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 ...

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 ...

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 ...

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 ...

Supported value-based care improves prenatal care while reducing neonatal intensive care unit stays, preterm birth rates, low birth weight rates, and costs for mothers and infants. Objectives: ...