maui wildfires. -
What 3 payers have said about their prior authorization cuts
As prior authorizations have come under the regulatory and legislative microscope, several payers have announced cuts to their requirements. -
BCBS Michigan to cut 20% of prior authorization requirements
Blue Cross Blue Shield of Michigan is the latest payer to announce it is scaling back its prior authorization requirements. -
UnitedHealthcare's prior authorization cuts begin
The first wave of UnitedHealthcare's prior authorization cuts began Sept. 1. -
CMS to states: Fix your broken Medicaid eligibility systems
CMS is urging states to correct an issue that could result in eligible people being removed from Medicaid. -
UnitedHealthcare community plans prior authorization cuts by category
UnitedHealthcare is cutting 20 percent of its prior authorizations in two waves. The first cuts take effect Sept. 1 and the second phase goes into effect Nov. 1. -
North Carolina Medicaid expansion unlikely in 2023
North Carolina's Medicaid expansion could be delayed until 2024, North Carolina Health News reported Aug. 29. -
UnitedHealthcare individual exchange plan prior authorization cuts by category
UnitedHealthcare is cutting 20 percent of its prior authorizations in two waves. The first cuts take effect Sept. 1 and the second phase goes into effect Nov. 1. -
Texas HHS employees sound alarm on "numerous and growing issues" during Medicaid unwinding
Anonymous employees with Texas HHS have filed a whistleblower complaint against the agency over "numerous and growing system issues" they say are leading to incorrectly terminated health coverage during the Medicaid redeterminations process, according to an Aug. 24 Nexstar report. -
CMS pitches guidance for Medicare Part D monthly payment plan: 5 things to know
CMS published draft guidance for a new program that will allow Medicare Part D beneficiaries to spread out their out-of-pocket prescription costs over an entire year. -
UnitedHealthcare's Medicare Advantage prior authorization cuts by category
UnitedHealthcare is cutting 20 percent of its prior authorizations in two waves. The first cuts take effect Sept. 1 and the second phase goes into effect Nov. 1. -
CMS updates ACO Reach: 5 things to know
CMS will make several tweaks to the ACO REACH model in 2024, designed to make payments from the model more predictable for participants and adjust equity benchmarks. -
UnitedHealthcare's commercial plan prior authorization cuts by category
UnitedHealthcare is cutting 20 percent of its prior authorizations in two waves. The first cuts take effect Sept. 1 and the second phase goes into effect Nov. 1. -
3 payers halting policies after pushback
Humana, UnitedHealthcare and Cigna changed or paused policies this year after receiving criticism from medical groups and other organizations. -
UnitedHealthcare's prior authorization cuts to begin Sept. 1
The first wave of UnitedHealthcare's previously announced 20 percent reduction in prior authorization requirements takes effect Sept 1.
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