The state of Texas is applying the brakes to its new Medicaid contracts, with a Travis County district judge issuing a temporary injunction that stops the Texas Health and Human Services Commission (HHSC) from carrying out new contracts for the Medicai…
States could do more to require Medicaid managed care organizations (MCOs) to improve access for maternal health, according to an Office of Inspector General report.
There are significant barriers to accessing medications for opioid use disorder (OUD) among Medicare and Medicaid beneficiaries, particularly in rural and underserved areas, with many counties lacking either medication for opioid use disorder (MOUD) or…
UnitedHealthcare, one of the largest players in the Medicare Advantage market, has filed a lawsuit against the Centers for Medicare and Medicaid Services (CMS) following a downgrade in its star ratings.
An audit finds $7.8M in federal funds were claimed for enrollees who were incorrectly assigned to eligibility groups.
The lower MA premiums are expected to drive enrollment to 35.7 million by 2025 – about 51% of all Medicare beneficiaries.
OIG identified systemic issues that impair Medicaid’s ability to root out fraudulent activities and offered several recommendations.
More than 25 million people were disenrolled from Medicaid during the unwinding process, and over 56 million had their coverage renewed.
Insurer Humana has said it will pay $90 million to resolve a False Claims Act case alleging that the company submitted fraudulent bids to the Centers for Medicare and Medicaid Services to secure Part D prescription drug contracts between 2011 and 2017….
In a bid to lower prescription drug prices, the Biden administration this week reached an agreement for new, lower prices for the 10 drugs selected for negotiations. These drugs, the White House said, are some of the most expensive and most frequently …
