Gold Coast Health Plan (GCHP) connected more Medi-Cal members with vital health care screenings and immunizations in 2023, surpassing regulatory health care quality metrics and ranking it as one of ...
Given the prevalence of managed care, it’s incumbent upon the industry to ensure that there is a robust supplier pool.
The contracts will involve tens of billions of dollars in the coming years, with about 3 million people receiving health care ...
Capital Rx, a pharmacy benefit manager and administrator, has announced Judi Health, the first centralized claims processing ...
“We can point to situations where prior authorization has literally saved lives. There are good docs and there are bad docs ...
Prior authorizations are the way MA managed care plans pre-approve some procedures before they’ll pay for them.
The managed care giant reported a 22% profit increase in 2024 over 2023, as a sharp increase in its Medicare prescription ...
Florida Lawmakers in 2011 created a system in which most Medicaid beneficiaries are required to enroll in managed-care plans.
Unless the funding challenges seen in Lynnwood — and at similar facilities in Pierce County — are solved, it could put the ...
Under a managed care arrangement, Medicaid MCOs determine the rates they pay providers for inpatient hospital services.
Tampa Free Press on MSN9d
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 ...
PROVIDENCE, R.I. (WPRI) — Rhode Island again has canceled a bidding process for a multibillion-dollar contract to run the state’s Medicaid managed care program, the latest installment in an ongoing ...
Some results have been hidden because they may be inaccessible to you
Show inaccessible results
Feedback