Public Inspection: CMS: Medicaid Program: Medicaid and Children's Health Insurance Program Managed Care Access, Finance, and Quality
Pre-publication notice of final rule from the Centers for Medicare& Medicaid Services (CMS) advancing CMS' efforts to improve access to care, quality and health outcomes, and better address health equity issues for Medicaid and Children's Health Insurance Program (CHIP) managed care enrollees. This rule specifically addresses standards for timely access to care and States' monitoring and enforcement efforts, reduces burden for some State directed payments and certain quality reporting requirements, adds new standards that will apply when States use in lieu of services and settings (ILOSs) to promote effective utilization a...
Source: Federal Register updates via the Rural Assistance Center - April 23, 2024 Category: Rural Health Source Type: news
Scotland Pauses Gender Medications for Minors
The change followed a sweeping review by England ’s National Health Service that found “remarkably weak” evidence for youth gender treatments. (Source: NYT Health)
Source: NYT Health - April 18, 2024 Category: Consumer Health News Authors: Azeen Ghorayshi Tags: National Health Service Scotland England Youth Teenagers and Adolescence Gender Medicine and Health Health Insurance and Managed Care Hormones Transgender your-feed-healthcare Source Type: news
Taking Account of Rising Health Care Costs
Have your out-of-network insurance bills skyrocketed? Chris Hamby, an investigative reporter for The Times, may have an explanation. (Source: NYT Health)
Source: NYT Health - April 18, 2024 Category: Consumer Health News Authors: Josh Ocampo Tags: Health Insurance and Managed Care MultiPlan Inc Doctors CIGNA Corporation UnitedHealth Group Inc Aetna Inc Source Type: news
5 Takeaways From a Year of Medicaid Upheaval
In the year after a pandemic-era policy preserving Medicaid coverage lapsed, more than 20 million people were dropped from the program at some point. (Source: NYT)
Source: NYT - April 16, 2024 Category: American Health Authors: Noah Weiland Tags: Medicaid Health Insurance and Managed Care Children and Childhood State Children ' s Health Insurance Program (S-CHIP) Coronavirus (2019-nCoV) United States Politics and Government Source Type: news
Transgender Veterans Sue V.A. Over Gender-Affirming Surgeries
The lawsuit, brought by the Transgender American Veterans Association, said the Veteran Affairs department ’s decision not to offer the procedures was discriminatory. (Source: NYT)
Source: NYT - April 15, 2024 Category: American Health Authors: Aishvarya Kavi Tags: Veterans Transgender Discrimination Surgery and Surgeons Health Insurance and Managed Care McDonough, Denis R Veterans Affairs Department Source Type: news
Were You Stuck With a Big Vet Bill? Tell Us About It.
We want to hear from pet owners about their experiences taking their animals to the vet, and how they paid for their animals ’ care. (Source: NYT Health)
Source: NYT Health - April 11, 2024 Category: Consumer Health News Authors: Katie Thomas Tags: Pets Content Type: Service Animals Veterinary Medicine Health Insurance and Managed Care your-feed-healthcare internal-reader-callout Source Type: news
Youth Gender Medications Limited in England, Part of Big Shift in Europe
Five European countries have recently restricted hormone treatments for adolescents with gender distress. They have not banned the care, unlike many U.S. states. (Source: NYT Health)
Source: NYT Health - April 10, 2024 Category: Consumer Health News Authors: Azeen Ghorayshi Tags: England National Health Service Transgender Hormones Teenagers and Adolescence Discrimination Medicine and Health Politics and Government Mental Health and Disorders Health Insurance and Managed Care Europe Netherlands Denmark Fi Source Type: news
England Limits Youth Gender Medications, Part of Big Shift in Europe
Five European countries have recently restricted hormone treatments for adolescents with gender distress. They have not banned the care, unlike many U.S. states. (Source: NYT Health)
Source: NYT Health - April 10, 2024 Category: Consumer Health News Authors: Azeen Ghorayshi Tags: Teenagers and Adolescence Youth Medicine and Health Politics and Government Mental Health and Disorders Children and Childhood Research Health Insurance and Managed Care England Denmark Europe Finland Norway your-feed-healthcare Source Type: news
Paying Off People ’s Medical Debt Has Little Impact on Their Lives, Study Finds
A nonprofit group called R.I.P. Medical Debt has relieved Americans of $11 billion in hospital bills. But that did not improve their mental health or their credit scores, a study found. (Source: NYT Health)
Source: NYT Health - April 8, 2024 Category: Consumer Health News Authors: Sarah Kliff Tags: Philanthropy Health Insurance and Managed Care Research Nonprofit Organizations Collectors and Collections RIP Medical Debt your-feed-healthcare Credit and Debt Source Type: news
Health Insurers ’ Lucrative Alliance That Drives Up Patient Bills: 5 Takeaways
A private-equity-backed firm has helped drive down payments to medical providers, drive up patients ’ bills and earn billions for insurers. (Source: NYT Health)
Source: NYT Health - April 7, 2024 Category: Consumer Health News Authors: Chris Hamby Tags: Health Insurance and Managed Care Prices (Fares, Fees and Rates) MultiPlan Inc Source Type: news
Insurance Companies Reap Hidden Fees as Patients Get Unexpected Bills
A little-known data firm helps health insurers make more when less of an out-of-network claim gets paid. Patients can be on the hook for the difference. (Source: NYT Health)
Source: NYT Health - April 7, 2024 Category: Consumer Health News Authors: Chris Hamby Tags: Health Insurance and Managed Care Prices (Fares, Fees and Rates) MultiPlan Inc Price Gouging FAIR Health Inc Aetna Inc CIGNA Corporation UnitedHealth Group Inc Source Type: news
In Battle Over Health Care Costs, Private Equity Plays Both Sides
As medical practices owned by private equity firms fuel overbilling, a payment tool also backed by such investors helps insurers boost their profits. (Source: NYT Health)
Source: NYT Health - April 7, 2024 Category: Consumer Health News Authors: Chris Hamby Tags: Health Insurance and Managed Care Private Equity Prices (Fares, Fees and Rates) MultiPlan Inc Data iSight Source Type: news
For Red State Holdouts Like Kansas, Is Expanding Medicaid Within Reach?
As Southern states reconsider Medicaid expansion, Gov. Laura Kelly of Kansas is pushing her own plan meant to appeal to conservatives. So far, success has been elusive. (Source: NYT Health)
Source: NYT Health - April 3, 2024 Category: Consumer Health News Authors: Noah Weiland Tags: Medicaid Kansas Patient Protection and Affordable Care Act (2010) Kelly, Laura (1950- ) Health Insurance and Managed Care State Legislatures Law and Legislation United States Politics and Government Poverty Source Type: news
4 Things You Need to Know About Health Care Cyberattacks
Despite the explosion in ransomware hacks like the one against Change Healthcare, regulation is spotty and few new safeguards have been proposed to protect patient data, vulnerable hospitals and medical groups. (Source: NYT Health)
Source: NYT Health - March 29, 2024 Category: Consumer Health News Authors: Reed Abelson and Margot Sanger-Katz Tags: Computer Security Health Insurance and Managed Care Hospitals Regulation and Deregulation of Industry Cyberattacks and Hackers Electronic Health Records Extortion and Blackmail Medicine and Health Change Healthcare Technologies Inc Unite Source Type: news
CHOP warns families of possible AmeriHealth Caritas contract termination
Both CHOP and the Medicaid managed care company say provider negotiations are continuing with the existing contract set to expire July 1. (Source: bizjournals.com Health Care:Pharmaceuticals headlines)
Source: bizjournals.com Health Care:Pharmaceuticals headlines - March 29, 2024 Category: Pharmaceuticals Authors: John George Source Type: news
