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USA Today
As the coronavirus roils the economy and throws millions of Americans out of work, Medicaid is emerging as a default insurance plan for many of the newly unemployed. That could produce unprecedented strains on the vital health insurance program, according to state officials and policy researchers.
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NBC News via Yahoo! News
More than 156 million Americans depended on their employers for health insurance before the pandemic. But now, with almost 10 million people filing new unemployment claims over the past two weeks, an estimated 3.5 million workers likely lost their employer-provided health insurance, according to a study from the Economic Policy Institute.
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St. Louis Post-Dispatch
As the coronavirus roils the economy and throws millions of Americans out of work, Medicaid is emerging as a default insurance plan for many of the newly unemployed. That could produce unprecedented strains on the vital health insurance program, according to state officials and policy researchers.
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During these times of uncertainty, we are thinking about our most vulnerable populations. We want our members to have peace of mind knowing we are here for them, especially right now.
Our priority is to help our members get the benefits they need and deserve for their overall health and well-being.
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MedPage Today
A proposal to change the way the federal government pays some states under the Medicaid program is causing headaches for healthcare groups and Medicaid directors, even though it hasn't actually been enacted yet.
The Medicaid Fiscal Accountability Rule (MFAR), released last November by the Centers for Medicare & Medicaid Services (CMS), would reduce the amount of money that CMS gives to states as part of their Medicaid matching funds when the money is generated through various supplemental means.
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CAQH
Improper Medicaid payments, such as for ineligible patients or for services not provided, were
estimated to be $36.2 billion in fiscal 2018, accounting for 9.8% of Medicaid spending. There is growing pressure on MCO payers to prevent inaccurate payments before they happen to avoid loss of federal funds.
Learn How
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The Salt Lake Tribune via MSN
The Utah Department of Health on Friday suspended the self-sufficiency/work requirement for Medicaid enrollees, citing the coronavirus pandemic. The move, which could potentially remove barriers for hundreds, if not thousands of Utahns was hailed by health advocates, who said it was long overdue.
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An MCO saw rapid results after launching mPulse Mobile Redetermination and Health Risk Screenings Solutions. Results include a 3x increase in completion rate for Health Risk Screenings and a 20+ percentage point increase in redetermination rates. Read more about the study and outcomes here.
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Wisconsin State Journal
Wisconsin won’t miss out on Medicaid payments approved in one of the recent federal coronavirus relief bills — for now.
But U.S. Rep. Mark Pocan, D-Madison, warned last week that recent changes in state law will make the state ineligible for future rounds of funding and the Wisconsin Legislature must act in order to get additional funds going forward.
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New York Daily News via MSN
The state budget doesn’t shift $1 billion in Medicaid costs to the Big Apple as some city officials had feared, but the city will still be on the hook for a few hundred million as the governor seeks to rein in healthcare spending. The final spending measure passed by the Legislature early Friday morning included much of Gov. Andrew Cuomo's plans to restructure the state's Medicaid program, which supplies health coverage and services to six million New Yorkers, despite pushback from providers and advocates.
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CAQH
 Improper Medicaid payments, such as for ineligible patients or for services not provided, were
estimated to be $36.2 billion in fiscal 2018, accounting for 9.8% of Medicaid spending. The road to accountability is only growing more complex, and payers, especially Medicaid and MCO plans, cannot succeed without a strong strategy for effective COB/TPL.
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Glasgow Daily Times
Kentucky Gov. Andy Beshear said his daily update on COVID-19's progression on Saturday was a "relatively OK" one, with 92 new confirmed cases in the commonwealth of the illness caused by the 2019 novel coronavirus.
He added that Friday's number of 90 was actually reduced by six to adjust for duplications or people who were actually out of state, so with that, the total of confirmed cases is now 917.
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The Tifton Gazette
The Centers for Medicare and Medicaid Services (CMS) approved Georgia's section waiver request on the temporary checklist, granting the state a number of flexibilities for Medicaid and PeachCare for Kids providers and members to combat the COVID-19 public health emergency.
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Your members’ privacy and security are top priorities. That’s why GA Foods now has HITRUST CSF® Certification for our ERP, Portal, Tablets, and Tablets API.
National health plans trust GA Foods to provide delicious nutrition to their members.
We can help you with your 2021 benefit design! 844.688.8005.
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Yahoo! News
Connecticut Gov. Ned Lamont announced a series of major actions his administration is taking to support the state's long-term care facilities, staff, and residents during the COVID-19 pandemic.
Effective immediately, the state's 213 nursing homes are receiving a 10% across-the-board increase in Medicaid payments to help meet extraordinary costs from the public health emergency, Lamont said.
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