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The California Medical Assistance Program (Medi-Cal or MediCal) is the California implementation of the federal Medicaid program serving low-income individuals, including families, seniors, persons with disabilities, children in foster care, pregnant women, and childless adults with incomes below 138% of federal poverty level.
In October 2017, Anthem announced that it would not renew its pharmacy benefit management (PBM) relationship with Express Scripts saying it had been overcharged $3 billion and that instead, Anthem would eventually handle the PBM process itself through its new IngenioRx unit. Anthem announced that it would enter a 5-year contract with CVS Health ...
Jul. 5—Mercy Health and Anthem Blue Cross and Blue Shield have agreed to a 90-day transition period for Anthem Medicaid members after rate negotiations stalled last week, an Anthem spokesperson ...
Dec. 22—Anthem Blue Cross and Blue Shield on Wednesday announced the company had agreed to acquire a Medicaid contract held by Paramount Advantage, action that comes six weeks after a judge ...
All private health insurance plans offered in the Marketplace must offer the following essential health benefits: ambulatory care, emergency services, hospitalization (such as surgery), maternity and newborn care, mental health and substance abuse services, prescription drugs, rehabilitative and habilitative services (services to help people ...
Utah ended Medicaid coverage for a large share of enrollees whose eligibility was reevaluated in 2023, following a 3-year pause during the pandemic. Most people dropped in Medicaid ‘unwinding ...
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