One of at least 24 states that gave control of institutional long-term care to private insurance companies is walking away ...
Sanctions are a key tool that states use to hold Medicaid managed care organizations (MCOs) accountable for their use of public funds. The 2023 reports that MCOs submit ...
On April 22, 2024, the U.S. Department of Health and Human Services (HHS) and the Centers for Medicare & Medicaid Services (CMS) issued a Final Rule (CMS-2439-F), effective July 9, 2024, aimed at ...
This article is the latest in the Health Affairs Forefront series, Accountable Care for Population Health, featuring analysis and discussion of how to understand, design, support, and measure ...
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 ...
To mark the 30th anniversary of The American Journal of Managed Care (AJMC), each issue in 2025 includes reflections from a thought leader on what has changed over the past 3 decades and what’s next ...
Gov. Ned Lamont's administration put forth proposals designing to lower the cost of health care in 2022. Some succeeded, while others failed. Credit: MARK PAZNIOKAS / CT MIRROR Gov. Ned Lamont is ...
Leading publicly traded US managed care insurers are expected to report both sequential and year-over-year declines in net income for the fourth quarter of 2025. Beyond operating costs, insurers are ...
TALLAHASSEE — Attorneys for people with disabilities have filed a federal lawsuit alleging the Florida Agency for Health Care Administration has not provided adequate oversight of Medicaid ...