The shift to a managed care system in Idaho's Medicaid program raises concerns over administrative burdens, unclear care ...
Industry-wide pressures are necessitating that home-based care providers step away from traditional fee-for-service models – but payer trends and other ...
Removing community-based mental health and addiction services from New York's Medicaid managed-care program will save the ...
To mark the 30th anniversary of The American Journal of Managed Care, each issue in 2025 includes a special feature: reflections from a thought leader on what has changed—and what has not—over the ...
Medicaid long-term care is rapidly changing, and some of those trends may eventually remake the way all of us receive personal assistance as we age or become disabled. Nearly half of all states are ...
Health care spending in 2019 reached $3.8 trillion, 17.7 percent of the gross domestic product in the United States. Likewise, employer-sponsored health insurance premiums — which cover about 157 ...
CRANBURY, N.J., July 28, 2022 (GLOBE NEWSWIRE) -- The American Journal of Managed Care® (AJMC®), the leading multimedia peer-reviewed journal dedicated to issues in managed care, today announced that ...
Dublin, May 14, 2024 (GLOBE NEWSWIRE) -- The "U.S. Managed Care Market (Medicare, Medicaid, and Private Health Insurance): Insights & Forecast (2024-2028)" report has been added to ...
INTRODUCTION In American healthcare, Medicaid presents significant challenges, particularly regarding inpatient stay approvals. In recent years, Medicare and the Two-Midnight Rule have dominated ...
With the announcement of the nursing home minimum staffing rule, I asked myself the same question as operators nationwide: how on earth are we going to pay for this? Even if nursing homes could find ...
In 2012, about 13 million seniors participated in Medicare Advantage (MA) managed care plans—about 27 percent of the Medicare population and twice as many as were enrolled just seven years ago. This ...
A majority of publicly traded US health insurers are expected to post QoQ declines in revenue and net income in Q2, according to an S&P Global Market Intelligence analysis of sell-side analyst ...
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