One of at least 24 states that gave control of institutional long-term care to private insurance companies is walking away ...

John Michael O'Brien, PharmD, MPH, discussed the changes in managed care over the past 30 years to commemorate the 30th anniversary of The American Journal of Managed Care®. Over my 30 years in health ...

Sanctions are a key tool that states use to hold Medicaid managed care organizations (MCOs) accountable for their use of ...

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 ...

Network adequacy remains a significant challenge for behavioral healthcare in Medicare Advantage (MA) and Medicaid managed care, according to a new report. Analysts at the Department of Health and ...

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 ...

This article is the latest in the Health Affairs Forefront series, Accountable Care for Population Health, featuring analysis and discussion of how to understand, design, support, and measure ...

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