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.
Medicaid
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.
California Pledges Millions to Strengthen the Future of Behavioral Health Care Workforce
Discover how California is investing millions to support the next generation of behavioral health care workers, fostering innovation and strengthening mental health services across the state.
Florida Releases Medicaid Managed Care ITN
Florida releases its Statewide Medicaid Managed Care Invitation to Negotiate, seeking to enhance the program’s effectiveness and efficiency. Read on for more details.
How States Are Utilizing Managed Care to Address Social Determinants of Health
Dive into how states can utilize managed care to address health-related social needs and social determinants of health, promoting health equity and community well-being.
Medicare vs. Medicaid: A Quick Recap and Reference Guide
You likely hear a lot about Medicare, Medicaid, and Medicare Advantage, but do you know what the difference between the programs is?
Next Generation of Ohio Medicaid Managed Care Launches
Ohio’s Next Generation Managed Care program is officially off the ground and running. We take a look at the ins and outs of the program and determine if we think it has the foundation to be successful.
Female-Founded Health Tech Startup Addressing SDOH
Spatially Health, a female-founded health tech startup, teamed up with ACO Health Partners in Florida to address social determinants of health.
Value-Based Care Platform Joining CMS Advance Investment Payments (AIP) Incentive Program
Federally qualified health centers (FQHCs) and rural providers participating in ACOs using the Signify Health platform will receive advanced incentive payments when they join the Medicare Shared Savings Program.
Ohio Launches Nest Generation Managed Care Plans
The Ohio Department of Medicaid recently launched its Next Generation managed care plans, following an overhauling process that began in 2019.