Under a managed care arrangement, Medicaid MCOs determine the rates they pay providers for inpatient hospital services.

President Donald Trump was handed an opportunity to "save" Medicare Advantage after the Biden administration's final proposal ...

Medicare Advantage plans are popular, but some have limited provider networks, while and others require high cost sharing for ...

Overall Medicare Advantage plans denied 6.4% of prior authorization requests in 2023. Prior authorization was needed 1.8 times per beneficiary, according to Kaiser.

Healthcare expenses can be overwhelming, especially for those living on a fixed income. Fortunately, Medicare Savings ...

If you rely on Social Security or Medicare or Medicaid, it's time to panic. If you care about your personal data, it's also ...

The former U.S. secretary of veterans affairs says some Medicare Advantage plans are charging for services already covered by the Veterans Health Administration.

Shifting from reducing MA capitation by an across-the-board coding intensity adjustment factor to Medicare Advantage ...

Access Health CT CEO Michel James is sounding an alarm for members of Congress – some Connecticut families could see an ...

Will your care be denied? Medicare Advantage insurers use prior authorization to manage utilization and lower costs. How to compare plans during open enrollment.

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 ...

A federal judge has blocked the Trump administration's proposal to federal employees to take government buyouts until a ...