Learn about value-based payments and how this model shifts healthcare towards improved patient outcomes, reduced costs, and more efficient care delivery. We explore the different types of models, early successes, and challenges in implementation.
Centene Corporation continues its role in Iowa’s Medicaid program with a new six-year managed care contract, maintaining stability for beneficiaries and aligning contract timelines.
The Illinois Department of Healthcare and Family Services is set to rebid its Medicaid managed care contracts, aiming to enhance services for dual-eligible beneficiaries and the general Medicaid population.
Discover how Florida’s Medicaid Managed Care Pilot Program for individuals with IDD aims to improve health outcomes through personalized care plans, integrated services, and continuous monitoring
A legal battle unfolds in Florida as ImagineCare LLC sues to prevent the state’s health agency from advancing with new Medicaid managed-care contracts, citing potential harm to enrollees and ongoing bid protests.
The Centers for Medicare & Medicaid Services (CMS) has introduced two significant regulatory updates aimed at improving Medicaid access and aligning provider payments with commercial healthcare plans.
The Federal Trade Commission has finalized a rule banning non-compete agreements for most U.S. workers, including healthcare professionals, set to transform employment dynamics and potentially lower healthcare costs.
Explore how Florida’s innovative Medicaid Managed Care pilot program aims to reshape healthcare for individuals with Intellectual and Developmental Disabilities IDD, offering insights into the potential benefits and challenges of this transformative approach.
Discover the innovative strategies proposed by healthcare associations to facilitate greater participation of long-term and post-acute care providers in Accountable Care Organizations (ACOs), aiming to improve patient care and system efficiency.
Starting July 1, North Carolina introduces specialized Medicaid managed care plans aimed at providing comprehensive care for individuals with mental illnesses, developmental disabilities, substance use disorders, and traumatic brain injuries.