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Wire Reports

500K have Medicaid coverage restored after computer problem fixed

September 22, 2023

About a half-million people who had their Medicaid and Children’s Health Insurance Program coverage terminated were reinstated into coverage after computer errors in many states were corrected, the Centers for Medicare and Medicaid Services announced.

September 15, 2023
Image of person in a medical smock holding a prescription bottle and writing something on a pad of paper.

Some Medicare recipients could save money on 34 prescription drugs

The Centers for Medicare & Medicaid Services announced the list of 34 prescription drugs that may have a lower cost for Part B beneficiaries between Oct. 1 and Dec. 31.

August 30, 2023
Medicare

Medicare announces first 10 drugs subject to price negotiations

Blood thinners and diabetes drugs head up the list of prescription medications up for negotiations.

Friday Health Plan policyholders in North Carolina face deadline

August 28, 2023

Customers of Friday Health Plans of North Carolina have until the end of the day on Thursday, Aug. 31 to choose a new health insurance plan.

Wisconsin examines short-term health plans

August 17, 2023

Fewer Wisconsin residents are enrolled in short-term health plans since 2019, and those plans have a rate of claim denials that far exceeds that of health plans offered on the Affordable Care Act marketplace in that state.

New York state proposes rules for pharmacy benefit managers

August 16, 2023

The New York State Department of Financial Service has proposed the nation’s most comprehensive set of market rules for pharmacy benefit managers in that state.

August 7, 2023
Friday Health

Friday Health Plan policyholders in North Carolina must select new coverage

Insurance Commissioner Mike Causey announced today that Friday Health Plans of North Carolina was placed into receivership, effective July 16. Liquidation of Friday Health Plans-NC will occur Sept. 1.

July 26, 2023
mental health

Mental health parity in the spotlight under proposed rules

The Biden administration wants health insurers to increase their coverage of mental health treatments.

July 18, 2023
Friday Health

Colorado shuts down Friday Health Plans

Colorado regulators are pulling the plug on Friday Health Plans Colorado, a move that means more than 30,000 residents of that state must find other health coverage.

July 7, 2023
Short-term health plans

Short-term health plans subject to new rules

Short-term limited-duration health insurance plans are in the crosshairs as three federal agencies proposed rules to clamp down on the plans that some deride as “junk insurance.”

Industry numbers show growing life settlement market

June 29, 2023

The life settlement market has shown consistent expansion, with 2022 demonstrating a strong rebound after a brief COVID induced slowdown…

June 22, 2023
Image of the state flag of Colorado with a medical caduceus superimposed. Colorado seeks rehabilitation order for Friday Health Plans.

Colorado seeks rehabilitation order for Friday Health Plans

Friday Health Plans has been in the crosshairs of the Colorado Division of Insurance since June 2022, and now the department has petitioned the Denver District Court for an order for rehabilitation of the troubled health insurer.

June 22, 2023

Medicaid unwinding: At least 1.3M enrollees lose coverage

At least 1.34 million Medicaid enrollees have been disenrolled as of June 20,  based on the most current data from 22 states, KFF reports.

June 19, 2023

North Carolina places Friday Health Plans in receivership

North Carolina became the latest state to put Friday Health Plans in receivership and coverage for policyholders in that state will end Aug. 31.

June 12, 2023
Image of health forms, stethoscope, and a calculator, with "2023" superimposed. Friday Health Plans to wind down operations by the end of 2023.

Friday Health Plans to wind down operations by the end of 2023

During its eight years in operation, Friday Health Plans grew quickly and now has fallen just as fast.

Colorado panel looks at capping some prescription drug prices

May 24, 2023

Colorado’s Prescription Drug Affordability Board will spend the summer beginning the process of determining which prescription drugs will be made affordable for its states residents by capping the prices on those drugs.

May 23, 2023

Preventive care coverage still in question as appeals court pauses decision

Some employers said they are unsure whether they will cover preventive care in their workplace health plans as a federal appeals court temporarily paused a decision impacting coverage of certain kinds of preventive care.

May 22, 2023

Using Medicaid Managed Care Organizations to assist with The Great Unwinding

States are finding innovative ways to partner with and leverage their Managed Care Organizations to ensure that their Medicaid redetermination processes are as effective as possible.

May 19, 2023
Illustration of a person with a TV head. How states are using communications campaigns in the Medicaid unwinding.

How states are using communications campaigns in Medicaid unwinding

Some states are getting creative in communicating the Medicaid unwinding to those who are affected by it, according to an AHIP issue brief.

HSA contribution limits make largest jump in years

May 18, 2023

Americans will be able to set aside more money in health savings accounts than ever before as the IRS announced its largest increase in the maximum HSA contributions for 2024.

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