News
Featured News
- Press Release
If you’re in the market for health insurance, it’s important to compare prices, benefits and restrictions and find a product that meets your individual needs.
With open enrollment just around the corner (November 1), many Virginians will shop for health care coverage through Virginia’s Insurance Marketplace. Through this online, state-based…
With open enrollment just around the corner (November 1), many Virginians will shop for health care coverage through Virginia’s Insurance Marketplace. Through this online, state-based…
- Medicaid
Elevance Health is integrating its food as medicine program for Medicaid members in community health centers, the insurer announced Monday.
- Medicaid
UnitedHealthcare explores Medicaid MCOs in its latest whitepaper.
Medicaid managed care organizations (MCOs) play an important role in delivering high-quality, cost-effective health care to millions of individuals across the country. By increasing access to essential services, improving the consumer experience and managing costs effectively, MCOs help consumers, state partners and providers alike.
Medicaid managed care organizations (MCOs) play an important role in delivering high-quality, cost-effective health care to millions of individuals across the country. By increasing access to essential services, improving the consumer experience and managing costs effectively, MCOs help consumers, state partners and providers alike.
- Medicaid
This report explores the fiscal and programmatic impacts that a switch to a prescription drug carve-out model, where the pharmacy benefit would be managed under a single-payer system within Medicaid using the fee-for-service payment methodology, would have on Virginia’s Medicaid program (Cardinal Care). Our key recommendations for the Medicaid program include preserving the current pharmacy carve-in, preserving the common core formulary (i.e., the preferred drug list), enhancing reimbursements to critical access pharmacies, increasing MCO policymaking representation, and exploring potential revisions to capitation rates for the pharmacy component.
- OpEd
Bon Secours Mercy Health (BSMH) has deployed a deeply concerning new tactic in
its recent negotiations with Anthem Blue Cross and Blue Shield.
its recent negotiations with Anthem Blue Cross and Blue Shield.
- Medicaid
Governor Glenn Youngkin celebrated the two-year anniversary of Virginia’s Right Help, Right Now behavioral health transformation plan in Richmond. This three-year effort has strengthened behavioral health services across the Commonwealth, resulting in a wide range of initiatives, legislation, and unprecedented financial investments totaling $1.4 billion since its launch in December of 2022.
- Marketplace
More than 400,000 Virginians signed up for health care coverage during the first open enrollment period for Virginia’s Insurance Marketplace, which took place from November 1, 2023, to January 16, 2024.
- Marketplace
The State Corporation Commission’s Health Benefit Exchange reminds Virginians that January 16, 2024, is the deadline to apply for, re-enroll in, or change health insurance for 2024 on Virginia’s Insurance Marketplace.
- Leadership
Kaiser Permanente has announced that Israel Rocha has been named regional president of the health system's Mid-Atlantic region.