The contracts will involve tens of billions of dollars in the coming years, with about 3 million people receiving health care ...

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 ...

Given the prevalence of managed care, it’s incumbent upon the industry to ensure that there is a robust supplier pool.

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.

House lawmakers on Tuesday passed several pieces of legislation that would curb some of the Medicaid savings measures ...

Indiana House lawmakers on Tuesday passed several pieces of legislation that would curb some of the Medicaid savings measures ...

Centene reported $3.3 billion in 2024 profits as Obamacare enrollment and premium revenue helped overcome a dip in Medicaid ...

PROVIDENCE, R.I. (WPRI) — Rhode Island again has canceled a bidding process for a multibillion-dollar contract to run the state’s Medicaid managed care program, the latest installment in an ongoing ...