New “Making Care Primary Model” Takes Value-Based Payments to Primary Care
A detailed exploration of the Making Care Primary Model, an innovative value-based initiative by CMS aimed at transforming primary care.
managed care
Idaho Awards $1.2 billion Contract for MCO to Oversee Behavioral Health But Not Without Controversy
As Idaho State awards a transformative $1.2 billion contract for managing behavioral health services, legal disputes arise. Amid this conflict, what does the future hold for Idaho’s health sector?
CMS Launches New Value-Based Primary Care Pilot in 8 States
CMS aims to advance value-based primary care, especially in rural areas and among underserved populations, with a new pilot project called the Making Care Primary Model.
Oklahoma Awards Managed Care Contracts to Three Provider Led Entities in Partnership with Three National MCOs
Oklahoma Health Care Authority (OHCA) awarded managed care contracts to Aetna Better Health of Oklahoma, Humana Healthy Horizons of Oklahoma and Oklahoma Complete Health, a subsidiary of Centene Corporation.
Oklahoma Greenlights Medicaid Managed Care Contracts Worth $3.75B
Oklahoma’s Health Agency bestows $3.75 billion in Medicaid managed care contracts to three managed care organizations.
Sunshine Health Enters Value-Based Care Agreement with Johns Hopkins All Children’s Care Network
Sunshine Health and Johns Hopkins All Children’s Hospital team up in a two-year venture to boost pediatric primary care access for Florida Medicaid beneficiaries.
Nevada Lawmakers Approve Funding for Statewide Medicaid Managed Care
Nevada’s lawmakers step up to approve funding for a statewide Medicaid Managed Care program, paving the way for improved healthcare services across the state.
CMS Lays Out New Standards to Boost Access to Quality Care in Medicaid and CHIP
The Centers for Medicare and Medicaid Services (CMS) has proposed new standards aimed at enhancing access to quality health care in Medicaid and CHIP, a crucial step towards improved health equity.
Study Finds Inaccuracies in Medicare Advantage Provider Directories
A recent study has uncovered inaccuracies in Medicare Advantage provider directories, highlighting the need for improved data management in managed care.
New CMS Proposal Aims to Enhance Transparency & Access in Medicaid Managed Care
Discover how the CMS proposal seeks to improve access, transparency, and quality of healthcare for beneficiaries of Medicaid managed care and CHIP.