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February 07, 2024

HALFWAY THROUGH ‘UNWINDING,’ MEDICAID ENROLLMENT IS DOWN ABOUT 10M

Phil Galewitz |  KFF HEALTH NEWS | February 7, 2024 Halfway through what will be the biggest purge of Medicaid beneficiaries in a one-year span, enrollment in the government-run health insurance program is on track to return to roughly pre-pandemic levels. Medicaid, which covers low-income and disabled people, and the related Children’s Health Insurance Program grew to…

February 01, 2024

Medicare Advantage plans could see rates dip slightly in 2025

Rebecca Pifer | February 1, 2024 The CMS proposed a 0.2% dip in MA rates. However, analysts said regulators will likely improve the payment rate in the final notice. Health insurers in Medicare Advantage will see their payment rates drop slightly in 2025 if a new proposed regulation is finalized. The CMS on Wednesday released preliminary…

January 29, 2024

No Surprises Act prevented 10M surprise bills in first nine months of 2023, insurer groups say

Rebecca Pifer | January 29, 2024 AHIP and BCBSA also took aim at providers for allegedly abusing the billing dispute resolution process set up by No Surprises in the latest salvo¬†over the polarizing law. Dive Brief:Federal legislation holding patients blameless for surprise medical charges prevented more than 10 million unexpected bills in the first nine…

October 02, 2023

Hospitals are dropping Medicare Advantage left and right

Jakob Emerson | October 2, 2023 Medicare Advantage provides health coverage to more than half of the nation’s seniors, but a growing number of hospitals and health systems nationwide are pushing back and dropping the private plans altogether. Among the most commonly cited reasons are excessive prior authorization denial rates and slow payments from insurers. Some systems…

August 23, 2023

As drug costs rise, employers would like to see reforms extend to commercial space: Business Group

Paige Minemyer | Aug 23, 2023 The cost of pharmaceuticals is a key topic for policymakers on the Hill, and it should come as no surprise that it’s also a major concern for employers across the country. The Business Group on Health released its annual survey of large employers this week and found that 91%…