The American Journal of Managed Care

Evaluation of a Collaborative Model Between Managed Care and Affordable Housing on Acute Care Costs

A collaborative service model between a managed care organization and an affordable housing provider reduced acute care use and costs. Objectives: This study evaluated a collaborative service model ...
Becker's Hospital Review

Nursing Homes Increasingly Turn to Managed Care Models

Shrinking reimbursements and rising healthcare costs are forcing many nursing homes in New York to turn to a new model of care where patients receive medical attention in the comfort of their own ...
The American Journal of Managed Care

Data Privacy, AI Liability Models in Managed Care Pharmacy: Adam Colborn, JD

Adam Colborn, JD, associate vice president for congressional affairs, AMCP, discusses key regulatory factors that managed care professionals must consider when implementing artificial intelligence (AI ...
Hartford Business

‘Little evidence’ managed care would reduce CT Medicaid costs, report finds

Connecticut’s Medicaid program boasts lower costs and similar levels of access when compared to peer states, according to a report by independent consultants, leading to the conclusion that employing ...
Hartford Courant

Lamont exploring Medicaid managed care, but many push back

Gov. Ned Lamont is exploring the possibility of returning the state’s Medicaid program to a model known as managed care, which has garnered a reputation among some Connecticut legislators and ...
Health Affairs

New Legislation Proposes National Expansion Of Integrated Care Models

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 ...
The Idaho Press-Tribune

Idaho health care providers wary of moving Medicaid to managed care model

BOISE — Health care providers are asking the Legislature to give its current model for Medicaid, which was implemented in 2022, a chance to play out before moving on to another model. The Medicaid ...
Health Affairs

A Social ACO For Medicaid Managed Care

Here, we propose an alternative value-based arrangement: a “social accountable care organization” (ACO) for Medicaid managed care that addresses social needs by placing primarily non-clinical staff at ...
Enid News & Eagle

Critics say managed care rollout is a ‘disaster’

OKLAHOMA CITY — The state Medicaid program’s recent switch to a managed care model has been a disaster, health care providers, a consumer and a state senator said Wednesday, June 5, 2024. The problem ...
Managed Healthcare Executive

FAQ: What managed care leaders should know about PBM reform in 2026

Bipartisan legislative momentum and expanding litigation are accelerating PBM-focused reform at federal and state levels, ...
The Connecticut Mirror

CT medicaid managed care study gets continued pushback from advocates

Providers and advocates renewed their calls to reject a potential return to Medicaid managed care during multiple meetings hosted by the Department of Social Services last week. The stakeholder ...
Hartford Business

Lamont exploring Medicaid managed care, but many push back

Gov. Ned Lamont's administration put forth proposals designing to lower the cost of health care in 2022. Some succeeded, while others failed. MARK PAZNIOKAS / CT MIRROR Gov. Ned Lamont is exploring ...