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Court ruling clears way for overhaul of NC Medicaid You ll soon be able to enroll
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With $50M, Circulo will tackle Medicaid insurance using Olive s AI tech
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At the Journal of Health Care Finance, Jean Abraham, Sih-Ting Cai and myself have a short policy focused blog to pay for quality on the Affordable Care Act’s individual health insurance marketplace. Some of our previous research, with an additional co-author in Coleman Drake, had found that Medicaid Managed Care organizations had lower than average effectiveness of care ratings and behavioral health ratings. We were curious about the quality of some of the most commonly bought plans on Healthcare.gov.
The ACA used a price-linked subsidy system to make insurance available and at least theoretically affordable for individuals who report between 100% and 400% of the Federal Poverty Level. This price linked system is based on filling the gap between an individual’s contribution which is defined as a percentage of the household’s income (lower income = lower percentage) and the gross premium of the second least expensive silver plan that serves as a local benchmark.
MetroPlus Health Plan announced today the appointment of
Michelle Reay as
Chief Operating Officer (COO) As the health plan owned by NYC Health + Hospitals, with over 600,000 members across the five boroughs, MetroPlusHealth is a vital part of New York City’s initiative to guarantee health care to all New Yorkers. As COO and member of the executive leadership team,
Michelle Reay will be responsible for overall management and oversight for product, call centers, facilities, claims management, vendor and outsourced services, project management, and operational performance improvement. Michelle Reay assumed her new role last month.
“I am very pleased to announce Michelle Reay’s appointment as Chief Operating Officer,” said
Press release content from Business Wire. The AP news staff was not involved in its creation.
Humana Selected by Oklahoma Health Care Authority to Serve Medicaid Beneficiaries
January 29, 2021 GMT
OKLAHOMA CITY (BUSINESS WIRE) Jan 29, 2021
Leading health and well-being company Humana Inc. (NYSE: HUM) has been selected by the Oklahoma Health Care Authority (OHCA) to deliver health care coverage to Medicaid beneficiaries across the state, starting later this year. Humana’s Medicaid division, Humana Healthy Horizons, will administer the coverage in Oklahoma.
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Through SoonerSelect, the Oklahoma Medicaid managed care program – focused on Temporary Assistance for Needy Families, the Children’s Health Insurance Program, and Medicaid Expansion populations – Humana will serve children and adults across the state with the goal of improving their health and well-being.
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