Strengthening the standards to which Medicaid managed care organizations are held would likely improve access to and delivery ...
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 ...
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 ...
By a News Reporter-Staff News Editor at Insurance Daily News-- New research on Managed Care is the subject of a report. Our news journalists obtained a quote from the research from the Northwestern ...
CMS issued a final rule Tuesday preventing states from increasing or adding pass-through payments for hospitals, physicians or nursing homes contracted with Medicaid managed care organizations. Here ...
Idaho previously administered Medicaid through the traditional fee-for-service system where the state directly contracts with and pays health care providers a fee for each service provided, such as an ...
More states are turning to companies specializing in Medicaid managed care, rather than commercial payors, in efforts to maintain financial viability, according to an American Medical News report.
The Office of Inspector General has released a report examining prior authorization patterns from seven managed care companies, and based on the findings is urging increased oversight of prior ...
For Duke Health, ensuring Medicaid-eligible individuals maintain their eligibility and that their costs are reimbursed will ...
Explore Medicaid waivers, learn about eligibility criteria, and discover the various types, including home and community-based services, that provide essential healthcare access.
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