AIS’s Directory of Health Plans

Datapoint: Louisiana Seeks to Expand Medicaid Access to More Children

May 23, 2019

The Louisiana House of Representatives this week unanimously passed a bill that will expand Medicaid coverage, including home- and community-based services, to children with disabilities whose parents’ incomes disqualifies them from coverage. Louisiana’s managed Medicaid program currently serves 1,533,075 lives, while an additional 149,046 remain covered through fee-for-service Medicaid. About 36% of the state’s population is enrolled in Medicaid.

The Louisiana House of Representatives this week unanimously passed a bill that will expand Medicaid coverage, including home- and community-based services, to children with disabilities whose parents’ incomes disqualifies them from coverage. Louisiana’s managed Medicaid program currently serves 1,533,075 lives, while an additional 149,046 remain covered through fee-for-service Medicaid. About 36% of the state’s population is enrolled in Medicaid.

Source: AIS’s Directory of Health Plans

Datapoint: Trump Administration Urges Courts to Restore Medicaid Work Requirements

May 21, 2019

Officials at the Department of Justice and HHS last week asked a federal appeals court to restore Medicaid work requirement programs in Arkansas and Kentucky. The court earlier this year ruled that work incentives do not match the basic values of the Medicaid program. Medicaid enrollment has dropped 6.8%, to 832,326 lives in Arkansas, and 7.9%, to 1.39 million lives in Kentucky since May 2018.

Officials at the Department of Justice and HHS last week asked a federal appeals court to restore Medicaid work requirement programs in Arkansas and Kentucky. The court earlier this year ruled that work incentives do not match the basic values of the Medicaid program. Medicaid enrollment has dropped 6.8%, to 832,326 lives in Arkansas, and 7.9%, to 1.39 million lives in Kentucky since May 2018.

Source: AIS’s Directory of Health Plans

Datapoint: Washington Governor Passes Statewide Public Insurance Bill

May 16, 2019

Washington Governor Jay Inslee (D) this week signed a bill to create the country’s first-ever public-option health insurance plan, which will allow the state to offer tiered coverage options to all Washington residents by 2021. Plans will be offered by private insurance companies, and provider payments will be capped at 160% of Medicare’s federal rates. Just over 8 million Washingtonians currently have health insurance, with 1,813,282 covered by Medicaid and 207,898 enrolled in exchange plans. According to the latest census data, Washington has an uninsured rate of about 6%.

Washington Governor Jay Inslee (D) this week signed a bill to create the country’s first-ever public-option health insurance plan, which will allow the state to offer tiered coverage options to all Washington residents by 2021. Plans will be offered by private insurance companies, and provider payments will be capped at 160% of Medicare’s federal rates. Just over 8 million Washingtonians currently have health insurance, with 1,813,282 covered by Medicaid and 207,898 enrolled in exchange plans. According to the latest census data, Washington has an uninsured rate of about 6%.

Source: AIS’s Directory of Health Plans

Datapoint: CareSource Partners With Altruista Health

May 13, 2019

CareSource, the seventh-largest managed Medicaid insurer in the U.S., last week said it will partner with Altruista Health to provide care management solutions across all of its plans. The insurer currently serves 1,638,154 Medicaid and CHIP members in four states. CareSource will have access to Altruista’s GuidingCare member platform, which allows interdisciplinary care teams to collaborate and communicate effectively to manage members’ myriad needs.

CareSource, the seventh-largest managed Medicaid insurer in the U.S., last week said it will partner with Altruista Health to provide care management solutions across all of its plans. The insurer currently serves 1,638,154 Medicaid and CHIP members in four states. CareSource will have access to Altruista’s GuidingCare member platform, which allows interdisciplinary care teams to collaborate and communicate effectively to manage members’ myriad needs.

Source: AIS’s Directory of Health Plans

Datapoint: Livongo and Cambia to Launch Medicare Advantage Partnership

May 8, 2019

CMS last week said it has approved Livongo, a technology company that provides solutions for diabetes and hypertension patients, to become a Medicare Advantage provider for Cambia Health Solutions. Cambia’s MA members will become eligible to start using Livongo’s diabetes program in June. Cambia currently enrolls 94,024 Medicare Advantage lives across its Regence BlueShield and other branded products.

CMS last week said it has approved Livongo, a technology company that provides solutions for diabetes and hypertension patients, to become a Medicare Advantage provider for Cambia Health Solutions. Cambia’s MA members will become eligible to start using Livongo’s diabetes program in June. Cambia currently enrolls 94,024 Medicare Advantage lives across its Regence BlueShield and other branded products.

Source: AIS’s Directory of Health Plans