AJMC: How have the concept of managed care and the conversations around it changed over the past 30 years? CHERNEW: Thirty years ago, managed care was new, and all of the related activities to ...

Industry-wide pressures are necessitating that home-based care providers step away from traditional fee-for-service models – but payer trends and other ...

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 ...

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 ...

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 ...

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 ...

Medicaid managed care has become the dominant form of Medicaid delivery in the United States, with 41 states (including Washington, DC), using managed care organizations (MCOs) to provide access to ...

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 ...

And then there were six … again. The state’s overhauled Medicaid managed care program is back down to six insurers following the consolidation of two health plans. Harmony Health Plan is becoming part ...