Managed Care

Mortality Gap in Medicare Advantage: Puerto Rico vs. US Mainland
Management & Administration Mortality Gap in Medicare Advantage: Puerto Rico vs. US Mainland

The disparity in health outcomes for Medicare Advantage (MA) enrollees between Puerto Rico (PR) and the US mainland represents a critical challenge in the American health care system, demanding urgent scrutiny and action to address systemic inequities. Recent research spanning from 2010 to 2022

How Will Trump's Health Cost Cuts Impact Molina Healthcare?
Management & Administration How Will Trump's Health Cost Cuts Impact Molina Healthcare?

The healthcare industry stands at a critical juncture as President Trump’s aggressive push to slash health insurance costs sends ripples through the sector, directly affecting companies like Molina Healthcare Inc. (NYSE: MOH), a major player in managed care and Medicaid services. With a focus on

How Is WellSpan Health Leading in Value-Based Care Excellence?
Management & Administration How Is WellSpan Health Leading in Value-Based Care Excellence?

In the ever-evolving landscape of healthcare, where the balance between quality and cost often seems elusive, one organization stands out as a beacon of innovation and effectiveness. WellSpan Health, an integrated delivery system serving Central Pennsylvania and Northern Maryland, has earned

Health DG Slams Insurers for Meddling in Clinical Decisions
Management & Administration Health DG Slams Insurers for Meddling in Clinical Decisions

In a striking development that has sent ripples through Malaysia's healthcare sector, Dr. Mahathar Abd Wahab, the Health Director-General, has issued a powerful reprimand to health insurers and third-party administrators for overstepping into the realm of clinical decision-making, highlighting a

Rethinking Cheap Healthcare for Quality and Sustainability
Management & Administration Rethinking Cheap Healthcare for Quality and Sustainability

In a world where healthcare costs are spiraling out of control, the temptation to prioritize affordability over all else often overshadows critical concerns about quality and long-term viability, creating a pressing need for balance. This dilemma is particularly evident in systems like Malaysia's,

How Are Rising Costs Threatening Medicaid in Connecticut?
Management & Administration How Are Rising Costs Threatening Medicaid in Connecticut?

Connecticut’s Medicaid program, widely recognized as HUSKY, stands at a precarious crossroads as it confronts unprecedented financial pressures that jeopardize its ability to serve nearly 926,700 low-income residents, including children, families, and individuals requiring long-term care. As one of

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