Medicare, Medicaid and CHIP
Government programs ensure access to healthcare for vulnerable populations. Medicare covers people 65 and older and younger individuals with specific disabilities. Medicaid and the Children's Health Insurance Program (CHIP) are joint federal-state initiatives offering health coverage to low-income families, children, pregnant women, the elderly and people with disabilities.
Top Stories
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News
23 Mar 2026
CMS vows to ditch faxes for electronic claims attachments
A new final rule would establish standards for the electronic exchange of claim attachments for all HIPAA-covered entities by 2028. Continue Reading
By- Jacqueline LaPointe, Executive Editor
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News
04 Mar 2026
OBBBA's impact on state Medicaid funds varies nationwide
The law will impact states differently depending on their current Medicaid budgeting tactics, ultimately cutting coverage for 7.6 million people by 2034. Continue Reading
By- Sara Heath, Executive Editor
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Answer
05 Apr 2019
What's the Role of Medicare Advantage for Payers and Consumers?
What is Medicare Advantage, and how can payers successfully design these plans to maximize value for beneficiaries? Continue Reading
By- Jessica Kent
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News
19 Mar 2019
Amazon Will Accept Health Savings Accounts, Flex Spending on Products
Amazon will now accept funds from health savings accounts and flexible savings accounts when consumers purchase medical supplies. Continue Reading
By- Jessica Kent
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News
08 Feb 2019
Lyft Expands Work with BCBS, Humana Medicare Advantage Plans
Lyft is expanding its rideshare partnerships with Medicare Advantage plans from Humana and BCBS. Continue Reading
By- Jennifer Bresnick
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News
05 Feb 2019
Reversing Prediabetes with Analytics and Collaboration
Health data analytics can transform chronic disease management and improve outcomes for high-risk patient populations. Continue Reading
By- Geneia
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News
23 Jan 2019
86% of Payers Fail to Deliver Readable Medicare Communications
The vast majority of payers are producing Medicare and Medicare Advantage documents that are nearly impossible for most members to understand. Continue Reading
By- Jennifer Bresnick
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News
15 Jan 2019
Anthem Medicare Advantage Members Can Use OTC Allowance at CVS
Anthem Medicare Advantage Members in California can now spend their over-the-counter allowance at CVS Pharmacy locations. Continue Reading
By- Jennifer Bresnick
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News
19 Oct 2017
Anthem Adds Home Meal Delivery to Medicare Advantage Plans
The payer is providing their Medicare Advantage members with post-discharge home meal delivery service to reduce the likelihood of complications. Continue Reading
By- Thomas Beaton
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Answer
17 Aug 2017
How Payer Philanthropy Can Address Social Determinants of Health
Payers looking to reduce their downstream spending are pouring millions into addressing the social determinants of health in the community setting. Continue Reading
By- Thomas Beaton
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News
13 Dec 2016
UnitedHealthcare Cut Costs through Value-Based Care Programs
UnitedHealthcare expanded value-based care programs such as accountable care organizations, which led to reduced spending and a drop in acute inpatient admission rates. Continue Reading
By- Vera Gruessner
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Answer
02 Sep 2016
How Health Insurance Mergers Could Change the Payer Industry
Potential health insurance mergers have come under such close scrutiny as a result of concerns over how they will change the payer landscape if completed. Continue Reading
By- Vera Gruessner
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News
19 Aug 2016
Drop Outs in Exchanges, Health Insurance Merger Block Hit Market
The health insurance market has seen significant challenges as many major payers have been dropping out of the health insurance exchanges and the DOJ blocked two health insurance mergers. Continue Reading
By- Vera Gruessner
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Answer
09 Aug 2016
How Payers Could Succeed in ACA Health Insurance Exchanges
Payers should take advantage of the competition available through the ACA health insurance exchanges in order to succeed. Continue Reading
By- Vera Gruessner