Topic: Medicaid Managed Care
Medicaid managed care plans may no longer contract with PBMs that engage in the practice.
Although elderly/disabled and dual-eligible beneficiaries cost the most to insure, most of Medicaid's spending on them is fee-for-service payments.
Several new Medicaid contracts in Florida are expected to be a boon for WellCare.
The agency should work to "mitigate payment risks in Medicaid managed care,” the audit says.
The plan aims to coordinate care for people with multiple chronic conditions or severe mental illness, as well as people who are homeless.
Despite receiving billions of dollars in taxpayer money, Medicaid insurers are lax in ferreting out fraud.
Exchange consumers are dropping coverage over time, but it's not as bad as last year. That news and other headlines from around the web.
Kentucky's Medicaid waiver requiring certain beneficiaries to meet work requirements was struck down by a federal judge.
The Centers for Medicare & Medicaid Services launched several initiatives on Tuesday aimed at cutting down on fraud and waste in Medicaid.
A federal judge has ruled that Prime Healthcare's lawsuit against Humana can move forward, in what could be a precedent-setting case.