CMS on May 20 proposed a rule that would cap certain state Medicaid payments and align them more closely with Medicare rates. The proposed rule would create new limits for Medicaid state-directed ...

The Centers for Medicare & Medicaid Services May 20 released a proposed rule that would modify policies governing Medicaid state-directed payments as authorized under last year’s reconciliation ...

The Centers for Medicare and Medicaid Services is hoping to crack down on state Medicaid funding, which could leave many ...

As prudent purchasers, states are going to need to be much more aggressive in using their market leverage and in understanding health plan operations, not just “managing the contracts.” Editor’s note: ...

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 ...

On April 22, 2024, the Centers for Medicare & Medicaid Services (CMS) issued the Medicaid and Children’s Health Insurance Program Managed Care Access, Finance and Quality Final Rule, a final rule that ...

Medicaid managed care has changed monumentally in the last three decades, from a system that was focused on managing costs to the managed care of today which is making demonstrable differences in ...

An analysis of the largest cohort available reveals that youths with type 1 diabetes, on a Medicaid managed care plan, are less likely to be readmitted within 90 days of discharge. To determine ...

Healthcare advocates in New York are pushing for a bill that would remove most mental health and substance use services from ...

We were unable to process your request. Please try again later. If you continue to have this issue please contact customerservice@slackinc.com. Just 43% of Medicare plans covered all four FDA-approved ...