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

Removing community-based mental health and addiction services from New York's Medicaid managed-care program will save the ...

Shrinking reimbursements and rising healthcare costs are forcing many nursing homes in New York to turn to a new model of care where patients receive medical attention in the comfort of their own ...

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 ...

As more than one dozen governors attempt to shift more Medicaid beneficiaries into private managed care plans, insurers and health care providers are battling for money and control of new networks.

Connecticut’s Medicaid program boasts lower costs and similar levels of access when compared to peer states, according to a report by independent consultants, leading to the conclusion that employing ...

Adam Colborn, JD, associate vice president for congressional affairs, AMCP, discusses key regulatory factors that managed care professionals must consider when implementing artificial intelligence (AI ...

With health care costs rising and Medicare and Medicaid funds on the decline, nursing home operators are increasingly shutting down institutions and investing in an alternative model of long-term care ...

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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 ...

North Carolina is the latest state to shift to a managed care Medicaid model as it makes the change July 1. The state joins nearly 40 others who adopted the model in an effort to save money and ...

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 ...