A key component of the much-touted 2024 Live Healthy Initiative is being carved up in the proposed health care budget released by House Republicans Thursday night. A product of the House Health Care ...
Because Medicaid programs must operate within the state’s annual budget constraints, inefficiencies in paying for prescription drugs will lead to forgone opportunities for Medicaid programs to provide ...
Managed care contracting is no simple process. Healthcare providers are tasked with negotiating optimal contracts, modeling the contract’s impact on revenue, ensuring payers uphold their end of ...
Managed care contracts can be a headache for any healthcare organization. However, having a plan before negotiations and during live contracts can make a big difference. Here are five points that can ...
Join I. Naya Kehayes, CEO and founder of Eveia Health Consulting & Management and a leading figure in the ASC industry and Caryl Serbin, president and founder of Surgery Consultants of America and ...
Humana (NYSE: HUM) and TriWest Healthcare Alliance have won $136 billion in contracts from the Defense Health Agency to provide managed care support services for service personnel, retirees and their ...
Early managed care prioritized coordinated primary care “gatekeeping,” selective contracting, utilization/quality controls, ...
Findings in Managed Care Reported from Thomas Jefferson University (Does Contracting with Managed Care Organizations Remain A Barrier for Nurse Practitioners?) By a News Reporter-Staff News Editor at ...
The Trump administration proposed a new initiative aimed at improving care coordination among Medicaid managed care plans for dual-eligible Medicare and Medicaid beneficiaries. The model, announced ...
Indiana’s social services agency plans to rebid $68 billion worth of health care contracts in August for vulnerable Hoosiers ...
Historically, the US health care system has failed to effectively assess or address food insecurity and poor nutrition. However, new policy pathways are emerging to support access to interventions ...