chip
-
HHS: Medicaid/CHIP Coverage To Be Reinstated for 500K People
Thirty states have been conducting Medicaid and CHIP automatic renewals incorrectly, leading to many individuals being wrongly removed from coverage. Because of this, nearly 500,000 children and other individuals will have their coverage reinstated.
-
CMS Requires States To Assess Medicaid Disenrollment Process
Some states may not be following federal requirements for the Medicaid renewal process, resulting in many individuals being wrongly removed from coverage, CMS said. Children may especially be affected.
-
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.
-
The Kids Are Not Alright: Why Pediatricians Need to Take Action to Prevent Medicaid Unwinding
Pediatricians and anyone who works with children should proactively reach out to their patients with resources and information about how to maintain coverage. Ask them to make sure their contact information is updated in state databases. Tell them to expect and respond to any communication from the state about their enrollment status.
-
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.
-
Hospitals, MedCity Influencers
The healthcare super-utilizer and the United States of healthcare
The implementation of patient-centric, value-based, wrap-around services that empower provider organizations to care for the whole person is essential to lowering healthcare costs and improving the lives of the super-utilizer population.
-
CMS proposed rule would streamline Medicaid/CHIP enrollment and renewal process
The proposed rule would limit renewals to once every 12 months, allow applicants 30 days to respond to information requests and require consistent renewal processes across states. Currently, the enrollment and renewal process is burdensome and deters many Americans from enrolling even when they’re eligible, CMS said.
-
Top Story, Consumer / Employer
15 million Medicaid/CHIP enrollees will lose coverage after Covid-19 public health emergency ends
Based on historical data, about 17.4% of Medicaid/CHIP enrollees will leave the program once the Covid-19 public health emergency ends. This is because the continuous enrollment requirement, which prohibited states from disenrolling Medicaid participants, will halt.
-
Legal, Patient Engagement, Payers
CMS to fund 60 ACA navigator orgs next year
CMS will provide $80 million to 60 organizations that train ACA navigators — who help consumers find coverage on the federally funded marketplaces — in the 2022 plan year, up from 30 organizations that received $10 million this year.
-
Job losses, federal regulations drove Medicaid enrollment to a historic high
Enrollment in Medicaid and the Children’s Health Insurance Program has reached a record high, with 80 million now covered through these programs. The spike was largely driven by the economic downturn brought on by the pandemic and a federal requirement that prevents states from removing people from the programs until the public health crisis is over.
-
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.
-
CMS data: Fewer adults, children covered by Medicaid used mental health services last year
Use of mental health and substance use services fell by double digits last year for adults and children covered by Medicaid and CHIP, according to a report by the Centers for Medicare and Medicaid Services.
-
Medicare payment for Covid-19 vaccines jumps to $40-$80
CMS has increased the Medicare payment rate by $12 for administering single-dose Covid-19 vaccines and by $35 for two-dose vaccines. The payment increase aims to support providers as they ramp up vaccine administration.
-
With new proposed rules, HHS takes major stab at interoperability framework
New proposed rules from HHS would require government health plans and health plans sold on the federal ACA exchanges to give patients free access and control over their health information by 2020 and to implement an HL7 FHIR-based API to open up data access to third party apps and developers.
-
What will be impact of Trump’s plan to rescind Children’s Health Insurance Program funding?
CHIP, which covers 9 million children from low-income families that earn too much to qualify for Medicaid, is mostly federally funded. But states operate the program within federal guidelines.
-
In big data boost to healthcare research, CMS is releasing Medicare Advantage encounter data
Seema Verma, the head of the Centers for Medicare and Medicaid Services, said the agency is making Medicare Advantage encounter data available to researchers. She made the announcement this week at the Health Datapalooza conference this week.
-
Who will lead effort to refund Children’s Health Insurance Program?
CHIP has had a dramatic effect in lower income states like Alabama, where the childhood uninsured rate dropped from 20 percent in 1997 to under 3 percent in 2015.
Promoted
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.
Promoted
Discover the Next-Gen Platform for Integrated Collaborative Care
Beyond EHRs and digital front doors, reducing the gaps in patient care journeys.
