AJMC: How have the concept of managed care and the conversations around it changed over the past 30 years? CHERNEW: Thirty years ago, managed care was new, and all of the related activities to ...
State Directed Payments (SDPs) are an emerging tool that give states the authority to direct how managed care plans pay providers (such as by mandating managed care plans pay Medicaid providers a ...
To mark the 30th anniversary of The American Journal of Managed Care (AJMC), each issue in 2025 includes a special feature: reflections from a thought leader on what has changed—and what has not—over ...
A new analysis of more than 3 million claims for Medicare patients found that patients enrolled in a managed Medicare Advantage plan had better health outcomes than those senior enrolled in the ...
Louisiana will drop Medicaid contracts with Aetna and UnitedHealthCare, forcing nearly 488,500 residents to switch plans ...
Anthem is moving to acquire Integra Managed Care, a New York-based, managed long-term care plan. Set to be closed at the end of 2022’s second quarter, the deal will have Anthem absorb 40,000 Medicaid ...
As the Trump administration prepares to roll out work requirements in Medicaid, two organizations representing Medicaid managed care plans are offering a number of suggestions, from enabling data ...
Historically, the US health care system has failed to effectively assess or address food insecurity and poor nutrition. However, new policy pathways are emerging to support access to interventions ...
Indiana health officials are extending open enrollment for two major Medicaid programs, giving more time for hundreds of ...
Stricter Medicaid eligibility checks look destined to be included in President Donald Trump-backed reconciliation legislation charging through Congress, dubbed the One Big Beautiful Bill. New work ...
Companies running private Medicare and Medicaid insurance plans inaccurately list many mental health professionals as being available to treat the plans' members, a new federal watchdog report says.
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