Payment models often require the same information, but have different definitions, exclusion criteria, and time frames, execs ...

Mitchell finished the game making a statement. The Cavaliers guard finished with 33 points, two rebounds, and six assists, leading the game in scoring and logging his 17th 30-point performance of the ...

If Republicans cut Medicaid, it will push millions into the ranks of the uninsured, drive up healthcare costs and worsen ...

I managed HF 313, a bill that relates to testimony at an involuntary commitment hearing for substance abuse disorder or serious mental impairment. This bill allows for an advanced registered nurse ...

Sabra predicts a “busy year” of dealmaking, with a volume higher than that seen last year, CEO Rick Matros said Thursday on an earnings call.

A proposal in the California Legislature seeks to penalize insurers who repeatedly make the wrong call. The measure — SB 363 ...

Proposed legislation could make California one of only a handful of states that require insurers to disclose denial rates and ...

ECG Management Consultants’ Terri Welter says Medicaid presents a big opportunity to shift to value-based care, while the ...

After two years of fines, Gold Coast Health Plan, which serves low-income county residents, was ranked among the top plans in ...

Republican lawmakers intend to make big cuts to Medicaid and, if those cuts are realized, there is no way Centene and Molina's business will remain unscathed, said Dr. Mario Molina, who served as CEO ...

Comparing plans with similar characteristics, such as size, geographic location, or demographics served, allows for more meaningful insights and improvement opportunities.

As one of the biggest home-based care organizations in New York, VNS Health is leaning into its size and capabilities. “Our ...