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Florida's Medicaid call center is experiencing long wait times and high rates of disconnection that could be preventing families from renewing or accessing healthcare coverage, according to a ...
The Medicaid improper payment rate was nearly 5.1%, or just over $31 billion, for 2024, with the majority of improper payments resulting from insufficient documentation, according to the Centers ...
Medicare coverage for dual-eligibles includes hospitalizations, physician services, prescription drugs, skilled nursing facility care, home health visits, and hospice care. Under Medicaid, states are required to cover certain items and services for dual-eligibles, including long-term nursing facility services and home health services.
WellCare Health Plans, Inc. is an American health insurance company that provides managed care services primarily through Medicaid, Medicare Advantage and Medicare Prescription Drug plans for members across the United States. WellCare began operations in 1985 and has its headquarters in Tampa, Florida.
The Drug Rebate Equalization Act of 2009 (DRE), introduced in the 111th United States Congress by Representative Bart Stupak as H.R. 904, and in the Senate by Senator Jeff Bingaman as S. 547, sought to equalize the treatment of prescription drug discounts between Medicaid managed care and Medicaid fee-for-service.
In May, Gov. Ron DeSantis had this to say, after signing one of the toughest abortion bans in the nation: “One of the things I’m most proud of is that the state of Florida stands unequivocally ...
Some large companies with 500 employees or more and some Medicaid programs are adding coverage. But many other employers and health insurers are scaling back, with some citing treatment costs. Using GLP-1s if you're not obese. You can’t get weight-loss drugs without a prescription, though there are off-market compounds that people can purchase.
Medicaid is a government program in the United States that provides health insurance for adults and children with limited income and resources. The program is partially funded and primarily managed by state governments, which also have wide latitude in determining eligibility and benefits, but the federal government sets baseline standards for state Medicaid programs and provides a significant ...