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Medicaid Managed Care Insurers Prepare to Offer Plans of Insurance Exchanges
A growing number of Medicaid managed-care insurers have received approval from state regulators and state insurance exchange officials to enroll non-Medicaid members on the exchanges in October, marking the first time these specialized insurers will offer health coverage to the general public.
A growing number of Medicaid managed-care insurers have received approval from state regulators and state insurance exchange officials to enroll non-Medicaid members on the exchanges in October, marking the first time these specialized insurers will offer health coverage to the general public.
These insurers are rolling out new plans that meet the benefit and other requirements of the exchanges, which were established by the Patient Protection and Affordable Care Act. Some also will be selling non-Medicaid plans outside the exchanges.
Read the full story: http://bit.ly/1aSDfCt
Source: Modern Healthcare
Health Care Utilization and Cost of Diagnostic Testing for Respiratory Infections
September 17th 2025Syndromic reverse transcriptase–polymerase chain reaction tests for respiratory infections were associated with lower health care resource utilization and costs, implicating potential for improved value in patient care.
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AI in Health Care: Balancing Governance, Innovation, and Trust
September 2nd 2025In this conversation with Reuben Daniel, associate vice president of artificial intelligence at UPMC Health Plan, we dive into how UPMC Health Plan builds trust with providers and members, discuss challenges of scaling AI effectively, and hear about concrete examples of AI's positive impact.
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Infertility Coverage Boosts ART Use and Pregnancy Success: Richard A. Brook, MS, MBA
August 26th 2025In this episode, Richard A. Brook, MS, MBA, discusses his study showing that infertility treatment coverage increases assisted reproductive technology (ART) use and improves pregnancy outcomes.
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