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 ...

STATEWIDE— NEW YORK STATE DEPARTMENT OF HEALTH'S eMedNY COMPUTER system improperly paid $16.2 million in Medicaid claims during a six-month period that started in October 2023, reports an audit that ...

Molina Healthcare CEO Joseph Zubretsky downplayed GOP proposals to slash spending on Medicaid, which accounts for about 80% ...

Given the prevalence of managed care, it’s incumbent upon the industry to ensure that there is a robust supplier pool.

LaTeena Smith pleaded guilty in December to submitting fraudulent bills for psychotherapy services for Medicaid managed care ...

A Bolingbrook woman has been ordered to repay more than $2.2 million to the state for defrauding it of more than $2.46 million in Medicaid funds. LaTeena Smith, 38, was also sentenced Wednesday to ...

Centene reported $3.3 billion in 2024 profits as Obamacare enrollment and premium revenue helped overcome a dip in Medicaid ...

The contracts will involve tens of billions of dollars in the coming years, with about 3 million people receiving health care ...

Rhode Island again has canceled a bidding process for a multibillion-dollar contract to run the state’s Medicaid managed care ...

Medicaid and ACA programs have long struggled to connect with lower-income Americans to help them access care. Now some are ...

Significant changes to Florida's Medicaid managed-care system take effect this month, impacting millions of beneficiaries ...