13 articles tagged
New federal legislation requiring work verification for Medicaid recipients is creating a major business opportunity for credit agency Equifax, which holds vast employment data.
The Centers for Medicare and Medicaid Services claims five states and D.C. misused over $1 billion on immigrant healthcare, a charge states strongly deny.
Minnesota's government is taking action against Medicaid fraud by hiring a third-party auditor and pausing payments for up to 90 days in 14 high-risk programs.
Oregon health insurer PacificSource is laying off 381 employees, about 20% of its workforce, and exiting major Medicaid markets, impacting over 100,000 members.
The Centers for Medicare and Medicaid Services (CMS) is recalling all furloughed staff starting October 27 to manage open enrollment for Medicare and ACA plans. Nearly half of CMS employees were furlo
Elevance Health expects high Medicaid costs to continue through 2026, with profitability improving by 2027. Rising demand for behavioral health and weight-loss drugs is driving expenses. The company r
A federal investigation reveals that over half of listed mental health providers in some private Medicare plans are not actually available to patients.
A new study in the Journal of the American Medical Association finds that Emergency Medicaid for undocumented immigrants costs less than 1% of the total budget.
Bon Secours has notified patients with Humana Managed Medicaid and Medicare Advantage plans that it may become out-of-network if a new contract is not signed by January 1, 2026.
North Carolina is set to reduce Medicaid reimbursement rates by 3% to 10% on October 1, raising concerns about the impact on healthcare services and rural hospitals.
Colorado will reintroduce a prior authorization rule for Medicaid therapy sessions beyond 24 per year, a move to save $6.1 million amid a state budget crisis.
Nursing home residents and staff in Colorado express deep concern over proposed federal Medicaid cuts, fearing loss of essential care and potential facility closures.
