Medicaid was established in 1965 as a system of federal matching funds for states to deliver health care to low-income Americans. Initially, all states paid directly for medical services, but they ...
New federal policy is tightening eligibility for both individual exchange and Medicaid coverage, putting insurers concentrated in those markets under closer scrutiny through 2027. Regulations tied to ...
Managed care organizations (MCOs), which primarily offer medical and pharmaceutical benefit plans, play a central role in the United States healthcare system. By managing health plans for individuals ...
To mark the 30th anniversary of The American Journal of Managed Care (AJMC), each issue in 2025 includes a special feature: reflections from a thought leader on what has changed—and what has not—over ...
Investors are keenly watching how U.S. midterms will impact managed care firms given Democrats’ favorability for expanded ...
Amidst the backdrop of large-scale consolidation across the US health care system, consolidation among Medicaid managed care plans threatens the health and long-term stability of Medicaid managed care ...
Gov. Ned Lamont's administration put forth proposals designing to lower the cost of health care in 2022. Some succeeded, while others failed. Credit: MARK PAZNIOKAS / CT MIRROR Gov. Ned Lamont is ...
In American healthcare, Medicaid presents significant challenges, particularly regarding inpatient stay approvals. In recent years, Medicare and the Two-Midnight Rule have dominated discussions around ...
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