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Not in Kansas Anymore: Aetna Gets Left Out of Medicaid Awards

WEBAccording to results posted by the Kansas Dept. of Health and Environment on May 14, seven MCOs responded to the request for proposals (RFP) process that began …

Actived: 8 days ago

URL: https://aishealth.mmitnetwork.com/blogs/radar-on-medicare-advantage/not-in-kansas-anymore-aetna-gets-left-out-of-medicaid-awards

National Health Care Spending Growth Returned to Pre-COVID …

WEBTotal U.S. health care spending increased by 4.1% in 2022, hitting $4.5 trillion, according to CMS.The growth rate appeared to return to the average annual rate …

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Premium Rate Review: A Look at State Authority – AIS Health

WEBFeb 09. Feb 09, 2024. Most states have authority to review premium rates for comprehensive, Affordable Care Act-compliant health plans in the individual and small …

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By the Numbers: National Health Insurance Market as of 3Q 2023

WEBAs of the third quarter of 2023, e nrollment in both employer-based plans and Medicare Advantage plans had risen compared to the same period in 2022, …

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Health Plan Weekly – AIS Health

WEBThe spending target was set by the board of the Office of Health Care Affordability (OHCA), which was established in 2022. The board’s membership was appointed by Gov. Gavin …

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Survey Finds Most People Spend Less Than an Hour Choosing …

WEBWhen shopping for health plans effective in 2023, 72% of adults spent less than an hour deciding on a coverage option, according to a survey from the Employee …

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Amount of Medicaid Funds Flowing to MCOs Is Poised to Rise, KFF …

WEBAmount of Medicaid Funds Flowing to MCOs Is Poised to Rise, KFF Predicts. May 16. May 16, 2024. Taking a look at the overall state of Medicaid managed …

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California’s 3% Health Care Spending Target Prompts Angst, Anxiety

WEBCalifornia recently became the latest state to implement a limit on health care spending growth, with a new state agency targeting an increase of no greater than 3% …

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Latest Round of RFPs Focuses on Integrating New Medicaid …

WEBWith more than 78% of Medicaid beneficiaries enrolled in managed care plans as of the latest update to AIS’s Directory of Health Plans (DHP), winning and …

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News Briefs: Benchmark ACA Premium to Rise 4% in 2024

WEBIn 2024, the average monthly premium for a benchmark silver plan on the federal Affordable Care Act exchange will rise by 4% compared to 2023, CMS revealed …

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Radar on Drug Benefits – AIS Health

WEBThe report is based on responses from 185 benefits leaders from employers, unions/Taft-Hartley plans and health plans representing plan sponsors of approximately 86.6 million …

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Health Plan Weekly Monthly Subscription – AIS Health

WEBThis weekly online publication analyzes major trends, events and regulatory issues that affect the health insurance sector, including the commercial, Affordable Care Act …

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Surviving Insurtechs Predict They Will Break Even in 2024, but Bright,

WEBNov 10. Nov 10, 2023. The beleaguered startup insurers known as “insurtechs” continued to post losses during the third quarter, but executives from Oscar Health, Inc., Clover …

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Tukey Trouble Sparks Elevance Suit Against HHS; Others May Follow

WEBTukey Trouble Sparks Elevance Suit Against HHS; Others May Follow. Jan 18. Jan 18, 2024. After a significant decline in Star Ratings performance for 2024, …

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Elevance Again Beats Utilization Blues, Launches Primary Care PE …

WEBElevance Again Beats Utilization Blues, Launches Primary Care PE Deal. Apr 19. Apr 19, 2024. Elevance Health, Inc. posted solid results in the first quarter of …

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Radar on Specialty Pharmacy – AIS Health

WEBOn April 25, Walgreens Boots Alliance Inc.’s Walgreens revealed that it will launch Walgreens Specialty Pharmacy on Aug. 1. The company is touting the new division, …

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‘Days Claims Payable’ Dip Clouds UnitedHealth’s 1Q Earnings

WEBApr 21. Apr 21, 2023. Although UnitedHealth Group’s executives touted “strong and well-balanced” growth in the first quarter of 2023, the company’s stock dropped following its …

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One Repatha Presentation Will Be Discontinued Next Month, …

WEBOne Repatha Presentation Will Be Discontinued Next Month, Another in 2025. Amgen Inc. will discontinue the Repatha (evolocumab) Pushtronex system, an on …

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PBM Moves Spur Humira Biosimilar Uptake but Raise Questions

WEBThe FDA has approved 10 biosimilars of AbbVie Inc.’s Humira (adalimumab), with nine of them launching in the U.S. since last year, but uptake of them has been …

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