State Intelligence — Ohio
Signals referencing this state across all sources.
11 signals
-
CMS releases 2 qualifying payment amount audits
The Centers for Medicare & Medicaid Services Oct. 20 published two qualifying payment amount audits under the No Surprises Act. The audits were of CareSource in Indiana and the School Employees Retirement System in Ohio, with both required to complete corrective actions following the audits. The CareSource audit focused on almost 25,000 claims, primarily concerning emergency and non-emergency services, while the School Employees Retirement System audit focused on six air ambulance claims. Bot...
CareSource · 2 signals · last 30 days -
12% of calls to mental health clinicians in Blue Cross directories yield appointments: Study
Mental health ghost networks reach well beyond public insurance programs. Directory errors affected 55.6% of evaluable secret shopper calls to psychiatrists and psychologists listed by the largest commercial carrier in each of five states, according to a study published Oct. 16 in JAMA Health Forum. Researchers from the Ohio State University’s College of Public Health […] The post 12% of calls to mental health clinicians in Blue Cross directories yield appointments: Study appeared first on Be...
Blue Cross OhioBlue Cross Blue Shield plans · 36 signals · last 30 days -
Trump Administration Announces $92 Million to Coordinate Rural Hospital Networks, Improve Maternal Care, and Expand Medical Services Across Ohio
Trump Administration Announces $92 Million to Coordinate Rural Hospital Networks, Improve Maternal Care, and Expand Medical Services Across Ohio This federal investment will connect rural providers and bring MRI, behavioral health, and maternal care closer to patients across Ohio
Competitive / Operational Strategy · 36 signals · last 30 days -
CHOICE in Action: Ohio Employers Explore New Approach to Health Benefits
CHOICE in Action: Ohio Employers Explore New Approach to Health Benefits Federal leaders spotlight CHOICE Arrangement to aid Ohio small businesses in delivering flexible and affordable healthcare to workers
-
Centene to expand CHOICE program to its Ohio, Oklahoma employees
Centene is expanding Custom Health Option and Individual Care Expense Arrangements, formerly known as individual coverage health reimbursement arrangements, to all of its Ohio and Oklahoma employees in plan year 2027. An Oct. 16 news release said the development builds on the company’s CHOICE rollout to Indiana-based employees in 2026. “Our experience in Indiana has […] The post Centene to expand CHOICE program to its Ohio, Oklahoma employees appeared first on Becker's Payer Issues | Payer Ne...
Centene · 13 signals · last 30 days -
Ohio Chamber sues healthcare giant, accusing it of deceit, misinformation
The Ohio Chamber of Commerce is suing UnitedHealth, alleging that the conglomerate abandoned its contract to administer a Chamber-backed health plan for its members. UnitedHealth then used inside information to trick employers into thinking the Chamber plan was being terminated, said the suit, which was filed on Sept. 1 in federal court in Columbus. And […]
UnitedHealth OhioUnitedHealthcare · 46 signals · last 30 days -
Ohio report cards show 38 school districts need help to meet state standards
About 6% of Ohio school districts need support to meet state standards, according to the new state report cards the Ohio Department of Education and Workforce released Tuesday. The department uses 1 to 5 star ratings in half increments based on six categories: achievement (25% weight toward overall rating), progress (25%), early literacy (12.5%), gap […]
Policy / Regulatory Changes · 140 signals · last 30 days -
Molina’s Ohio COO departs
Molina Healthcare of Ohio’s COO, Holly Saelens, has left her role. According to a September LinkedIn post, Ms. Saelens said she has joined AARP Ohio as a state government affairs manager. “This move reflects my passion for strengthening the health and financial security of older adults and advancing policy solutions that make a real difference […] The post Molina’s Ohio COO departs appeared first on Becker's Payer Issues | Payer News .
Molina OhioMolina Healthcare · 2 signals · last 30 days -
Ohio Chamber sues UnitedHealthcare over alleged effort to poach members
The Ohio Chamber of Commerce is suing UnitedHealthcare over allegations the insurer withheld data and used confidential information obtained as the administrator of the chamber’s health benefits program to steer small businesses into its own plans. Hours after the lawsuit was filed Sept. 1 in an Ohio federal court, U.S. District Judge Algenon Marbley temporarily […] The post Ohio Chamber sues UnitedHealthcare over alleged effort to poach members appeared first on Becker's Payer Issues | Payer...
UnitedHealthcare OhioUnitedHealthcare · 46 signals · last 30 days -
Trump Administration Announces $3.15 Million to Expand Pharmacy Connectivity Throughout Rural Ohio Communities
Trump Administration Announces $3.15 Million to Expand Pharmacy Connectivity Throughout Rural Ohio Communities This federal investment will improve interoperability and management of patient healthcare coordination
Competitive / Operational Strategy · 36 signals · last 30 days -
HHS appeals decision vacating provisions of 2025 ACA marketplace rule
HHS and CMS appealed a Maryland federal court’s decision to vacate parts of CMS’ 2025 “Marketplace Integrity and Affordability Rule,” according to July court filings. In the Columbus I case — which has the city governments of Columbus (Ohio), Baltimore and Chicago, as well as other groups, as plaintiffs — the Maryland district court ruled on summary judgment in June […] The post HHS appeals decision vacating provisions of 2025 ACA marketplace rule appeared first on Becker's Payer Issues | Pay...
Policy / Regulatory Changes · 140 signals · last 30 days