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'Replacing one public health crisis with another': Have Medicaid redeterminations been a disaster?
Medicaid redeterminations have thrown state agencies and millions of vulnerable people into chaos nationwide, a situation being described as an "emerging disaster," according to a July 27 column in the Los Angeles Times by Michael Hiltzik, a Pulitzer prize-winning reporter and writer. -
Molina Healthcare posts 25% net income growth in Q2
Molina Healthcare reported $309 million in net income in the second quarter of 2023, up 24.6 percent from the same time period last year, according to the company's earnings report published July 26. -
12 states providing health coverage to noncitizen immigrants
Several states have expanded Medicaid or other state-funded coverage options to noncitizens, according to an analysis from KFF published July 26. -
Cigna hits back on ProPublica report 'riddled with factual errors'
Cigna Healthcare is pushing back on reporting from ProPublica and a lawsuit in California that accuse the payer of denying large batches of members' claims without individual review, thereby denying them coverage for certain services. -
Payers ranked by Medicare Part D market share
UnitedHealthcare controls almost one quarter of the Medicare Part D plan market, according to an analysis from KFF. -
Blue Shield of California, Microsoft partner on cloud-based member data hub
Blue Shield of California and Microsoft are partnering on a cloud ecosystem that will integrate disparate sources of member data in a consolidated, near-real-time format. -
Weight loss drug market will reach $77B by 2030: Morgan Stanley
Morgan Stanley analysts predict the weight loss drug market will hit $77 billion by 2030, MarketScreener reported July 21. -
5 states with strict premium rate review processes
Most states oversee payers' requests for higher premium rates from members, and some states have additional oversight requirements, including oversight around the financial impact of payer-provider contract negotiations, according to a July 21 analysis from the National Conference of State Legislatures. -
Lawmakers urge 'crack down' on Medicare Advantage payments
A group of lawmakers is urging the Biden administration and Congress to do more to limit Medicare Advantage overpayments, misleading marketing and prior authorization denials. -
Medicare Advantage prior authorization reform bill passes House committee
A bill aiming to reform the Medicare Advantage prior authorization process was included in a package of healthcare legislation that passed the House Ways and Means Committee and is headed to the full House for further consideration. -
10 providers seeking payer contracting talent
Ten providers recently posted job listings seeking leaders in payer contracting and relations. -
BCBS Tennessee mailed 2.5K+ letters with members' information to outdated addresses
A system error caused BlueCross BlueShield of Tennessee to mail 2,688 letters to outdated addresses. -
Higher-risk enrollees more likely to use Medicare Advantage supplemental benefits, Elevance Health finds
Medicare Advantage enrollees who use supplemental benefits are more likely to live in areas with fewer resources, according to a report from the Elevance Health Public Policy Institute. -
9 states negotiating Medicaid prices for Wegovy
Nine state Medicaid programs currently cover Wegovy, Novo Nordisk's high-priced weight loss drug, Bloomberg Law reported July 26. -
3 payers expanding California ACA offerings
Aetna, Inland Empire Health Plan and Health Net will expand their reach on Covered California, the state's ACA exchange, in 2023. -
AHIP, AMA, NAACOS partner to address 5 data challenges in value-based care
Better data sharing practices can improve value-based care arrangements, according to a new report from AHIP, the American Medical Association and the National Association of Accountable Care Organizations. -
Aetna in the headlines: 7 recent updates
Aetna has been involved in a series of legal challenges and garnered workforce awards in recent weeks. -
Virginia paid $21.8M for care for Medicaid enrollees that had already died, OIG audit finds
Virginia made capitation payments for thousands of Medicaid enrollees after their deaths, an audit from HHS' Office of Inspector General found. -
Florida reaches settlement in Medicaid incontinence supplies lawsuit
Florida has reached a settlement in a class-action lawsuit that is expected to result in the state's Medicaid program providing incontinence supplies to adults with disabilities, NPR affiliate WGCU reported July 24. -
The wide range of Medicaid disenrollment rates
There is a wide variation in Medicaid disenrollment rates across reporting states, ranging from 82 percent in Texas to 10 percent in Michigan, according to a July 24 KFF report.
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