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 ...

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

A Monday panel on Idaho’s Medicaid transition was largely characterized by discussion of the future administrative burden faced by health care providers and the varying uncertainties among Medicaid ...

In their quest to find a way to do more with less, many state Medicaid programs are moving to the more comprehensive Medicaid managed care model in which patients are assigned to a health plan that is ...

Ohio's Medicaid program faces a potential loss of up to $3 billion in state and federal funding over the next two years.

BOISE — Health care providers are asking the Legislature to give its current model for Medicaid, which was implemented in 2022, a chance to play out before moving on to another model. The Medicaid ...

A collaborative service model between a managed care organization and an affordable housing provider reduced acute care use and costs. Objectives: This study evaluated a collaborative service model ...

More states are turning to companies specializing in Medicaid managed care, rather than commercial payors, in efforts to maintain financial viability, according to an American Medical News report.

Currently, Ohio utilizes seven different MCOs to manage Medicaid benefits. Under this “risk-bearing” model, the state pays the MCOs a capitated (per-member per-month) rate to manage the care of ...

Here, we propose an alternative value-based arrangement: a “social accountable care organization” (ACO) for Medicaid managed care that addresses social needs by placing primarily non-clinical staff at ...

Add Yahoo as a preferred source to see more of our stories on Google. Sen. David Bullard, R-Durant, speaks Wednesday during a Capitol press conference about concerns with the managed care model ...

Gov. Ned Lamont is exploring the possibility of returning the state’s Medicaid program to a model known as managed care, which has garnered a reputation among some Connecticut legislators and ...