Tag Archives: Medicaid

Anthem, Passport to protest $7B Kentucky Medicaid contract loss

Dive Brief: Anthem and Passport Health Plan intend to appeal Kentucky’s decision to award Medicaid managed care contracts statewide to five other insurers, leaving them out of the lucrative bid. Both companies confirmed to Healthcare Dive they will proceed to the formal bid protest process. Aetna, Humana, Molina, UnitedHealthcare and WellCare were the winners in… Read More »

More Medicaid insurers could be ticket to lowering premiums in ACA markets

Dive Brief: Convincing more Medicaid insurers to sell plans in Affordable Care Act marketplaces could drive down premiums for consumers, according to a new report prepared by the Urban Institute. In the 10 states with the lowest average benchmark premiums, all have Medicaid managed care organizations offering state-wide marketplace coverage. In contrast, the 15 states… Read More »

Middlemen Are Ripping Off State Medicaid Programs

Photographer: Ore Huiying/Bloomberg © 2018 Bloomberg Finance LP Kentucky’s Democratic attorney general just launched an investigation to determine if middlemen in the prescription drug supply chain are ripping off the state’s Medicaid program. He’s almost certainly onto something. These middlemen, known as pharmacy benefit managers, or PBMs, administer drug benefit plans for Medicaid, Medicare Part D, and… Read More »

Medicaid Expansion is Evidence the Health Policy Debate Defies Political Divides

By AMY LONG and JOE MOLLOY  Among all the talk of waves and tides of the close midterm races around the country, there were tremendous results on election day for Medicaid expansion. Three states – Idaho, Nebraska, and Utah – passed ballot initiatives approving the policy. On top of that, in Kansas and Maine, governors… Read More »

Medicaid work requirement in Kentucky gets second approval

The Centers for Medicare and Medicaid Services has again approved a waiver for Kentucky to impose a work requirement for able-bodied Medicaid beneficiaries as a condition to receiving the benefit. CMS previously, on January 12, approved Kentucky’s request for a 1115 demonstration project waiver that included work requirements.  However, in June, a district court judge… Read More »

CMS approves Michigan Medicaid drug value-based payment plan

Dive Brief: CMS Administrator Seema Verma announced Wednesday the agency has approved a Michigan plan allowing its state Medicaid program to work with drugmakers to allow value-based payment arrangements in an effort to “modernize payment policies.” The proposal is the second to receive a green light, following approval of a similar Oklahoma plan in June.  … Read More »