A new analysis of more than 3 million claims for Medicare patients found that patients enrolled in a managed Medicare Advantage plan had better health outcomes than those senior enrolled in the ...

Network adequacy remains a significant challenge for behavioral healthcare in Medicare Advantage (MA) and Medicaid managed care, according to a new report. Analysts at the Department of Health and ...

Retirees on Medicare Advantage are missing out on crucial coverage, and their health could suffer because of it.

LIMA — Seniors enrolled in Anthem-managed Medicare Advantage plans may lose access to paid gym memberships in the new year. The insurance company discontinued its Silver Sneakers fitness benefit for ...

Explore 2025 managed care enforcement trends under the Trump administration. Learn about Department of Justice (DOJ) and ...

Hospitals and health systems are constantly looking to decrease claims denials. One area of opportunity involves Medicare and Medicaid managed care plans. Jeff Means and Sara Roberts of Colburn Hill ...

Amidst the backdrop of large-scale consolidation across the US health care system, consolidation among Medicaid managed care ...

The Centers for Medicare and Medicaid Services (CMS) has implemented prior authorization requirements for certain traditional ...