Medicaid – Page 22 – medicarereport.org

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Virginia paid $21.8M for care for Medicaid enrollees that had already died, OIG audit finds

(By Rylee Wilson for Becker’s Hospital Review ) Virginia made capitation payments for thousands of Medicaid enrollees after their deaths,

Eileen Cook July 26, 2023 Capitation Payments, DHS -Office of Inspector General, Healthcare Finance, Medicaid, Virginia

DHS -OIG Medicaid

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

Eileen Cook July 20, 2023 DHS -Office of Inspector General, Medicaid Managed Care, Prior Authorization

Affordable Care Act (ACA)Health Insurance Medicaid Medicare - General

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

Eileen Cook June 15, 2023June 15, 2023 ACA, Health Insurance, Healthcare Costs, Medicaid, medicare

CMS Medicaid Medicare - General Part D/Prescription Drugs

Weight 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

Eileen Cook June 12, 2023June 12, 2023 CMS, Medicaid, medicare, Medicare Part D, weight loss drugs

CMS Health Care Finance Medicaid Medicare - General

Why 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,

Eileen Cook June 6, 2023June 6, 2023 CMS, Medicaid, medicare, Pay Cuts, Physicians, Reimbursment

Affordable Care Act (ACA)Health Insurance Medicaid Uninsured/Underinsured

CBO: 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

Eileen Cook May 26, 2023May 26, 2023 ACA, CBO, Medicaid, Uninsured

CMS Medicaid Medicare - General Medicare Advantage Mental Health/Behavioral Health

CMS: 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

Eileen Cook May 25, 2023May 25, 2023 Cancer Screenings, CMS, Dual Eligible, Medicaid, medicare, Mental Health

CMS Medicaid Part D/Prescription Drugs Price Transparency

CMS 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

Eileen Cook May 24, 2023May 24, 2023 CMS, Drug price Transparency, Managed Care plans, Medicaid, PBM

CMS Medicaid

Medicaid 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

Eileen Cook April 28, 2023April 28, 2023 CMS, Dual Eligible, Medicaid, medicare, Older Adults

Affordable Care Act (ACA)CMS Medicaid

CMS 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

Eileen Cook April 19, 2023April 19, 2023 ACA, CMS, Medicaid, Special Enrollment periods