Managed Care Friday

50,000: The number of Medicaid enrollees Molina gains in Illinois’ Cook County now that it has just agreed to acquire the Medicaid managed care organization NextLevel Health Partners, which is a community-based health plan focused on social determinants. Home Rx: Beginning January 1, 2020, members of Oscar’s insurance plan in New York can select Capsule’s same-day pharmacy service through the Oscar app to start receiving meds straight to their homes at no cost. Yelp The Doctor: Cigna is now giving 5 specialists access to patient reviews and will likely add 7 others this year to help both...

NY Medicaid Cuts Rates 1% Across the Board

As a first step toward addressing an anticipated $6 billion budget deficit for state fiscal year 2020, the New York Medicaid program announced an across-the-board 1% rate cut effective January 1, 2020. The cut affects rates for the majority of Medicaid services as well as capitation rates paid to managed care plans. Click to read more.