Prior authorizations are the way MA managed care plans pre-approve some procedures before they’ll pay for them.
Given the prevalence of managed care, it’s incumbent upon the industry to ensure that there is a robust supplier pool.
Under a managed care arrangement, Medicaid MCOs determine the rates they pay providers for inpatient hospital services.
The managed care giant reported a 22% profit increase in 2024 over 2023, as a sharp increase in its Medicare prescription ...
The contracts will involve tens of billions of dollars in the coming years, with about 3 million people receiving health care ...
Centene reported $3.3 billion in 2024 profits as Obamacare enrollment and premium revenue helped overcome a dip in Medicaid ...
Tampa Free Press on MSN8d
Florida’s Medicaid Managed-Care System Undergoes Major ChangesSignificant changes to Florida's Medicaid managed-care system take effect this month, impacting millions of beneficiaries ...
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