Managed care stocks face thin margins and rising utilization. See how AI automation can boost cost control and earnings ...

A collaborative service model between a managed care organization and an affordable housing provider reduced acute care use and costs. Objectives: This study evaluated a collaborative service model ...

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 ...

The shift to a managed care model for delivery of long-term services and supports was associated with a 0.9 percentage point (4.2 percent) increase in the quarterly risk of a hospitalization in ...

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 ...

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 ...

The Medicaid program made a major commitment to managed care during the past decade. Following turbulent early years, the marriage matured and stabilized because managed care models responded well to ...

A state lawmaker proposed a bill that would scrap the Ohio Department of Medicaid’s managed care program, opting instead to return to a fee-for-service model with administrative services organizations ...

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 ...

OKLAHOMA CITY — The state Medicaid program’s recent switch to a managed care model has been a disaster, health care providers, a consumer and a state senator said Wednesday, June 5, 2024. The problem ...

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 ...