Health insurance companies are optimistic about member growth leading into open enrollment, which is set to kick off Nov. 15.
Recent cases of proven and alleged fraud by executives raise the issue of how companies can anticipate and respond to this problem.
Arkansas has declared its experiment with the "private option" a success--t he state's decline in uninsured was among the best in the country, dropping from 23 percent to 12 percent. Other states have taken notice.
Medicaid enrollment has surged between October 2013 and the end of this August, rising by nearly 9 million overall. That has boosted total enrollment in the Medicaid program by 14.7 percent.
Delaware's department of Health and Social Services will stop offering Medicaid coverage through Delaware Physicians Care, an Aetna health plan, reports The News Journal.
Although the open enrollment period for the first year of the Affordable Care Act ended months ago, enrollment in the Medicaid program is expected to record large increases again in the coming months.
Ohio's Medicaid expansion may not last, University Hospitals Chief Executive Tom Zenty told a Cleveland audience recently, reports Kaiser Health News.
To help ensure a smoother enrollment process this year, the U.S. Department of Health & Human Services is working with state health insurance exchanges, especially ones that struggled amid technical difficulties last year, as well as Medicaid officials.
The Centers for Medicare & Medicaid Services said it overpaid hospitals in Vermont to defray the costs of a state-level provider tax, and has demanded more than $12 million in refunds, Vermont Public Radio reported.
Medicaid expansion under the Affordable Care Act has been an overall success for insurers in most states that have implemented it; however, the story is different in Kansas, which switched its entire Medicaid program to a private model.