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CMS to evaluate Montana’s Medicaid expansion

April 23, 2017  /  States

The CMS will evaluate Montana’s Medicaid expansion program despite past protests from key Trump administration officials against similar audits.

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Insurers Offer Early Sign of ACA Exchange Plans for 2018

April 23, 2017  /  States

Anthem Inc. made preliminary filings indicating it will offer plans on the Affordable Care Act marketplaces in Virginia and Kentucky next year; Cigna and Aetna are among the insurers that made similar filings in Virginia. 

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Molina’s managed-care Medicaid patients to be placed in fee-for-service system

April 23, 2017  /  States

With health care providers fleeing Molina Healthcare’s managed-care Medicaid network in much of the Springfield area, state officials decided Friday to “disenroll” all 26,750 of the company’s local members and place them in traditional fee-for-service Medicaid on May 1 and beyond.

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What Can We Learn From Oregon’s Innovative Medicaid Experiment?

April 12, 2017  /  States

Oregon’s Medicaid reform experiment has demonstrated innovation in care management.

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Mich. Blues Translates PCMH Program Into Insurance Product

April 12, 2017  /  States

The patient-centered medical home (PCMH) model can be challenging to implement successfully but Blue Cross Blue Shield of Michigan has found a balance that works for its PCMH program, and now is wrapping insurance products around an expanded network tied to the PCMH model.

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Independence Blue Cross, Penn Medicine Join Forces To Improve Health Care

April 12, 2017  /  States

The region’s largest insurer and largest provider have announced a partnership that officials call a “new era” in health care. Independence Blue Cross and Penn Medicine will work together trying to improve health care, while reducing costs.

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Vanderbilt Health Affiliated Network and Humana enter value-based agreement to benefit Medicare Advantage patients

March 31, 2017  /  States

The Vanderbilt Health Affiliated Network, the region’s largest alliance of leading hospitals and clinicians, and Humana have entered into a value-based agreement that will benefit 4,000 Humana Medicare Advantage members in Middle Tennessee and Jackson, Tenn.

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Vermont Contracts With OneCare For Medicaid ACO Pilot Program

March 3, 2017  /  States

On February 8, 2017, Vermont Governor Phil Scott and the Agency for Human Services announced that the state had contracted with OneCare for a pilot Medicaid program intended to change the current fee-for-service system.

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Iowa’s private Medicaid insurers to lose $450 million in first year

February 24, 2017  /  States

State maintains rates are ‘actuarially sound’.

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Covered California Enrollment Beats Projections

February 16, 2017  /  States

The final count was roughly 3% below last year’s total, but was higher than the predicted enrollment of 400,000. More than 50,000 people enrolled during last two days.

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