The skyrocketing costs caused by Medicaid’s fee-for-service approach have states struggling to meet their government budgets, and access to quality health care is becoming scarcer. In hopes of ...

Healthcare advocates in New York are pushing for a bill that would remove most mental health and substance use services from ...

On April 22, 2024, the U.S. Department of Health and Human Services (HHS) and the Centers for Medicare & Medicaid Services (CMS) issued a Final Rule (CMS-2439-F), effective July 9, 2024, aimed at ...

Medicaid expansion was associated with substantial changes in Medicaid managed care plan composition, which may influence a plan’s performance on enrollee experience metrics. Objectives: To examine ...

A Monday panel on Idaho’s Medicaid transition was largely characterized by discussion of the future administrative burden faced by health care providers and the varying uncertainties among Medicaid ...

The managed care rule’s importance can hardly be overstated. As of 2022, three-quarters of states relied on managed care as a basic element of their Medicaid state plan administration. Over 80 percent ...

Amidst the backdrop of large-scale consolidation across the US health care system, consolidation among Medicaid managed care plans threatens the health and long-term stability of Medicaid managed care ...

NOTICE: The project that is the subject of this workshop summary was approved by the Governing Board of the National Research Council, whose members are drawn from the councils of the National Academy ...

On this episode of Managed Care Cast, we speak with Arthur L. Jenkins III, MD, FACS, CEO of Jenkins NeuroSpine, to explore the intersection of advanced surgical care for sport-related neurospine ...

This story initially appeared in the Idaho Press. A Monday panel on Idaho’s Medicaid transition was largely characterized by discussion of the future administrative burden faced by health care ...