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

AHA urges Congress to reject reductions to the Medicaid program that would not only strip access to health care from some of ...

Exclusive research obtained by the Washington Examiner shows that hospitals with staff represented by the SEIU have worse ...

Rural America faces many challenges that Congress and the federal government could help alleviate under the new Trump ...

It's common for young people leaving jails and prisons to end up back behind bars, often after lapses related to untreated mental illness or substance abuse. A new law will help them get Medicaid.

Q1 2025 Earnings Call Transcript February 6, 2025 Maximus, Inc. misses on earnings expectations. Reported EPS is $0.69 EPS, expectations were $1.39. Operator: Greetings, and welcome to the Maximus ...

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

The Centers for Medicare & Medicaid Services (CMS) last year finalized its 2025 payment rule for home health providers, marking a critical moment for ...

Representatives of billionaire Elon Musk’s Department of Government Efficiency (DOGE) have turned their focus to the Centers ...

As a result, since 2020, Medicare has cut physician pay each year, despite rising costs for physicians to run their practices. Congress has introduced special legislation four times since 2020 to try ...

The difficulty that stakeholders face in comparing contracts with different structures could be solved by a standardized ...

Looking ahead TEAM represents a bold step toward making episode-based payment a permanent feature of hospital reimbursement. The model's mandatory participation, regional pricing approach, and ...