Category: Medicaid/Medicare

Democrats file resolution calling for new audit of managed care denials

Democrats have filed a resolution calling on the Auditor General to conduct a new audit of the average claims denial rate of hospitals, a persistent point of friction between providers and managed care organizations. The audit would place extra focus on critical access and safety net hospitals, where the average denial rate is 20 percent, […]

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AMITA Health: State should use hospital transformation funding to target community needs

Illinois should target funding aimed at transforming the state’s hospitals toward providers that offer needed services in underserved areas, a health system executive said Wednesday.
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Medicaid managed care rolls grew in June and July

The state’s Medicaid managed care rolls inched up in June and July. There were 2,235,427 members in Health Choice Illinois as of Aug. 1, up from 2,207,457 on June 1. Most health plans increased their membership during that period, with Meridian Health Plan leading the way with a 5 percent bump. Blue Cross and Blue […]

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On the record with David Smith, Medicaid Transformation Project Executive, AVIA

Last week, AVIA, a Chicago-based national innovation network for hospitals and health systems, announced it was leading an initiative aimed at transforming Medicaid and that it’s lined up Andy Slavitt, the former acting administrator of the Centers for Medicare and Medicaid Services, to help.
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