Centene partners with insurers to eliminate prior authorizations for leading providers
Dive Brief: Centene revealed on Tuesday its plans to introduce a gold card program next month as part of the larger efforts within the healthcare sector to reform the prior authorization system. This initiative will exempt top-performing providers from the usual prior authorization requirements for certain medical services, procedures, or prescriptions. According to the insurer, […]
Autism providers alert that Georgia foster children are impacted by the Medicaid fraud crackdown.
Concerns over Medicaid Cuts Risking Autism Care for Georgia’s Foster Children American autism care providers, who initially supported the Trump administration’s crackdown on Medicaid fraud, are now expressing concern about its unintended fallout. They warn that recent reimbursement cuts are jeopardizing therapy for children with autism in foster care across Georgia. The Autism Families Alliance, […]
GAO cautions that retirement plan providers could share data with data brokers
GAO Report on Retirement Plans and Data Privacy A recent report from the Government Accountability Office (GAO) raises concerns that personal information from Americans’ retirement plans could be shared or sold for marketing financial products and services. According to the GAO, there are over 126 million Americans enrolled in employer-sponsored retirement plans, like 401(k)s, with […]
Elderly Care Providers Increase Wages for Americans as Trump Terminates TPS for Haitians
Elder-care companies are increasing wages for American workers as a response to the Trump administration’s termination of Temporary Protected Status (TPS) for around 350,000 Haitian immigrants. A report from July 26 mentioned that “Elderly care providers are stepping up efforts, which includes offering higher wages and benefits to draw in more workers and training individuals […]
Colorado health providers request an 11% rise in premiums for the ACA marketplace.
Colorado Health Insurance Premiums Set for Increases Health insurance providers in Colorado’s individual market are proposing an average rise of 11% in monthly premiums for the upcoming year. This year’s premiums had already increased by 22%, but the real burden fell on those who lost their subsidies. According to the Colorado Department of Insurance, the […]
Kentucky Medicaid providers will experience a 4% reduction in reimbursements starting August 1.
Medicaid Reimbursement Cuts in Kentucky FRANKFORT, Ky. – Starting August 1, Medicaid providers in Kentucky will experience a 4% reduction in reimbursement rates, according to information from state agencies. This news comes in a letter from the Kentucky Cabinet for Health and Family Services. Amy Stead, the CEO of the Kentucky Private Provider Association, expressed […]
Fake ‘Medicaid providers’ exposed as DeSantis announces $136M recovered and 3,200 terminated
DeSantis Discusses Budget Cuts and Medicaid Fraud Prevention in West Palm Beach WEST PALM BEACH, Fla. — Governor Ron DeSantis held a press conference on Friday with the Secretary of Health and Human Services, Shevan Harris, to discuss new strategies aimed at combating Medicaid fraud. The event, which took place at the Palm Beach County […]
Hospice providers accused of fraud forfeit $1.4 billion
Fraud Task Force Halts $1.4 Billion in Federal Funds The Fraud Task Force, headed by Vice President J.D. Vance, has put a stop to $1.4 billion in federal funding intended for home health and hospice providers nationwide. This decision comes after multiple suspensions affected operations primarily in states like California and Minnesota, among others. It […]
California abortion pill providers are prepared if the Supreme Court restricts mifepristone delivery by mail.
A California supplier of abortion pills is making arrangements for an alternative plan in response to potential Supreme Court limitations on mifepristone, as the justices deliberate on the drug’s legality. While the Supreme Court hasn’t announced when it’ll make a final decision in the case of Louisiana v. FDA, there’s a looming deadline of May […]
CareSource halts Medicaid payment recovery following providers’ financial worries
Dayton Employer Suspends Surprise Charges DAYTON — One of the major employers in Dayton is halting unexpected charges that could have totaled thousands of dollars for some mental health providers. The I-Team at News Center 7 has been looking into Medicaid payments that CareSource claimed it had mistakenly made to mental health professionals throughout Ohio. […]