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Substance use disorder coverage would only slightly increase Medicare spending

Adding substance use disorder coverage for residential and intensive outpatient programs would only have a nominal net impact on Medicare spending, at about $362 million per year, according to a new analysis by the Legal Action Center. By contrast, tot…

Cigna entering ACA exchanges in three new states in 2023

Health insurer Cigna will be expanding the reach of its ACA Marketplace exchange plans during the upcoming Open Enrollment period that begins in November. Cigna health plans will be available on the individual exchange in three new states – Texas, Indi…

Administration distributing $98.9 million in Navigator grant funding

The Department of Health and Human Services is serving up $98.9 million in grant funding to 59 returning Navigator organizations for the 2023 Open Enrollment Period.

Healthcare pricing protected so far from inflation, BLS data shows

Healthcare prices have increased over the past year, and typically care prices and overall health spending outpace growth in the rest of the economy. But according to a Health System Tracker analysis of Bureau of Labor Statistics data, healthcare price…

15 million people may lose Medicaid coverage after COVID-19 PHE ends, says HHS

Roughly 15 million people could lose Medicaid coverage when the COVID-19 public health emergency ends, and only a small percentage are likely to obtain coverage on the Affordable Care Act exchanges, according to a new report from the Department of Heal…

Consumers frustrated with health insurance coverage, costs

Americans worry about insurance coverage costs and would like to see more solutions around transparency and out-of-pockets costs from healthcare institutions. That’s according to a new PhRMA/Ipsos poll, which uncovered some frustrations over paying for…

Providence Health Plan teams with Virta Health on Type 2 diabetes reversal

Nonprofit insurer Providence Health Plan has teamed with Type 2 diabetes reversal company Virta Health and is already touting some of the successes of the collaboration, with

BCBS Vermont suing Teva Pharmaceuticals over MS drug marketing

Blue Cross and Blue Shield of Vermont, along with the Vermont Health Plan, has filed a lawsuit against Teva Pharmaceuticals, claiming the compan

HHS expanding home health services for people with disabilities

Five new states and territories have been awarded about $25 million in planning grants to expand access to home and community-based services (HCBS) through Medicaid’s Money Follows the Person (MFP) demonstration program. The awards were granted through…

Federal Judge reinstates Georgia Medicaid work requirements

A federal judge has reinstated a Medicaid work requirement program in Georgia, saying that the Centers for Medicare and Medicaid Services, under the Biden administration, unfairly struck down the program that was first approved by the Trump administrat…