by Jordana Choucair | Oct 26, 2022 | Payers
According to Kaiser Family Foundation’s 22nd annual survey of state Medicaid directors, states expect growth in Medicaid enrollment to slow to 8.4 percent in FY 2022 before declining by 0.4 percent in FY 2023. Simultaneously, total Medicaid spending growth – federal...
by Jordana Choucair | Oct 26, 2022 | Payers
An article in the Wall Street Journal examines how a “methodological quirk” is turning health insurance from a driver of inflation into a deflationary drag. The Department of Labor bases the price of health insurance in large part on health-insurer profits, which are...
by Jordana Choucair | Oct 26, 2022 | Payers
Centene announced it has selected Express Scripts as its new pharmacy benefit manager (PBM), ending its current partnership with CVS Health’s Caremark. Express Scripts will manage pharmacy benefits for 20 million Centene members beginning in 2024 in a contract valued...
by Jordana Choucair | Oct 26, 2022 | Payers
The House Oversight and Reform Committee released a report indicating that some of the nation’s largest insurers and PBMs violate the Affordable Care Act (ACA) by imposing restrictions on birth control products. The investigation found that most companies excluded 34...
by Jordana Choucair | Oct 25, 2022 | Payers
JPMorgan announced it is partnering with Vera Whole Health to launch three new office-based primary care locations in Ohio. The launch is part of the collaboration between the company’s benefits team and Morgan Health, a new business unit within the firm focused on...
by Jordana Choucair | Oct 25, 2022 | Payers
The Centers for Medicare & Medicaid Services (CMS) announced new requirements for the Special Focus Facility (SFF) Program to change how nursing homes are evaluated. CMS is making it harder for a low-quality nursing home to make it out of the SFF, which seeks to...
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