Supported value-based care improves prenatal care while reducing neonatal intensive care unit stays, preterm birth rates, low birth weight rates, and costs for mothers and infants. Objectives: ...

US managed care providers have been under pressure because of disappointing reimbursement rates from government-backed programs and rising utilization trends. Healthcare stocks have had a weak start ...

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 ...

AmeriHealth Caritas Ohio, a managed care organization serving Medicaid enrollees, recently added Premier Health to its network of providers, expanding access for approximately 26,000 members in ...

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 ...

Two committees tasked with studying and addressing issues related to aging met Thursday, concluding that Medicaid waitlist progress was "barely treading water" and dissecting ongoing provider issues ...

LAS VEGAS — Many long-term care providers need to get up to speed on how they can receive better treatment from managed care organizations, especially with greater opportunities starting Jan. 1. That ...

Subscribe to The St. Louis American‘s free weekly newsletter for critical stories, community voices, and insights that matter. Sign up Shannon Bagley has a passion for crunching numbers and for ...

Managed care organization and providers should conduct early formulary reviews and education to ensure rapid access to dextromethorphan-bupropion upon approval, potentially delaying facility placement ...

8 Managed Care Contract Questions Regarding Utilization and Management Naya Kehayes, managing principal and CEO of Eveia Health Consulting and Management, recommends hospitals and other providers ask ...