Increasing pressure from managed care and other payer organizations did not dramatically undercut overall nursing home ...

Centene (CNC) and Oscar Health (OSCR) were among notable gainers in the managed care space on Monday after Barclays upgraded ...

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 ...

U.S. managed healthcare insurers are currently going through a significant transformation, driven by rising medical costs, ...

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 ...

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 ...

Naya Kehayes, managing principal and CEO of Eveia Health Consulting and Management, recommends that hospitals and other providers ask payors these 11 questions regarding termination of managed care ...

For the past fifteen years the words “managed care” have been the shorthand label for a wide variety of health plans that, in one way or another, have combined the functions of delivering and ...

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 program that pairs recently hospitalized patients with trained volunteers for home visits is expanding into Allen County, ...

The funding comes as the healthtech startup reports operating break-even at its first hospital within six months of launch ...