And in 2023, KP agreed to pay $50 million, the largest penalty ever levied by the state’s Department of Managed Health Care, for failing to provide timely care, maintain a sufficient number of mental ...

And in 2023, KP agreed to pay $50 million, the largest penalty ever levied by the state’s Department of Managed Health Care, for failing to provide timely care, maintain a sufficient number of ...

In an interview with The American Journal of Managed Care, Michael A. Bernstein, MD, stressed the need for effective ...

The contracts will involve tens of billions of dollars in the coming years, with about 3 million people receiving health care ...

The Senate on Thursday confirmed Trump’s latest Cabinet pick, Robert F. Kennedy Jr., raising the longtime vaccine skeptic to ...

Prior authorizations are the way MA managed care plans pre-approve some procedures before they’ll pay for them.

LaTeena Smith pleaded guilty in December to submitting fraudulent bills for psychotherapy services for Medicaid managed care ...

New York’s Medicaid program lost an estimated $31.2 million in drug rebates due to rejected pharmacy encounter claims, ...

STATEWIDE— NEW YORK STATE DEPARTMENT OF HEALTH'S eMedNY COMPUTER system improperly paid $16.2 million in Medicaid claims during a six-month period that started in October 2023, reports an audit that ...

The removal of pages managed by the US Department of Health and Human Services ... especially patients in marginalized communities, as well as public health officials, concerns all health care ...