May 31, 2024

HHS Clarifies Responsibility For Change Healthcare Breach Notifcation

The Department of Health and Human Services (HHS) announced today that UnitedHealth Group would inform people about privacy breaches resulting from the Change Healthcare cyberattack. Providers, payers, and others may direct United to do so.  Previous guidance was ambiguous.  HHS FAQs were updated and clarified the issue.

HHS FAQs: https://www.hhs.gov/about/news/2024/05/31/ocr-updates-change-healthcare-cybersecurity-incident-faqs.html

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#changehealthcare #cyberattacks #providers #payers


Centene Also Reports Pressure on Medicaid Finances

On the tail of United, Centene is now reporting significant medical expense pressure tied to the Medicaid disenrollment due to the return of Medicaid redeterminations.  The article discusses that other plans are not seeing severe pressure.  It also discusses Medicare Advantage (MA) financial problems.

Medicaid plans had received relief in the form of higher rates during COVID, but as I noted earlier state revenue is drying up and might spell issues for Medicaid managed care.

(Article may require a subscription.)

#medicaid #medicareadvantage #mlr #unitedhealthcare #centene #managedcare


Florida Suit Dismissed Over Continuous Enrollment

A federal district court in Tampa dismissed a lawsuit brought by the state of Florida challenging the state’s position that it can drop children’s program enrollees if families are delinquent on premiums. The court said it did not have subject matter jurisdiction. A similar case is pending in Georgia.

(Article may require a subscription.)

#medicaid #chip #coverage #fl


Great Education Site On Health Policy From KFF

The Kaiser Family Foundation has just released a brand new health policy library at the link below.  Well done!  Of course, my book, The Healthcare Labyrinth (available at this site) covers many of these topics as well.

#healthcare #kff


— Marc S. Ryan

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