Pandemic could swell Georgia’s Medicaid rolls, numbers of uninsured
Even before COVID-19 struck, Georgia had a high rate of people with no health insurance. Now, with job losses piling up amid the pandemic, the number of Georgians without coverage is expected to spike. A new analysis from consulting firm Health Management Associates (HMA) gives estimates for Georgia that... Read more
House panel approves restrictions on PBMs, surprise medical billing
“Corporate greed.’’ “Steering patients.’’ “No transparency.’’ Those phrases were used by Georgia lawmakers Thursday to characterize the complicated practices of pharmacy benefit managers. PBMs basically are corporate middlemen between health insurers or large employers and drugmakers in handling pharmaceutical benefits. A trio of House bills aim to strengthen regulation and... Read more
Could federal Medicaid idea reshape Ga. waiver?
A new federal initiative on Medicaid could wind up altering Georgia’s waiver proposal on extending coverage to low-income adults. The Trump administration said Thursday that it’s encouraging states to seek a cap on federal Medicaid funding for covering working-age adults, in exchange for more state autonomy in running that... Read more
Big merger changes Medicaid insurance equation in Georgia
The merger of insurers Centene and WellCare will create a company with a dominant position in Georgia’s managed care market for Medicaid. The $17 billion deal, which closed Thursday, will give the resulting entity roughly two-thirds of the Medicaid HMO business in the state. And that market power has... Read more
Health care budget cuts raise alarm as waiver plan draws criticism
Gov. Brian Kemp’s tough budget plan spares two giant health care programs from cuts: Medicaid, and the Georgia health plan covering teachers and state employees. But in a Thursday hearing, state lawmakers were briefed on funding cuts in other state health programs, including behavioral health services and physician training programs. State... Read more

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