News
Ohio suspends more Medicaid providers in push to combat fraud
5+ hour, 34+ min ago (572+ words) A direct care worker helps a patient in his home. The Ohio Department of Medicaid has suspended payments to eight newly identified high-risk providers, the department stated in a press release. Each of those providers were connected to at least…...
Work requirements for certain Medicaid members will start in 2027; How does Ohio's plan differ from other states
1+ mon, 1+ week ago (967+ words) Construction workers install insulation on Wednesday, May 6 on the exterior of a Panda Express being built on the site of a former PNC Bank near Mall at Fairfield Commons in Beavercreek. States will be required to implement work requirements for…...
Trump's Medicaid work mandates are meant to save money. But first states will have to spend millions
3+ mon, 2+ week ago (790+ words) Across the nation, states face an immense task and high costs to prepare for the Jan. 1 kickoff of new Medicaid eligibility mandates affecting millions of lower-income adults in the government-funded health care program. The first half of a $200 million federal…...
Ohio Medicaid projected to lose $33 B over next decade
1+ mon, 4+ week ago (1287+ words) Health care analysts are estimating Ohio will lose billions for its Medicaid program over the next decade following last year's passage of HR 1 " the federal reconciliation bill also called the "One Big Beautiful Bill Act" or the "Working Families Tax…...
Ohio Medicaid underpaid nursing homes by $572 M: What's happening now with the repayment?
4+ mon, 1+ week ago (812+ words) The Ohio Supreme Court last year ruled the Ohio Department of Medicaid had been underpaying nursing homes for about two years due to how the state calculated payments in an updated, but complex payment system " and now the department will…...
New in 2026: What is My Care Ohio health insurance, and who's eligible?
4+ mon, 1+ week ago (316+ words) My Care Ohio is a Medicare-Medicaid managed care program for Ohioans who are eligible for both. The plan is new as of Jan. 1, 2026, and integrates benefits from both programs into a single health plan (called Next Generation My Care plan)…...
Former Kettering Health president says there's more nuance to "excess benefits' in tax documents
4+ mon, 3+ week ago (824+ words) A former Kettering Health president is pushing back on characterizations of "excess benefits" in tax records after a Dayton Daily News investigation found the hospital network identified $3. 2 million in improper benefits provided to former executives and board members. Wally Sackett,…...
Tax docs: Kettering Health execs, church leaders got $3. 2 M in improper benefits
5+ mon, 9+ hour ago (1702+ words) A number of former Kettering Health executives and board members, along with their family members, received more than $3. 2 million in improper "excess benefits" from the hospital from 2016 through 2022, according to hospital tax records recently obtained by the Dayton Daily News....
After weeks of silence from Social Security, Dayton-area woman gets Medicare process help
5+ mon, 1+ week ago (252+ words) A woman contacted the Ombudsman for help with her Medicare Part B application. She knew that her application had been received. The woman had been calling the Social Security Administration, but was not able to speak with anyone. She needed…...
Voice of business: Healthcare shift for businesses in region
5+ mon, 4+ week ago (456+ words) I've been watching closely as a growing number of our region's small businesses are making a strategic pivot this December, moving from traditional small-group or individual health insurance plans to health coverage through business associations. This shift reflects a broader…...