Tag: Medicaid

AM Best Lowers U.S. Health Insurance Outlook to Negative Amid Rising Costs

AM Best revises U.S. health insurance sector outlook to negative due to higher medical utilization, rising costs, and regulatory challenges impacting Medicare, Medicaid, commercial, and ACA markets through 2025.

H.R. 1 Medicaid Reforms Target Fiscal Discipline and Rural Healthcare

H.R. 1 introduces Medicaid eligibility reforms and establishes a $50B Rural Health Transformation Fund, aiming to enhance fiscal discipline and support rural hospitals.

Iowa Faces Rising ACA Premiums as Enhanced Tax Credits Near Expiration

Iowa insurance market braces for premium hikes as COVID-era ACA enhanced premium tax credits are set to expire in 2025, driving coverage affordability concerns and regulatory actions.

Senator Grassley Details Medicaid Funding and Health Policy Impacts in Iowa

Iowa Senator Chuck Grassley outlines Medicaid funding changes under the Big Beautiful Bill, Medicare reimbursement challenges, and bipartisan legislative efforts impacting healthcare and education policy in Iowa.

Ohio Faces Potential Loss of ACA Insurance Subsidies for 500,000+ Residents

Ohio risks losing ACA enhanced premium tax credits for over 500,000 residents, potentially increasing uninsured rates amid Medicaid cuts and rising premiums.

New York Faces Major Health Care Funding Cuts Under One Big Beautiful Bill Act

Medicaid and healthcare funding cuts in the One Big Beautiful Bill Act threaten New York's health system, impacting providers, coverage access, and insurance costs.

CareOregon Ends Out-of-Network Behavioral Health Coverage in Oregon

CareOregon will discontinue out-of-network behavioral health coverage for Medicaid and Medicare Advantage members, impacting 15,000 patients in Oregon. The change aligns with industry practices post-COVID-19 expansion.

New York State Medicaid Loses $500M from Inadequate Medicare Enrollment Oversight

New York State's failure to enforce Medicare enrollment for eligible seniors costs Medicaid $500 million amidst federal funding cuts, raising concerns over state health spending and oversight.

Audit finds New York's Medicaid program lost nearly half a billion dollars by not enrolling eligible seniors in Medicare,

Audit finds New York's Medicaid program lost nearly half a billion dollars by not enrolling eligible seniors in Medicare, costing state budgets as federal funding declines. Recommendations urge improved enrollment procedures and state-local coordination.

Yakima Healthcare Faces Strain from Medicaid Eligibility Changes in New Federal Bill

Yakima County healthcare providers warn of financial and service strains due to new Medicaid eligibility rules in a federal health insurance bill, impacting coverage and rural hospitals' viability.