Provider groups are calling on CMS to adopt new rules that hold MA plans more accountable for “egregious” denials while also helping to ensure the future success of the only such plans nursing homes ...

Dr. Tommy Ibrahim discusses a new value-based care strategy and his plans for systemwide continuity in an exclusive interview ...

In most recent year with available data, more than 1 in 4 of the U.S. doctors enrolled to see Medicaid patients didn’t see even one, according to new OHSU study. Researcher hopes policymakers take ...

Some parents are in shock after learning their children were mistakenly listed as inactive under a Medicaid program for kids ...

A multibillion-dollar budget crisis will hit the state’s Medicaid program in the next few years due to federal changes.

Medicare Advantage (MA) plans and the providers in their networks are crying foul over potentially getting virtually no ...

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 rule puts limits on states levying higher taxes on Medicaid businesses. The CMS argues the tax arrangements allow states ...

The change is expected to streamline the scheduling process and give clients more control over their transportation choices.

For Duke Health, ensuring Medicaid-eligible individuals maintain their eligibility and that their costs are reimbursed will ...

Gov. Kevin Stitt has revised an executive order that required Medicaid providers to sign an abortion attestation. Here's what to know: ...