InsuranceNewsNet

Researchers’ Work from Oregon Health & Science University (OHSU) Focuses on Managed Care (Evaluating variation between states in algorithms used for identifying abortions in ...

By a News Reporter-Staff News Editor at Insurance Daily News-- Research findings on Managed Care are discussed in a new report. The news correspondents obtained a quote from the research from Oregon ...
JD Supra

OIG Reports Low Number of Medicaid Managed Care Plans Making Potential Provider Fraud, Waste, and Abuse Referrals

OIG issued a new report finding that in 2022 some Medicaid managed care plans self-reported making no or very few potential provider fraud, waste, and abuse referrals. OIG reported that 33 plans, ten ...
Becker's Hospital Review

CMS finalizes rule on Medicaid managed care pass-through payments: 5 things to know

CMS issued a final rule Tuesday preventing states from increasing or adding pass-through payments for hospitals, physicians or nursing homes contracted with Medicaid managed care organizations. Here ...
The Chronicle

Medicaid cuts could cause Duke Health to lose hundreds of millions. Here’s how

For Duke Health, ensuring Medicaid-eligible individuals maintain their eligibility and that their costs are reimbursed will ...
Insurancenewsnet.com

IDHW hears concerns on Medicaid managed care transition

Idaho previously administered Medicaid through the traditional fee-for-service system where the state directly contracts with and pays health care providers a fee for each service provided, such as an ...