Medicaid managed care organizations deny 1 in 8 prior authorization requests: OIG
(By Rylee Wilson for Becker’s Hospital Review) HHS’ Office of Inspector General raised concerns about the rate of prior authorization
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Medicaid
KFF Survey Shows Complexity, Red Tape, Denials, Confusion Rivals Affordability as a Problem for Insured Consumers, With Some Saying It Caused Them to Go Without or Delay Care
(Contact Craig Palosky for the Kaiser Family Foundation published June 15, 2023) Most (58%) people with health insurance say they
Read MoreWeight loss drugs and CMS coverage: Why all eyes are on Medicare
(By Rylee Wilson for Becker’s Hospital Review) New GLP-1 drugs to treat diabetes and obesity can be expensive, and most
Read MoreWhy some physicians are breaking up with Medicare
(By Riz Hatton for Becker’s Hospital Review) Sixty-five percent of physicians plan to continue treating Medicare and Medicaid patients, according
Read MoreCBO: Uninsured rate to reach 10 percent by 2033
(By Rylee Wilson for Becker’s Hospital Review) More people will be uninsured in 2033 than in 2023 as Medicaid continuous
Read MoreCMS: Dual-eligible Medicare Advantage members less likely to receive cancer screenings, mental healthcare
(By Rylee Wilson for Becker’s Hospital Review) Individuals who are dually eligible for Medicare and Medicaid had lower scores on
Read MoreCMS proposes rules to improve Medicaid drug price transparency
(By Rylee Wilson for Becker’s Hospital Review) CMS is proposing a set of rules for drug manufacturers, pharmaceutical benefit managers
Read MoreMedicaid Arrangements to Coordinate Medicare and Medicaid for Dual-Eligible Individuals
(Maria Peña, Maiss Mohamed, and Alice Burns Kaiser Family Foundation Published: Apr 27, 2023) There are 12.5 million people enrolled
Read MoreCMS to limit non-standard ACA plans, add special enrollment periods: 5 notes
(By Rylee Wilson for Becker’s Hospital Review) CMS is upping its proposed number of non-standard ACA plans payers can offer
Read MoreMore physicians considering Medicare, Medicaid patient reductions
(Andrew Cass for Becker’s Hospital Review) Reduced Medicare and Medicaid payments are having more physicians considering reducing those patient bases,
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