Naya Kehayes, managing principal and CEO of Eveia Health Consulting and Management, recommends that hospitals and other providers ask payors these 11 questions regarding termination of managed care ...

The contracts were awarded after Mississippi Medicaid issued one-year emergency contracts last month to Magnolia Health, Molina Healthcare and UnitedHealthcare – the companies currently contracting ...

Managed care contracting is no simple process. Healthcare providers are tasked with negotiating optimal contracts, modeling the contract’s impact on revenue, ensuring payers uphold their end of ...

Louisiana will drop Medicaid contracts with Aetna and UnitedHealthCare, forcing nearly 488,500 residents to switch plans ...

Reprinted with the permission from Surgical Management Professionals, as published in the Spring 2012 Issue of the SMP Connection, www.smpsd.com. Effective initial negotiation and ongoing maintenance ...

A losing bidder has filed a lawsuit seeking to prevent Florida health officials from moving forward with new Medicaid managed-care contracts while legal protests continue. ImagineCare LLC filed the ...

Industry-wide pressures are necessitating that home-based care providers step away from traditional fee-for-service models – ...

Managed care contracting is often overlooked and is critical to the financial well being of your center. Here are four basic rules that you should know when negotiating with carriers. 1. Direction of ...

Gov. Jeff Landry and Attorney General Liz Murrill have been battling some of the nation’s largest health care companies in ...

Iowa has awarded Centene a new Medicaid managed care contract, extending the insurer’s participation in the state’s $6.7 billion Medicaid program for another six years. Centene subsidiary Iowa Total ...

Most states used managed care arrangements to deliver health benefits to their Medicaid beneficiaries, where state agencies contract with insurers and pay them per-member per-month rates. Contract ...