It is important that managed care contracts be closely scrutinized from many angles to assure emergency medicine practices are getting the proper reimbursement. Many savvy practice leaders and ...
Naya Kehayes, managing principal and CEO of Eveia Health Consulting and Management, recommends that hospitals and other providers ask payors these 11 questions regarding termination of managed care ...
Reprinted with the permission from Surgical Management Professionals, as published in the Spring 2012 Issue of the SMP Connection, www.smpsd.com. Effective initial negotiation and ongoing maintenance ...
Managed care contracting is often overlooked and is critical to the financial well being of your center. Here are four basic rules that you should know when negotiating with carriers. 1. Direction of ...
CMS finalizes new standards and reporting obligations affecting Medicaid and CHIP managed care plans
On April 22, 2024, the Centers for Medicare & Medicaid Services (CMS) published the Medicaid and Children's Health Insurance Program (CHIP) Managed Care Access, Finance, and Quality Final Rule and the ...
Iowa has awarded Centene a new Medicaid managed care contract, extending the insurer’s participation in the state’s $6.7 billion Medicaid program for another six years. Centene subsidiary Iowa Total ...
A losing bidder has filed a lawsuit seeking to prevent Florida health officials from moving forward with new Medicaid managed-care contracts while legal protests continue. A losing bidder has filed a ...
One of four insurers providing care for Illinois Medicaid patients has agreed to pay $1.2 million to settle allegations it failed to provide SNFists to nursing homes as required by its state contract.
Most states used managed care arrangements to deliver health benefits to their Medicaid beneficiaries, where state agencies contract with insurers and pay them per-member per-month rates. Contract ...
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