Payer Policy Updates

CMS will require states to provide Medicaid coverage for certain services for incarcerated youth within 30 days of their release date. 

CMS is implementing a voluntary demonstration program designed to test policy changes to stabilize premiums year to year for Medicare Part D enrollees. 

Medicare Advantage won't be out of federal watchdogs' sights anytime soon. 

Humana CEO Jim Rechtin is putting his support behind federal legislation aimed at reforming the Medicare Advantage prior authorization process. 

North Carolina will cover GLP-1 drugs for weight loss through its Medicaid program. 

CMS has issued new policies aimed at blocking "unauthorized changes" from brokers when enrolling individuals on the state and federal health insurance exchanges.

A federal judge rejected Georgia's request to extend its Medicaid work requirement program, the Georgia Recorder reported July 16. 

Eight payers have signed an agreement to promote value-based payment models in Washington state. 

Illinois Gov. JB Pritzker has signed a pair of health insurance reform bills into law.

A federal judge has paused implementation of CMS regulations capping the amount Medicare Advantage companies can pay brokers that sell their plans.