Medicare & Medicaid
Utilization among whites decreased more than among Black or Hispanic populations, but the largest utilization decreases were among Asians.
Humana is also working with CMS on a demonstration program for a hospice benefit for MA members.
Prior authorization is also eliminated for 3D image post-processing, including the evaluation of cardiac structure and function.
The rule has been criticized for causing immigrants to disenroll from public programs like Medicaid.
The organization still managed a $3.1 billion profit for the year, a significant 25% increase from 2019.
Anthem is acquiring InnovaCare’s Puerto Rico-based subsidiaries, as well as a Medicaid plan.
CMS has signaled that it may stop reimbursing for audio-only visits after the public health emergency.
Moody’s predicts that states with the largest increases in Medicaid enrollment will benefit the most from the FMAP extension.
The parties have been ordered to submit a joint status report identifying whether and how this case should proceed by not later than April 1.
The president's plan will benefit nonprofit hospitals by reducing the number of uninsured or underinsured patients, Moody’s says.