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

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.

Learn more about whether Encompass Health Corporation or Humana Inc. is a better investment based on AAII's A+ Investor ...

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

And in 2023, KP agreed to pay $50 million, the largest penalty ever levied by the state’s Department of Managed ... laws require health plans to provide mental health care on par with medical ...

Significant changes to Florida's Medicaid managed-care system take effect this month, impacting millions of beneficiaries ...

“We can point to situations where prior authorization has literally saved lives. There are good docs and there are bad docs ...

Gov. Mike Braun recently issued a series of executive orders aimed at reshaping Indiana’s health care landscape.

Managed Healthcare Executive provides C-suite executives at health plans and provider organizations with news, analysis, ...