Search results for Ahcccs

Arizona governor announces ‘first-of-its-kind’ AI insurance review for state Medicaid program

Key Points: Arizona Health Care Cost Containment System will use AI tool for prepayment claim review Hobbs announced the tool in response to a directive from the Centers for Medica...

Arizona Bankers Association Partners with Champion Health and AffordaCare Insurance to Deliver Innovative Healthcare Sol...

CHAMP Plan Helps Banks Reduce Healthcare Costs While Expanding No-Cost Access to Everyday Care for Employees

Judge looking for swift appointment of new state prison healthcare receiver

Key Points: Federal judge to appoint receiver for Arizona’s prison healthcare system Receiver to oversee care for over 25,000 state inmates Arizona’s prison healthcare system is un...

AHA releases Q1 2026 Health Care Plan Accountability Update

The AHA today released its Health Care Plan Accountability Update, covering the latest developments in Medicare Advantage, legislation and regul...

Medicaid Managed Care: The Big Five in Q1 2026

The “Big Five” have reported their financial and enrollment results for the first calendar quarter of 2026. The “Big Five” are the five largest publicly-traded insurers, measured b...

CMS releases guidance on limits to Medicaid, CHIP funding for certain noncitizens

The Centers for Medicare and Medicaid Services April 8 issued guidance on implementing a provision within the reconciliation bill passed in July 2025 regarding federal matching fun...

Health Provider News

NATIONAL 150+ healthcare organizations accepted into CMS’ ACCESS Model AbbVie challenges ‘outdated’ 340B drug discount program guidance in new lawsuit AHA names its preferred cyber...

Empirical Health to deliver proactive cardiovascular care as part of Medicare's new ACCESS program

New initiative brings proactive, data-driven heart health support to individuals with elevated blood pressure, cholesterol, A1c, or BMI on Medicare. NEW YORK, April 16, 2026 /PRNew...

Arizona prisons face growing number of health care complaints

Key Points:  Inmate lawsuits allege systemic prison health care failures Class action Jensen v. Thornell underpins some individual claims Success in litigation mixed but complaints...

Tuesday, April 28, 2026 – Oklahoma tribes work to keep Medicaid access intact as federal cuts loom

The Oklahoma State Legislature is taking steps to gain more control of the state’s Medicaid payments, drawing concerns from tribal leaders and healthcare advocates. Cherokee Nation...

ACCESS Model: Technology as Key to Managing Chronic Conditions

Providers caring for patients with chronic conditions have for years faced a persistent mismatch between how care is delivered and how Medicare pays for it. Managing chronic illnes...

CMMI’s Advancing Chronic Care with Effective Scalable Solutions (ACCESS) Model Explained

In May 2025, CMS’s Center for Medicare & Medicaid Innovation (CMMI) unveiled it’s “Make America Healthy Again” vision. CMMI models focus on not only “protecting the federal tax...

Protected: Tracking Hawaii Implementation of HR 1 Medicaid Work Reporting Requirements

There is no excerpt because this is a protected post.

AristaMD Selected for Inaugural Cohort of Federal CMS ACCESS Model to Reshape Chronic Care Delivery

AristaMD has been selected to participate in the inaugural cohort of the CMS ACCESS Model, a 10-year federal initiative focused on improving outcomes for patients with chronic cond...

Medicaid Fair Hearing-Notice and Hearing Rights

Schott, a Medicaid recipient, had been discharged by North Central Health Care, the sole CCS provider in her county, for failing to complete a treatment plan within the required ti...

CMS accepts more than 150 organizations for participation in ACCESS Model, extends application deadline

The Centers for Medicare & Medicaid Services April 13 announced that more than 150 organizations have been accepted to participate in the launch of its Advancing Chronic Ca...

Keeping Hawai‘i Healthy 2026 – HMSA

Founded by social workers in 1938, HMSA is Hawaii’s most experienced health plan, now covering nearly 1 million people with the addition of TRICARE, the uniformed services health c...

Strengthening Medicare Advantage to Better Serve Today’s Seniors

Approximately 35 million Americans are enrolled in Medicare Advantage plans in 2026, and that number is expected to grow to about 45 million MA enrollees by 2030. That means within...

More needs to be done to protect Medicare Advantage for the future

The Centers for Medicare & Medicaid Services recently delivered good news to seniors on the Medicare Advantage (MA) program, guaranteeing a 2.48% increase for the 2027 MA rate...

Arizona House Passes Budget Covering Core Services with Tax Relief

New Report Highlights State Data, Strategies to Protect Pregnant and Postpartum Women from Losing Medicaid Coverage Due...

As states press forward to implement the newly required work reporting requirements (WRRs) for Medicaid expansion adults starting next year, researchers at Georgetown CCF remain co...

Arizona has no budget, no negotiations and no time. Hobbs should come back to the table.

The Arizona Legislature just passed a budget that ensures that Medicaid enrollees actually qualify for Medicaid. It requires food stamp recipients to meet program rules. It cuts ta...

Blue Shield of California’s virtual-first plan continues to show lower costs, increased access for members

The program, which was first launched in 2023 in collaboration with Accolade and TeleMed2U, has more than 150,000 members to date.