High rates of prior authorization denials and limited state oversight suggest some Medicaid managed care beneficiaries aren’t able to access necessary medical care, according to a recent report by the ...

This article presents a detailed descriptive analysis of how Massachusetts and Minnesota implemented Medicaid accountable care organization (ACO) models for their managed care population. CMS aims to ...

Medicaid expansion was associated with substantial changes in Medicaid managed care plan composition, which may influence a plan’s performance on enrollee experience metrics. Objectives: To examine ...

ALBANY, N.Y. (NEXSTAR) — A coalition of New York chambers of commerce and other business groups said they’re worried about a potential hike in medical insurance premiums. To that end, they wrote ...

Amidst the backdrop of large-scale consolidation across the US health care system, consolidation among Medicaid managed care plans threatens the health and long-term stability of Medicaid managed care ...

Even before it moves most long-term care patients into its managed Medicaid program, Nebraska has responded to provider concerns to protect beneficiaries with the most clinically complex conditions.