by Jordana Choucair | May 23, 2022 | Payers
Oklahoma legislators on Friday approved plans to revamp the state’s Medicaid program into a value-based health care model that incentivizes providers to improve patient health. The plan includes some elements of the Medicaid managed care plan the Stitt...
by Jordana Choucair | May 20, 2022 | Payers
A federal judge struck down a controversial rule that requires drug companies to include copay assistance like coupons into Medicaid rebates. District Court Judge Carl Nichols said that because the rebate statute only refers to the best price made to the insurer and...
by Jordana Choucair | May 19, 2022 | Payers
The Center on Budget and Policy Priorities released a report urging Medicaid managed care plans to prepare for “unprecedented coordination” with state officials to ensure beneficiaries continue to get care after the COVID-19 public health emergency (PHE) ends. Experts...
by Jordana Choucair | May 19, 2022 | Payers
Independence Blue Cross is partnering with Uno Health to make it easier for its Medicare Advantage (MA) members to access state and federal programs that may benefit them. Uno and Independence piloted the partnership beginning in June 2021. To date, more than 700 MA...
by Jordana Choucair | May 17, 2022 | Payers
A new report from RAND found that employers and private insurance plans in 2020 paid hospitals 224 percent of what Medicare paid for the same services. Some states like Hawaii, Arkansas, and Washington had relative prices below 175 percent of Medicare prices, while...
by Jordana Choucair | May 13, 2022 | Payers
The Centers for Medicare & Medicaid Services (CMS) issued a final rule allowing Medicaid to directly pay for independent home health aides’ benefits, including health insurance. The new rule replaces a 2019 policy that required states to pay the full...
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