How Covered Entities and Pharma Companies Can Better Collaborate on Drug Discount Programs
Three things drug manufacturers and CEs can do to build trust and enable effective collaboration
Virginia Medicaid Taps Aeroflow Health for Lactation Services
Virginia Medicaid beneficiaries now have access to Aeroflow Health's breast pumps and lactation consultants.
Unlocking Transparency in PBM Pricing
The TSX Venture Exchange has a strong history of helping early-stage health and life sciences companies raise patient capital for research and development.
Heali Contracts With California Medicaid, Unveils Medical Nutrition Therapy Tool
Heali's new Medical Nutrition Therapy tool offers patients and providers access to a library of evidence-based dietary recommendations.
Coordination of Benefits: An Overlooked Pillar of Medicaid Programs
Coordination of benefits is a critical pillar of the Medicaid program as it ensures the efficient use of resources, prevents overutilization, promotes equity in resource distribution, mitigates fraud and abuse, contributes to program longevity and ultimately enhances healthcare access for beneficiaries.
Blue Shield of California Plan Helps Members Earn GED Diploma
Blue Shield of California Promise Health Plan is working with the GED Testing Service to help members earn a General Educational Development (GED) diploma for no cost. Members can register online and gain access to GED study materials in both English and Spanish.
Medicaid Innovation Collaborative Announces 5 Pilot Programs To Improve Outcomes for Medicaid Patients
The Medicaid Innovation Collaborative announced five pilot programs in Kentucky, New York and Iowa. Each program addresses the health-related social needs of Medicaid beneficiaries living with a chronic condition, like diabetes.
At ViVE 2024, Panelists Share Prior Authorization Progress and Frustration in Payer Insights Program
At the Payer Insights sessions on Day 1 of ViVE 2024, a panel on prior authorization offered compelling insights from speakers who shared the positive developments in this area after years of mounting frustration. Speakers also shared challenges as they work with providers to figure out how policy developments and technology will work in practice.
Elevance Health To Offer Smartphones to Some Medicaid Members
Elevance Health will provide smartphones with unlimited data, talk and text to some Medicaid members in 2024, it announced at CES 2024.
Medicaid Spending on Prescriptions Has Risen Despite Lower Utilization
A new KFF report analyzed recent trends in Medicaid outpatient prescription drug utilization and spending. It discovered that although there's been lower utilization of prescription drugs in recent years, Medicaid spending on prescription drugs has increased.
HHS Launches New Medicaid Care Model To Improve Maternal Health Outcomes
HHS announced a new care model that aims to provide mothers with Medicaid coverage with more personalized maternal health care. This includes access to doulas and midwives and screening for health-related social needs.
Report: How Does Medicaid Perform Compared To Other Forms of Coverage?
A higher share of Medicaid beneficiaries rate their physical and mental health as fair or poor compared to adults with Medicare, employer-sponsored insurance or Marketplace coverage, according to a new KFF report. However, 83% of Medicaid enrollees gave their health insurance a positive rating.
When Investment Rhymes with Canada
Canada has a proud history of achievement in the areas of science and technology, and the field of biomanufacturing and life sciences is no exception.
What One Medicaid Insurer Looks for From Potential Health Tech Vendors
Many digital health startups aren't built with Medicaid members in mind. That's why Health Net created a request for information process to help the insurer determine which startups are the best fit for its Medicaid population, according to Dr. Pooja Mittal, vice president and chief health equity officer at Health Net.
Report: Many Found Renewing Medicaid Coverage Easy, But Some Faced Barriers
New KFF focus groups revealed that some thought the process of renewing Medicaid coverage during the unwinding of the continuous enrollment provision was simple. Others, however, faced challenges with communication from state Medicaid agencies, and some weren't aware their coverage had been terminated.
Urban Institute: 400,000 Veterans Expected to be Uninsured in 2024
About half (47%) of nonelderly uninsured veterans will be eligible for Medicaid or subsidies through the ACA Marketplace in 2024, according to a new report from the Urban Institute.
Report: More Than 10M People Have Been Disenrolled From Medicaid
Amid the unwinding of the continuous enrollment provision, more than 10 million people have lost Medicaid coverage, according to data from KFF. Of those disenrolled from Medicaid coverage, 71% were removed from coverage for procedural reasons.
Pair Team Secures $9M To Improve Health Access for Medicaid Patients
Pair Team's $9 million Series A funding round was led by Next Ventures and included participation from PTX Capital, Create Health Ventures, OCA Ventures, CHCF Innovation Fund, Kapor Capital and other investors. In total, Pair Team has raised about $20 million.