Centene (CNC) and Oscar Health (OSCR) were among notable gainers in the managed care space on Monday after Barclays upgraded ...

On April 22, 2024, the Centers for Medicare & Medicaid Services (CMS) issued the Medicaid and Children’s Health Insurance Program Managed Care Access, Finance and Quality Final Rule, a final rule that ...

On May 10, 2024, the Centers for Medicare & Medicaid Services (CMS) published the Medicaid and Children’s Health Insurance Program (CHIP) Managed Care final rule in the Federal Register. The final ...

A group representing West Virginia’s four largest managed care organizations presented lawmakers with a roadmap for reducing ...

U.S. managed healthcare insurers are currently going through a significant transformation, driven by rising medical costs, increased regulatory scrutiny and a surge in investments focused on data, ...

With the announcement of the nursing home minimum staffing rule, I asked myself the same question as operators nationwide: how on earth are we going to pay for this? Even if nursing homes could find ...

US managed care providers have been under pressure because of disappointing reimbursement rates from government-backed programs and rising utilization trends. Healthcare stocks have had a weak start ...

To mark the 30th anniversary of The American Journal of Managed Care, each issue in 2025 includes a special feature: reflections from a thought leader on what has changed—and what has not—over the ...

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 ...

Explore the stages and prevalence of chronic kidney disease, highlighting risk factors and the importance of early detection ...

TOPEKA, Kan. (WIBW) - Kansas Department of Health and Environment announced a selection of three managed care organizations that will serve KanCare. The Kansas Department of Health and Environment ...