Weekly Medicaid Update

Oct 18, 2023 | Medicaid

The brief highlights recent Medicaid policy developments in key states over the past week, including, but not limited to: CA – Governor signs bill to phase-in $25 health care minimum wage FL – Releases invitation to negotiate for dental plan reprocurement NE – Expands adult dental benefit Click to read more. 

Managed Care Friday

Oct 13, 2023 | Managed Care Friday

About 80: Types of virtual care losing insurance coverage in December under a new Aetna policy. Coverage ends for some behavioral care services, ophthalmological care, services related to end-stage renal disease and more, according to a notice sent to providers. The health plan will also end audio-only coverage of nearly 60 services, including psychotherapy, counseling for alcohol use disorder, and obesity counseling. We reached out for comment last week and expect a response shortly. Watch Out: Samsung is working with several health systems, including Mass General and Tulane School of...

Weekly Medicaid Update

Oct 11, 2023 | Medicaid

The brief highlights recent Medicaid policy developments in key states over the past week, including, but not limited to: AR: Completes Medicaid redetermination process CA: Introduces fee-for-service Medi-Cal dental coverage in Sacramento MN: Implements double digit rate increases for home and personal care service VA: Expands school-based services coverage Click to read more.

Managed Care Friday

Oct 6, 2023 | Managed Care Friday

1.8 Million: The number of people who received an updated COVID vaccine the week ending September 22. The number isn’t as high as many health professionals hoped, likely due to some glitches with the rollout and lessened demand. The cost for COVID vaccines has also switched from the government over to commercial insurance plans, possibly leading some to forgo the shot due to worry about potential copays, though health plans are not allowed to charge. Let The Drug Price Tactics Begin: Medicare Advantage insurer SCAN is getting ahead of the government's planned drug price negotiations by...

Weekly Medicaid Update

Oct 4, 2023 | Medicaid

The brief highlights recent Medicaid policy developments in key states over the past week, including, but not limited to: FL: Standardizes core assessment requirements for behavior analysis IL: Proposes rate increases for private duty nursing and ambulance services NH: Proposes rate increases for ambulance, home health and more NY: Loosens coverage criteria for continuous glucose monitoring Click to read more.