With the tremendous growth of managed care over the last several years, the Medicare and Medicaid programs have had to transform how they fund health care for approximately 100 million enrollees.

This is the latest in the Health Affairs Forefront featured topic, Medicare and Medicaid Integration. The featured topic includes analysis, proposals, and commentary that will inform policies on the ...

Explore POS health plans: blend of HMO & PPO benefits, provider flexibility, cost considerations, and out-of-network options.

Learn about commercial health insurance, including definitions, types such as PPOs and HMOs, and important examples to ...

On August 28, 2023, OIG released a new webpage on managed care oversight, which features the HHS-OIG Strategic Plan for Oversight of Managed Care for Medicare and Medicaid. OIG has designated ...

Two leading organizations representing Medicaid managed care plans are offering several key suggestions to the Trump administration for managing the rollout of work requirements in the program. In the ...

With the announcement of the nursing home minimum staffing rule, I asked myself the same question as operators nationwide: how on earth are we going to pay for this? Even if nursing homes could find ...

As the Trump administration prepares to roll out work requirements in Medicaid, two organizations representing Medicaid managed care plans are offering a number of suggestions, from enabling data ...