The clinicians have engaged in 26 bargaining sessions over the last year in their bid for their first contract.

The company will expand its platform, which helps health systems analyze claims data, identify reimbursement discrepancies ...

The Federal Drive with Terry Gerton provides expert insights on current events in the federal community. Read more interviews ...

Indiana Governor Michael Braun signed a reform bill into law Monday to shift the state’s troubled managed Medicaid program – serving older adults in nursing homes and other long-term care settings – ...

After months of stalled negotiations, thousands of patients with UnitedHealthCare commercial insurance plans will become out of network, and therefore incur higher costs, with Lehigh Valley Health ...

A Pennsylvania appeals court ordered the state’s Department of Human Services to restart the bidding process for Medicaid contracts to manage billions in long-term care benefits for nearly 400,000 ...

Managed care stocks bounced back from a year-to-date decline to reach a three-month high on Tuesday after the Centers for Medicare & Medicaid Services (CMS) finalized a better-than-expected ...

BATON ROUGE, La. — The Louisiana Department of Health announced Tuesday that it has closed its Medicaid managed care contract with UnitedHealthcare and reassigned affected members to other ...

One in 4 Medicaid managed care organization sanctions are not remediated, revealing inconsistent state and federal oversight and the need to standardize CMS reporting and enforcement guidelines.

INDIANA — Governor Mike Braun has signed legislation that will significantly alter how Indiana’s long-term care residents receive Medicaid benefits, moving a specific population away from managed care ...

Gov. Tim Walz said this week he wants to eliminate Managed Care Organizations from Minnesota’s Medicaid system. MCOs are contracted by the Minnesota Department of Human Services and administer 80% of ...

New data obtained by the FOX 9 Investigators shows UCare’s Medicaid payments topped $600 million last year —more than double what it paid out in 2022. UCare is shutting down and shifting members to ...