by Jessica Casebolt | Mar 30, 2023 | Payers, Tea Leaves
Bill Cassidy and Jeff Merkley introduced legislation to cut overpayments to Medicare Advantage plans by updating risk adjustment policies, with Cassidy saying in a statement that the bill will help squeeze out waste in the MA program. The legislation comes amid...
by Jessica Casebolt | Mar 29, 2023 | Payers, Tea Leaves
UnitedHealthcare, the nation’s largest health insurer, is expected to announce plans today to reduce the number of prior authorization requirements for a list of medical procedures and devices. The insurer also said it would eliminate, starting next year, many...
by Jessica Casebolt | Mar 23, 2023 | Payers, Tea Leaves
California Governor Gavin Newsom is tapping federal health care funding to cover rent for homeless people and those at risk of losing their housing. States are barred from using federal Medicaid dollars to pay directly for rent, but California’s governor is asking the...
by Jessica Casebolt | Mar 21, 2023 | Payers, Tea Leaves
The Medicaid and CHIP Payment and Access Commission (MACPAC) released proposals for Congress as part of its March report last week and included a recommendation that would give states the power to not pay full prices under Medicaid for drugs approved under the Food...
by Jessica Casebolt | Mar 20, 2023 | Payers, Tea Leaves
A group of House lawmakers is hoping to outlaw the use of spread pricing by pharmacy benefit managers (PBMs) in the Medicaid program. The Drug Transparency in Medicaid Act, reintroduced Friday, is the latest PBM reform bill launched by this Congress. The bipartisan...
by Jessica Casebolt | Mar 16, 2023 | Payers, Tea Leaves
As the public health emergency ends, Medicaid enrollees and the health insurance companies that cover them face major disruptions in the coming months as states resume removing people who no longer qualify for the program. A Modern Healthcare article states that an...
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