Biden Administration Finalizes Rule Curbing Use of Short-Term Health Plans
The new regulation reverses a Trump-era policy that expanded access to health plans with fewer benefits than those sold on the Affordable Care Act ’s marketplaces. (Source: NYT)
Source: NYT - March 28, 2024 Category: American Health Authors: Noah Weiland Tags: Patient Protection and Affordable Care Act (2010) Biden, Joseph R Jr Health Insurance and Managed Care Trump, Donald J Regulation and Deregulation of Industry Consumer Protection United States Politics and Government Source Type: news
When Medicaid Comes After the Family Home
Federal law requires states to seek reimbursement from the assets, usually homes, of people who died after receiving benefits for long-term care. (Source: NYT Health)
Source: NYT Health - March 16, 2024 Category: Consumer Health News Authors: Paula Span Tags: Medicaid Health Insurance and Managed Care Real Estate and Housing (Residential) Elderly Poverty Death and Dying Home Health Care Elder Care Appraisals and Valuation (Property) Long-Term Care Insurance Collectors and Collections Scha Source Type: news
With Cyberattack Fix Weeks Away, Health Providers Slam United
Hospitals, doctors and clinics expressed frustration that they will have to wait even longer for reimbursements after hackers paralyzed the largest U.S. billing clearinghouse. (Source: NYT Health)
Source: NYT Health - March 9, 2024 Category: Consumer Health News Authors: Reed Abelson and Julie Creswell Tags: Health Insurance and Managed Care Hospitals Drugs (Pharmaceuticals) Cyberattacks and Hackers Drugstores Computers and the Internet UnitedHealth Group Inc Medicare Doctors ALPHV/BlackCat Federal Bureau of Investigation American Hospit Source Type: news
Cyberattack Paralyzes the Largest US Health Care Payment System
The hacking shut down the nation ’s biggest health care payment system, causing financial chaos that affected a broad spectrum ranging from large hospitals to single-doctor practices. (Source: NYT Health)
Source: NYT Health - March 6, 2024 Category: Consumer Health News Authors: Reed Abelson and Julie Creswell Tags: your-feed-healthcare Health Insurance and Managed Care Finances Hospitals Drugs (Pharmaceuticals) Doctors Cyberattacks and Hackers Chemotherapy Cyberwarfare and Defense Medicare Politics and Government Drugstores United States Poli Source Type: news
Paid Family Caregivers in Indiana Face Steep Cutbacks
Now that federal pandemic-era funds are shrinking, states like Indiana are ending or curtailing programs that finance home care by relatives of seriously ill children and adults. (Source: NYT Health)
Source: NYT Health - March 4, 2024 Category: Consumer Health News Authors: Ted Alcorn and Kaiti Sullivan Tags: Health Insurance and Managed Care Medicaid States (US) Families and Family Life Coronavirus (2019-nCoV) Disabilities Home Health Care Budgets and Budgeting United States Politics and Government State Legislatures Government Contracts a Source Type: news
Memphis-Area Managed Care Plans
Rank
Rank / Prior rank / URL
Local full-time employees
Types of plans
Participating local physicians (Source: bizjournals.com Health Care:Pharmaceuticals headlines)
Source: bizjournals.com Health Care:Pharmaceuticals headlines - March 1, 2024 Category: Pharmaceuticals Source Type: news
UnitedHealth Cyberattack Disrupts Prescription Drug Coverage
For nearly a week, people have been waylaid at pharmacies after a unit of the nation ’s largest insurer was shut down by a possible ransomware assault. (Source: NYT Health)
Source: NYT Health - February 26, 2024 Category: Consumer Health News Authors: Reed Abelson Tags: Drugs (Pharmaceuticals) Health Insurance and Managed Care Drugstores Computer Security E-Commerce Hospitals Cyberattacks and Hackers Optum Inc UnitedHealth Group Inc Walgreen Co your-feed-healthcare Source Type: news
What to Know About Xolair and Food Allergies
The drug does not completely prevent reactions, but it can reduce the risks posed by trace amounts of food allergens. (Source: NYT Health)
Source: NYT Health - February 25, 2024 Category: Consumer Health News Authors: Roni Caryn Rabin Tags: your-feed-science Allergies Food Children and Childhood Drugs (Pharmaceuticals) Immune System Clinical Trials Research Health Insurance and Managed Care Source Type: news
Staggering Rise in Catheter Bills Suggests Medicare Scam
Seven medical supply companies made suspicious claims involving thousands of Medicare beneficiaries, an advocacy group found. (Source: NYT Health)
Source: NYT Health - February 9, 2024 Category: Consumer Health News Authors: Sarah Kliff and Katie Thomas Tags: your-feed-science your-feed-healthcare Health Insurance and Managed Care Catheters Medicare Elderly Forgery Frauds and Swindling Source Type: news
CMS: Medicare and Medicaid Programs; Patient Protection and Affordable Care Act; Advancing Interoperability and Improving Prior Authorization Processes for Medicare Advantage Organizations, Medicaid Managed Care Plans, State Medicaid Agencies, Children's Health Insurance Program (CHIP) Agencies and CHIP Managed Care Entities, Issuers of Qualified Health Plans on the Federally-Facilitated Exchanges, Merit-Based Incentive Payment System (MIPS) Eligible Clinicians, and Eligible Hospitals and Critical Access Hospitals in the Medicare Promoting Interoperability Program
Notice of final rule from the Centers for Medicare& Medicaid Services (CMS) aiming to improve the electronic exchange of healthcare data and streamline processes related to prior authorization through new requirements for Medicare Advantage (MA) organizations, state Medicaid fee-for-service (FFS) programs, state Children's Health Insurance Program (CHIP) FFS programs, Medicaid managed care plans, CHIP managed care entities, and Qualified Health Plan issuers on the Federally-facilitated Exchanges. This final rule will also add new measures for eligible hospitals and Critical Access Hospitals (CAHs) to report under the Medic...
Source: Federal Register updates via the Rural Assistance Center - February 8, 2024 Category: Rural Health Source Type: news
Centene reports profit up last year, increases 2024 premium guidance by $2.5B
Total managed care membership grew slightly from 27.06 million in 2022 to 27.47 million. Within that total, however, membership in Marketplace, which is individual care under the Affordable Care Act – also referred to as “Obamacare -- increased by 87% -- from 2.07 million in 2022 to 3.90 million last year. (Source: bizjournals.com Health Care:Pharmaceuticals headlines)
Source: bizjournals.com Health Care:Pharmaceuticals headlines - February 6, 2024 Category: Pharmaceuticals Authors: James Drew Source Type: news
TRIUNE Health Group grows by integrating Advanced Disability Management
TRIUNE Health Group and Advanced Disability Management (ADM) are excited to announce the integration of their two privately owned Managed Care companies, effective immediately allowing TRIUNE to expand their coverage in California. LOMBARD, Ill., Feb. 5, 2024 /PRNewswire-PRWeb/ -- TRIUNE... (Source: PRWeb: Medical Pharmaceuticals)
Source: PRWeb: Medical Pharmaceuticals - February 5, 2024 Category: Pharmaceuticals Tags: LIC Source Type: news
6 Reasons That It ’s Hard to Get Your Wegovy and Other Weight-Loss Prescriptions
An array of obstacles make it difficult for patients to obtain Wegovy or Zepbound. Finding Wegovy is “like winning the lottery,” one nurse practitioner said. (Source: NYT Health)
Source: NYT Health - February 2, 2024 Category: Consumer Health News Authors: Reed Abelson and Rebecca Robbins Tags: Drugs (Pharmaceuticals) Semaglutide (Drug) Drugstores Weight Shortages Health Insurance and Managed Care Diabetes Factories and Manufacturing Prices (Fares, Fees and Rates) Obesity Eli Lilly and Company IQVIA Inc Novo Nordisk A/S Source Type: news
U.S. Makes Initial Offers in Medicare Drug Price Negotiations
The offers amount to a starting gun in the price talks between the federal government and the makers of 10 prescription drugs that have been selected for negotiations. (Source: NYT Health)
Source: NYT Health - February 1, 2024 Category: Consumer Health News Authors: Noah Weiland Tags: Medicare Drugs (Pharmaceuticals) Prices (Fares, Fees and Rates) Health Insurance and Managed Care Inflation Reduction Act of 2022 Biden, Joseph R Jr Health and Human Services Department Centers for Medicare and Medicaid Services United Sta Source Type: news
Buried in Wegovy Costs, North Carolina Will Stop Paying for Obesity Drugs
Starting April 1, state employees in North Carolina will no longer have insurance coverage for costly weight-loss medications like Wegovy and Zepbound. (Source: NYT Health)
Source: NYT Health - January 27, 2024 Category: Consumer Health News Authors: Rebecca Robbins Tags: Health Insurance and Managed Care Drugs (Pharmaceuticals) Obesity Novo Nordisk A/S North Carolina Source Type: news
