The largest managed care organization (MCO) of Medicaid in Ohio is reducing its reimbursement rates for chiropractic services ...

John Michael O'Brien, PharmD, MPH, discussed the changes in managed care over the past 30 years to commemorate the 30th anniversary of The American Journal of Managed Care®. Over my 30 years in health ...

Molly Dean, MSW, policy advisor at Siftwell, discusses how states have encouraged managed care entities to invest in local communities, build partnerships with nonprofits, and support social ...

With the tremendous growth of managed care over the last several years, the Medicare and Medicaid programs have had to transform how they fund health care for approximately 100 million enrollees.

The April scoreboard is in for managed care. UnitedHealth Group (NYSE:UNH) stock and Humana (NYSE:HUM) stock both staged ...

With the announcement of the nursing home minimum staffing rule, I asked myself the same question as operators nationwide: how on earth are we going to pay for this? Even if nursing homes could find ...

A majority of publicly traded US health insurers are expected to post QoQ declines in revenue and net income in Q2, according to an S&P Global Market Intelligence analysis of sell-side analyst ...

Here, we propose an alternative value-based arrangement: a “social accountable care organization” (ACO) for Medicaid managed care that addresses social needs by placing primarily non-clinical staff at ...