Cardinal Innovations Healthcare is the largest specialty health plan in the country, insuring more than 850,000 North Carolinians with complex needs. Using a community-based model of care management, ...
Health care spending in 2019 reached $3.8 trillion, 17.7 percent of the gross domestic product in the United States. Likewise, employer-sponsored health insurance premiums — which cover about 157 ...
With the announcement of the nursing home minimum staffing rule, I asked myself the same question as operators nationwide: how on earth are we going to pay for this? Even if nursing homes could find ...
Editor’s note: Part 1 of this post, which appears below, provides background on Medicaid managed care and outlines the pressing questions and challenges facing states that—increasingly—use it. Part 2 ...
On April 22, the HHS Centers for Medicare and Medicaid Services (CMS) published a long-awaited final rule regulating the use of managed care in Medicaid and CHIP. The official Federal Register version ...
Medicaid managed care has not been the panacea for spending, care quality, and access that policy makers expected, but reforms could change that. Evidence indicates a need for further reform in ...
Who Are the Top Companies in the Managed Care Indu... Who Are the Top Companies in the Managed Care Indu... Managed care organizations (MCOs), which primarily offer medical and pharmaceutical benefit ...
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