Shrinking reimbursements and rising healthcare costs are forcing many nursing homes in New York to turn to a new model of care where patients receive medical attention in the comfort of their own ...
Adam Colborn, JD, associate vice president for congressional affairs, AMCP, discusses key regulatory factors that managed care professionals must consider when implementing artificial intelligence (AI ...
Gov. Ned Lamont is exploring the possibility of returning the state’s Medicaid program to a model known as managed care, which has garnered a reputation among some Connecticut legislators and ...
Bipartisan legislative momentum and expanding litigation are accelerating PBM-focused reform at federal and state levels, ...
Connecticut’s Medicaid program boasts lower costs and similar levels of access when compared to peer states, according to a report by independent consultants, leading to the conclusion that employing ...
The Managed Care model has recently accelerated in growth as the result of the dramatic increase of mergers and acquisitions across industry verticals. Payers (insurance companies) have entered the ...
Providers and advocates renewed their calls to reject a potential return to Medicaid managed care during multiple meetings hosted by the Department of Social Services last week. The stakeholder ...
BOISE — Health care providers are asking the Legislature to give its current model for Medicaid, which was implemented in 2022, a chance to play out before moving on to another model. Managed care ...
Existing care management approaches, such as Principal Care Management (PCM), Transitional Care Management (TCM), and ...
Gov. Ned Lamont's administration put forth proposals designing to lower the cost of health care in 2022. Some succeeded, while others failed. MARK PAZNIOKAS / CT MIRROR Gov. Ned Lamont is exploring ...