Tag: Medicaid

Government vs. Private: Who’s Really Paying for Your Weight-Loss Meds?

Logan B.
Weight-Loss Meds

In recent years, weight-loss meds like Novo Nordisk’s Wegovy and Eli Lilly’s Zepbound have gained significant attention in the United States. These drugs belong to a class known as GLP-1 medications, primarily developed for diabetes management but increasingly used for weight loss. As demand for these treatments rises, understanding the landscape of insurance coverage for these drugs becomes crucial for consumers. Weight-Loss Meds Insurance Coverage Overview Insurance coverage for GLP-1 weight-loss drugs is complex and varies significantly across different plans. While government-funded programs like Medicaid and those covering federal, state,…

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Medicaid health insurance coverage is gone for 400k Ohio residents

H. Cutner
Health Insurance - Ohio Flag - Medicaid

Since the “unwinding” of the pandemic rules, hundreds of thousands lost coverage. Since the pandemic enrollment rules have been unwound, around 395,000 Ohio residents have lost their health insurance through Medicaid, and that figure is expected to rise.  It has now been a year since the state ceased the “continuous enrollment” Within the year since the continuous enrollment in Medicaid health insurance – that had previously been a requirement under coronavirus relief legislation from the federal government – hundreds of thousands of people in Ohio lost that coverage.  According to…

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Health insurance companies can’t use AI for Medicare

Logan B.
Health insurance - Medicare and AI

Newly released federal guidelines say that artificial intelligence can’t make all the choices. The Centers for Medicare and Medicaid Services (CMS) have released new guidance for health insurance companies to protect Medicare Advantage (MA) against bias from artificial intelligence (AI). The CMS is the federal agency overseeing Medicaid, Medicare and other programs CMS oversees the Children’s Health Insurance Program (CHIP), the Health Insurance Marketplace, Medicare and Medicaid. It recently issued a policy memo to insurers in which it banned them from using algorithmic systems or AI exclusively to decide on…

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Florida’s DeSantis wants to ‘supersede” ACA with new health care plan

H. Cutner
Health care - Florida New Plan alternative to ACA

The state governor seeking Republican nomination for president didn’t provide replacement plan details. In a recent interview on NBC’s “Meet the Press”, Florida Governor Ron DeSantis described his intentions to unveil a health care proposal this week that would “supersede” the Affordable Care Act (ACA). No further details were given about the specifics about the plan or what would be done with the ACA. That said, DeSantis never specifically said that his intention was to repeal the Affordable Care Act. That said, the Republican nominee hopeful did explain that he…

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Errors caused many low-income kids to be dropped from Medicaid health insurance

G. Turner
Health insurance - Kids, family, medical

Over 2 million children lost their coverage this year, but experts say that often, it was due to errors. At least two million kids from low-income families lost their Medicaid health insurance coverage this year as the federal policy from the pandemic era came to a close. This, according to new research analyses conducted by the KFF and the Georgetown Center for Children and Families. It is likely that the figure is notably higher, according to experts, as the shift occurred very quickly. According to a New York Times report,…

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Many lapsed Medicaid recipients will enroll in ACA health insurance plans

Logan B.
Health insurance - Affordable Care Act Form

Experts and insurers have predicted that after losing old coverage, there will be an influx of policy shopping. Health insurance companies and advisors alike are preparing for a notable surge of consumers looking for assistance in navigating Affordable Care Act enrollment after having lost Medicaid coverage in 2023. As of April, this year, the extensions for coverage that were put into place during the pandemic ended. Beginning April 1, 2023, the Medicaid and Children’s Health Insurance Program (CHIP) coverage extensions that were put into place throughout the worst of the…

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What to know about the 2024 health insurance open enrollment period

Logan B.
Health insurance - Open Enrollment 2024

There could be fewer choices available to consumers shopping in Healthcare.gov this year. The 2024 health insurance open enrollment period starts today for consumers across the country shopping for coverage on the federal- or state-run Affordable Care Act marketplaces. Though there are likely fewer choices available for next year, this was done on purpose. Consumers shopping for health insurance through HealthCare.gov might notice that there aren’t as many choices as they were used to seeing in previous years. This is not due to a mass exodus of insurers but is…

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