Medicaid
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MedCity Influencers, Opinion, Payers
It’s Not Just Work Requirements; Food Insecurity is a Multidimensional Issue
Twelve short years ago I was a single mother, pregnant and surviving off of food stamps where I relied on the support of the SNAP program. Now, I’ve been given the opportunity to build a platform where I can give a voice to those in similar positions that I once was in and advocate for their needs.
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How Walgreens Is Supporting Patients During Medicaid Redeterminations
Now that Medicaid redeterminations have resumed, Walgreens is supporting patients by educating them about renewals and helping them navigate through the process, execs said at AHIP 2023 in Portland.
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Payer’s Place: Dawn Maroney
Dawn Maroney, President, Markets of Alignment Health and CEO of Alignment Health Plan, to discuss how they are using technology to provide better service and care to consumers.
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How State Medicaid Programs Are Responding to the Behavioral Health Crisis
The Substance Abuse and Mental Health Services Administration identifies three core crisis services that should be available to those in need of behavioral health support: crisis hotlines, mobile crisis units and crisis stabilization. However, 33 state Medicaid programs don’t cover all of these services, a new analysis by the Kaiser Family Foundation found.
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Most Medicaid Enrollees Are Unaware About the Return to Eligibility Renewals
The Medicaid continuous enrollment provision ended March 31, meaning states are resuming the renewal process for Medicaid and disenrolling those who no longer qualify for coverage or don’t renew coverage. Most Medicaid enrollees are unprepared for this, a survey from the Kaiser Family Foundation showed.
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New Analysis Shows 9 Key Metrics That Will Support Medicaid Coverage During Redeterminations
Between eight to 24 million people could lose Medicaid coverage during the redetermination process, which began April 1, according to Kaiser Family Foundation. To mitigate losses, several states have implemented policies like taking the full year to complete renewals and automating the process.
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Biden Administration Introduces Plan To Expand Medicaid, ACA Coverage to DACA Recipients
By the end of the month, the Department of Health and Human Services (HHS) is expected to release a proposed rule that would allow DACA recipients to apply for healthcare coverage through the Health Insurance Marketplace or through their state Medicaid organization.
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Consumer / Employer, Health Tech
Zocdoc Adds FQHCs to Marketplace To Support Medicare, Medicaid Beneficiaries
Zocdoc, a healthcare marketplace, is adding Federally Qualified Health Centers (FQHCs) to its platform. Patients are now able to find and book appointments with FQHCs working with Zocdoc on the company’s website or app, and can filter based on factors like specialty and location.
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Stop, Drop and Reenroll: How Medicaid Redeterminations, Renewals, and Disenrollment Can Affect the Revenue Cycle
Florida healthcare providers are prone to experience unpredictable changes in the revenue cycle when Medicaid plans begin the redetermination, renewal, and disenrollment process.
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What Gives 3 Execs Comfort and Concern About Medicaid Redeterminations
During a panel at the AHIP Medicare, Medicaid, Duals and Commercial Markets Forum, three executives were asked what gives them comfort about the return to Medicaid redeterminations, as well as what worries them. One CMS official said she’s pleased that states are ramping up communication efforts for Medicaid enrollees, but is concerned about the “insurmountable task” ahead.
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Applying Remote Patient Monitoring to Surgery Prep and Recovery, Oncology and Women’s Health
Join us to learn about the latest trends in remote monitoring and how to extend its benefits beyond chronic conditions to more patients – all while using fewer staff resources.
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Bipartisan Legislation Efforts Build Against PBMs
A bipartisan group of House representatives introduced the Drug Price Transparency in Medicaid Act on Friday. The bill would ban spread pricing in Medicaid programs.
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AHIP-led Coalition Aims To Reduce Coverage Losses Amid Pending Medicaid Redeterminations
AHIP and several other healthcare organizations launched the Connecting to Coverage Coalition last week in an effort to make the upcoming Medicaid redetermination process run smoothly. The coalition’s website includes studies on Medicaid redeterminations and frequently asked questions for enrollees. AHIP also released a report that shows 53.6% of those who will lose coverage will transition to employer-sponsored insurance and 21.2% will become uninsured.
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Consumer / Employer, Health Tech, Hospitals, SYN
Medicaid Expansion Isn’t All That Impactful Without Proper Education, OSF Research Finds
Results from a recent study conducted by OSF Healthcare and Bradley University show that expanding Medicaid to more people hasn’t increased underserved populations’ access to healthcare as much as lawmakers have hoped. The findings shone a light on where hospitals should focus their outreach efforts for Medicaid education.
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Medicaid/CHIP Enrollment Will Grow To Nearly 95M by the End of March, Analysis Predicts
By the end of March, Medicaid/CHIP enrollment will have grown by 23.3 million members since the start of the pandemic, according to a Kaiser Family Foundation report. This is largely due to the continuous enrollment provision enacted during the pandemic, which barred states from disenrolling members and is set to expire March 31.
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64% of Medicaid Enrollees Are Unaware of Redeterminations. How Can the Industry Help?
After three years of not having to renew Medicaid coverage, redeterminations are set to return April 1. Yet, more than 64% of enrollees are unaware. Constant repetition and outreach from healthcare players will be needed to combat this, one payer expert said.
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Why Blue Shield of California Made Its Wellvolution Platform Available to Medi-Cal Members
Blue Shield of California’s Wellvolution platform includes programs for mental health, diabetes reversal, addiction and nutrition. Last month, the payer made the platform available to its Medi-Cal members, a process that took two years.
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Payer’s Place: Dr. Anil Singh
Dr. Anil Singh shares his insights into the strategies employed by the organization to identify the most effective digital solutions for their members.
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Discover the Next-Gen Platform for Integrated Collaborative Care
Beyond EHRs and digital front doors, reducing the gaps in patient care journeys.
