News
Minnesota advancing Medicaid fraud prevention with new pre-payment review system
2+ hour, 8+ min ago (323+ words) The development of a new automated review system for Minnesota Medicaid claims has completed its first phase, according to the Minnesota Department of Human Services. Over the last three months, the company Optum worked with the department to develop a…...
Federal review finds Minnesota's Medicaid improper payments far below national average
2+ week, 47+ min ago (260+ words) A new federal review from the U.S. Centers for Medicare & Medicaid Services shows Minnesota's Medicaid program has an improper payment rate far below the national average. CMS reported an error rate of slightly more than 2.1%, compared with a national average of…...
Some disability service and home care providers feeling the pain of billing issue and screening changes
3+ week, 23+ hour ago (292+ words) With the focus on preventing fraud, there is a new screening process in place for 14 services that end up being paid for through the Minnesota Department of Human Services. That has lead to a change in the payment schedule for…...
Money Matters: The cost of moving into a nursing home, part two
3+ week, 4+ day ago (256+ words) Today on Money Matters, we continued an important conversation: part two of the financial realities of moving into a nursing home. Our trusted financial expert joined us to break down what you need to know. Last week, we introduced this…...
Money Matters: The cost of moving into a nursing home, part one
1+ mon, 1+ day ago (261+ words) It's Monday morning, which means it's time to get our financial house in order. Today, we were joined by our trusted financial expert, Barry Bigelow, to break down part one of our two-part series. Today's topic was a heavy but…...
DHS begins prepayment review of 14 high-risk Medicaid services in Minnesota
1+ mon, 1+ week ago (325+ words) The Minnesota Department of Human Services (DHS) held a media briefing on Monday to provide updates about the progress in detecting and preventing fraud. John Connolly, deputy commissioner and state Medicaid director, said all Medicaid claims for 14 high-risk services are…...
Minnesota Unemployment Insurance program faces federal fraud investigation
1+ mon, 3+ week ago (241+ words) The U.S. Department of Labor will send a specialized team to Minnesota to review the state's Unemployment Insurance Program after reports of widespread fraud. Minnesota Unemployment Insurance program faces federal fraud investigation The U.S. Department of Labor will send a specialized team…...
Blue Cross and Aspirus St. Luke's agree on new contract through 2027
2+ mon, 1+ day ago (156+ words) Blue Cross and Blue Shield of Minnesota and Aspirus St. Luke's have reached a new contract agreement that will keep Aspirus St. Luke's in the Blue Cross network through 2027. The previous contract was set to end at midnight on December…...
Negotiations continue between Aspirus St. Luke's and Blue Cross Blue Shield of Minnesota
2+ mon, 3+ day ago (313+ words) Aspirus St. Luke's and Blue Cross Blue Shield of Minnesota (BCBSMN) are still in talks to renew their agreement for 2026 and beyond, while negotiating reimbursement rates, according to statements from both organizations. "Aspirus continues to negotiate in good faith with…...
Medica to acquire health plans from UCare
2+ mon, 2+ week ago (158+ words) Medica has announced that an agreement has been reached to acquire individual and family health plans from UCare, a Minnesota-based nonprofit health plan. MNsure, Minnesota's official health insurance marketplace, issued a statement on Monday, November 17, assuring UCare members that their…...