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.
US managed care insurers' Q4 2024 earnings season was characterized by generally higher medical costs amid ongoing changes to ...
State Medicaid agencies can improve D-SNP financial transparency and reward those D-SNPs that provide the best value to ...
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 ...
Medicaid integration efforts proceed, policymakers need to recognize and address the specific needs of dually eligible ...
Dental insurance coverage can be important for people who are eligible or about to become eligible for Medicare. Since the ...
Recent Medicare Advantage rules haven’t gone far enough to ensure adequate access to quality care for seniors, consumer and ...
Facing a variety of financial pressures, health plans need to take a measured approach to identify supplemental benefit ...
Unsure how to manage LTC residents, particularly high-needs and frail older adults, health care payers such as managed care ...
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 ...
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