Policy Updates Archives - Page 35 of 49 - Becker's Payer Issues

175 groups urge UnitedHealthcare to halt GI prior authorization policy

A coalition of 175 organizations have signed a letter urging UnitedHealthcare not to implement a new gastroenterology endoscopy prior authorization policy that is set to go into effect June 1.

Medicaid redeterminations are going worse than expected, experts say

After a three-year period of continuous Medicaid/CHIP enrollment under the COVID-19 public health emergency, states could begin terminating coverage for ineligible residents in April. With redeterminations underway, health policy experts say too many people in some states are losing health…

Florida terminates Medicaid coverage for 250,000

Florida has disenrolled nearly 250,000 individuals from its Medicaid program over the last month, the Tampa Bay Times reported May 17.

Sanders reintroduces single-payer Medicare bill with record sponsors

Sen. Bernie Sanders, along with Rep. Pramila Jayapal and Rep. Debbie Dingell, introduced the Medicare for All Act of 2023 on May 17 to create a federally administered single-payer healthcare system.

Appeals court pauses Texas ruling against ACA preventive care coverage

The U.S. 5th Circuit Court of Appeals has temporarily blocked a Texas court's ruling earlier this year that struck down an ACA provision requiring payers and employers to provide coverage for preventive services.

Medicaid work requirements would have 'negligible effect on employment,' CBO says

The Congressional Budget Office said a proposal to add work requirements for Medicaid eligibility would have "a negligible effect on employment status or hours worked by people who would be subject to the work requirements."

CMS proposes rate transparency rules for Medicaid

CMS proposed two new rules April 27 that would establish national standards of care provided through fee-for-service Medicaid/CHIP and managed care plans, along with a requirement to publicly disclose provider payment rates online.

AMA leads push against Cigna modifier 25 policy

The American Medical Association and more than 100 physician and healthcare organizations are asking Cigna to reconsider a policy they say will add administrative costs and burdens and potentially negatively affect patients.

600,000 would be kicked off Medicaid under work requirement proposal: CBO

House Republicans' Medicaid work requirement proposal would result in an estimated 600,000 people losing coverage, the Congressional Budget Office said in an April 25 report.

HHS releases proposed rule to expand Medicaid, ACA access to DACA recipients

HHS unveiled its proposed rule that, if finalized, would expand healthcare coverage access to an estimated 129,000 previously uninsured Deferred Action for Childhood Arrivals program recipients.