Live Breaking News & Updates on Medicaid Managed Care Organizations|Page 5

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Seasonal influenza prevention starts now in Tennessee

The Tennessee Department of Health is offering free flu vaccines at more than 100 county health departments across the state beginning Nov. 1. Paul Petersen, director of the of emergency preparedness program for the Tennessee Department of Health, said seasonal influenza cases are most prevalent in January and February. . ....

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Advocates consider best uses for OH opioid funds

Ohio community advocates are evaluating how funds from the OneOhio plan should be used. The OneOhio plan uses the $2 billion awarded to the state from the 2021 opioid settlement. This funding is what created the OneOhio Foundation, which will develop short and long term plans to help local communities continue combating the opioid crisis. . ....

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Concern mounts over denied claims by health insurers impact on West Virginians / Public News Service

Congressional Democrats are investigating Medicaid prior authorization practices and denied claims by private health insurers. According to a federal report, one out of every eight requests for prior authorization of services by Medicaid Managed Care Organizations were denied in 2019. Eve Marcum-Atkinson, director of health care advocacy for the West Virginia Citizen Action Group, said residents cannot get pacemakers, medication, or the surgeries they need, with serious consequences for community health. . ....

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Medicaid Managed Care Organizations Deny 1 in 8 Prior Authorization Requests

Concerns raised over Medicaid managed care organizations' high denial rates for prior authorization requests, highlighting potential disparities in access to essential health care services for enrollees. OIG recommends improved state oversight and external medical reviews to address ....

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Health Care Week in Review: Rep. McCarthy Ousted as Speaker of the House; CMS Announces Drug Manufacturer Participation in Medicare Price Negotiations | Alston & Bird

Below is Alston & Bird’s Health Care Week in Review, which provides a synopsis of the latest news in health care regulations, notices, and guidance; federal legislation and. ....

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