In Medicare, the term “managed care plans” refers to Medicare Advantage (Part C) plans offered by private companies contracted by Medicare. These plans work in place of your Original Medicare ...

The new dual-eligible managed care program is a low- to no-cost program for members who have particularly complex medical needs and would benefit from expanded, coordinated coverage.

State Medicaid agencies can improve D-SNP financial transparency and reward those D-SNPs that provide the best value to ...

Dental insurance coverage can be important for people who are eligible or about to become eligible for Medicare. Since the ...

Medicare Part A is a component of the federally funded and managed health insurance ... their doctor and elects hospice care, their hospice team creates a care plan that may include any of the ...

Special Needs Plans boosted a sluggish Medicare Advantage market during the annual enrollment period for 2025, a Modern ...

CMS is facing employee firings, flagging morale, confusing messaging, and the specter of additional disruption.

Recent Medicare Advantage rules haven’t gone far enough to ensure adequate access to quality care for seniors, consumer and ...

Medicaid integration efforts proceed, policymakers need to recognize and address the specific needs of dually eligible ...

Some Medicare beneficiaries have until March 31 to make coverage changes. Here’s what experts say you should think about when comparing your options.

The context is traditional Medicare, but similar issues also arise for Medicare managed care plans because they must provide the same benefits. Furthermore, the issues arise irrespective of ...

Medicare Advantage plans offer one-stop shopping and extra benefits, but they restrict care to in-network providers and have been criticized for techniques such as “prior authorization,” used ...