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 ...
Recently, the Department of Health and Human Services (“HHS”), Office of the Inspector General (“OIG”), HHS’s Centers for Medicare & Medicaid Services (“CMS”), and Congress have focused attention on ...
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 ...
US managed care insurers' Q3 earnings season was characterized by generally higher medical costs amid changes to federally subsidized healthcare plans that, in some cases, resulted in lower ...
In American healthcare, Medicaid presents significant challenges, particularly regarding inpatient stay approvals. In recent years, Medicare and the Two-Midnight Rule have dominated discussions around ...
The Ohio Department of Medicaid is planning to relaunch MyCare, which previously existed for select individuals who were dually eligible for Medicaid and Medicare, as part of an initiative to make the ...
OLDWICK, N.J.--(BUSINESS WIRE)--AM Best has assigned a negative outlook on the U.S. Medicare Advantage (MA) and Medicaid managed care segment, citing several adverse factors affecting each government ...
2025 SEP 11 (NewsRx) -- By a News Reporter-Staff News Editor at Insurance Daily News-- Current study results on Managed Care have been published. According to news reporting out of Philadelphia, ...
In a separate report, Milliman estimated an average non-dual eligible aged-in Medicare Advantage Prescription Drug (MA-PD) ...
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