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...
by Jordana Choucair | May 13, 2022 | Payers
A new study published in the American Journal of Managed Care suggests that Medicare needs to make more home care services reimbursable for accountable care organizations (ACOs) to entice more providers to offer such care. Researchers found that roughly 25 percent of...
by Jordana Choucair | May 11, 2022 | Payers
Oscar Health said it will exit Colorado and Arkansas after the company failed to attract members in those states. During its first-quarter earnings call, Chief Financial Officer Scott Blackley said that the insurtech does not expect the move to have a...
by Jordana Choucair | May 9, 2022 | Payers
A study published in JAMA Health Forum found that prescription drug rebates from drugmakers to commercial health plans are steadily increasing. However, while such rebates can reduce plans’ net costs, they do not reduce patients’ cost sharing. According to the...
by Jordana Choucair | May 6, 2022 | Payers
Centene announced it plans to divest two of its pharmacy businesses for a total of $2.8 billion. The insurer will sell its Magellan Rx subsidiary to Prime Therapeutics, a pharmacy benefit manger (PBM) backed by some of the country’s largest Blues plans, and will...
by Jordana Choucair | May 6, 2022 | Payers
In the wake of the leaked Supreme Court opinion that would overturn Roe v. Wade, employers are contemplating measures to help employees access abortion services. Thus far, at least 12 companies have expressed a commitment to employees’ rights: Amazon, Alloy, Apple,...
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