At NY school-based health centers, students can get their teeth cleaned, access behavioral health care, and more. Providers ...

State-directed payments are an effective mechanism for Medicaid programs to ensure adequate reimbursement for providers, but ...

Blue Cross of Kansas City's operating margin was buoyed after the company recorded a $30.7 million premium deficiency reserve ...

CMS clawed back $13.2 million in money improperly sent to Molina Healthcare as a result of what the Justice Department ...

Managed Healthcare Executive asked several experts in healthcare and managed care to share the trends they think the industry ...

State directed payments have been a contentious issue in Medicaid financing. These payments allow states to make supplemental payments for services covered under Medicaid managed care contracts. While ...

Partisan rhetoric over the federal budget has intensified with Democrat politicians claiming Republicans will cut Medicaid ...

Medicaid spends more than half its budget on medical and long-term care for frail, low-income older adults and younger people with disabilities.

Polling suggests that Congress has a mandate to act. Two-thirds of American voters agree that Congress must “take a hard look” at “weeding out waste, fraud, and abuse” in federal programs such as ...

How money from the settlement with a Medicaid managed care provider ended up with the Hope Florida board is expected to be ...

SGLT2 inhibitors and GLP-1 agonists are class 1 medications, but many Medicaid patients have challenges with access.

The city’s public hospital system is increasing its reliance on an outside firm to help it challenge denied medical claims, ...