Under a managed care arrangement, Medicaid MCOs determine the rates they pay providers for inpatient hospital services. States make capitated payments to Medicaid managed care plans for Medicaid ...

The AHA calls on Congress to reject changes to states’ use of provider taxes, which help fund their Medicaid programs.

A Bolingbrook woman has been ordered to repay more than $2.2 million to the state for defrauding it of more than $2.46 ...

LaTeena Smith pleaded guilty in December to submitting fraudulent bills for psychotherapy services for Medicaid managed care patients.

Molina Healthcare Inc (MOH) reports robust full-year premium revenue growth despite facing higher medical costs in Q4 2024.

STATEWIDE— NEW YORK STATE DEPARTMENT OF HEALTH'S eMedNY COMPUTER system improperly paid $16.2 million in Medicaid claims during a six-month period that started in October 2023, reports an audit that ...

Amanda Minimi of Aeroflow Health and Kathy Mikolajczak of 1 Natural Way have been named as co-chairs of the Breastfeeding Coalition.

Centene (NYSE:CNC) stock was downgraded by Argus citing an uncertain outlook for its certain state-level operations and its Medicare Advantage business. Read more here.

Molina Healthcare, Inc.’s MOH share price has dipped by 10.09%, which has investors questioning if this is right time to buy.

Molina Healthcare CEO Joseph Zubretsky downplayed GOP proposals to slash spending on Medicaid, which accounts for about 80% ...

The McLeod County Board last week approved resolutions calling for PrimeWest Health’s ongoing role in the county. PrimeWest Health is a local insurance provider that offers service to ...

Rural hospitals are pushing for exemptions from potential changes to federal policy that may limit Medicaid or Medicare funding.