Amidst the backdrop of large-scale consolidation across the US health care system, consolidation among Medicaid managed care ...
The OBBBA will substantially increase volatility in Medicaid Managed Care by increasing churn, generating pent-up demand, and ...
Strengthening the standards to which Medicaid managed care organizations are held would likely improve access to and delivery ...
Early managed care prioritized coordinated primary care “gatekeeping,” selective contracting, utilization/quality controls, ...
On April 22, 2024, the Centers for Medicare & Medicaid Services (CMS) issued the Medicaid and Children’s Health Insurance Program Managed Care Access, Finance and Quality Final Rule, a final rule that ...
With the tremendous growth of managed care over the last several years, the Medicare and Medicaid programs have had to transform how they fund health care for approximately 100 million enrollees.
As a health plan in 2026, your goal is to improve overall operating efficiency while maintaining compliance, providing excellent care to patients, and enhancing the member experience. Efficiency isn’t ...
With the announcement of the nursing home minimum staffing rule, I asked myself the same question as operators nationwide: how on earth are we going to pay for this? Even if nursing homes could find ...
Leading publicly traded US managed care insurers are expected to report both sequential and year-over-year declines in net ...
A key House bill aims to save money on Indiana's struggling managed Medicaid program, and in turn, possibly alleviate the 11,000-strong waiver waitlist.
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