Page 11 - Network Adequacy News Today

While some state legislative sessions are winding down, scope expansion bills failed in multiple states, including major scope of practice (SOP) wins in Mississippi and South Dakota.

CHICAGO - The Illinois Department of Insurance announced a $605,000 fine for Health Care Service Corporation, the parent company of Blue Cross Blue Shield of

Health insurer fined $605K by state for violating network adequacy law

CMS hopes the changes will increase healthcare access for underserved populations, streamline the plan selection process and simplify enrolling in Marketplace coverage.

As open enrollment for January 1 coverage comes to an end on Thursday, the Department of Health and Human Services has released the 2024 Notice of Benefit and Payment Parameters Proposed Rule for the Affordable Care Act. To expand access to behavioral healthcare, the proposed rule includes two new essential community provider (ECP) categories in behavioral healthcare:

The top Medicaid contractor in Illinois isn’t getting it done.

Pritzker Administration Announces a $1.25 million fine for Celtic Insurance Company for Violation of the Mental Health Parity and Addiction Equity Act and the Network Adequacy and Transparency Act.

Crain's Health Pulse is your source for actionable, exclusive and inside news on the health care industry.

Celtic Insurance Co. allegedly failed to cover mental health and addiction at the same levels as other medical issues.

The Department of Health and Human Services, through the Centers for Medicare and Medicaid Services, has released a suite of resources meant to improve CMS and state oversight of Medicaid and Children's Health Insurance Program managed care programs – which provide people with health benefits and additional services through contracted arrangements with managed care plans.