Early managed care prioritized coordinated primary care “gatekeeping,” selective contracting, utilization/quality controls, ...

Strengthening the standards to which Medicaid managed care organizations are held would likely improve access to and delivery ...

MEMPHIS, Tenn., April 6, 2022 /PRNewswire/ -- Sedgwick, a leading global provider of technology-enabled risk, benefits and integrated business solutions, is now offering its well-established managed ...

Within the first six months of President Trump’s second term, his Administration and the GOP have already implemented significant policies that are reshaping health care in the United States. Through ...

Amidst the backdrop of large-scale consolidation across the US health care system, consolidation among Medicaid managed care ...

Quantitative Medicaid managed care network adequacy standards were not associated with improved mental health (MH) care access among adults and those with MH conditions. Objectives: Medicaid is the ...

OIG issued a new report finding that in 2022 some Medicaid managed care plans self-reported making no or very few potential provider fraud, waste, and abuse referrals. OIG reported that 33 plans, ten ...

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 ...

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 ...

Gov. Ned Lamont's administration put forth proposals designing to lower the cost of health care in 2022. Some succeeded, while others failed. Credit: MARK PAZNIOKAS / CT MIRROR Gov. Ned Lamont is ...