Managed Care

Strive Health Secures $550M for Kidney Care Innovation
Management & Administration Strive Health Secures $550M for Kidney Care Innovation

In a transformative moment for the healthcare sector, Strive Health, a pioneering company focused on value-based kidney care, has recently clinched a staggering $550 million in funding, blending $300 million from a Series D equity round with $250 million in debt financing. Established in 2018, this

Michigan's Medicaid Work Requirement: A Warning to States
Management & Administration Michigan's Medicaid Work Requirement: A Warning to States

Imagine a state pouring millions of dollars into a policy that risks stripping healthcare from tens of thousands of vulnerable residents, only for it to collapse under its own weight just before a global health crisis hits. This isn’t a hypothetical scenario but the reality Michigan faced in early

Flawed Healthcare Rates Spark Call for Transparency Reform
Management & Administration Flawed Healthcare Rates Spark Call for Transparency Reform

The U.S. healthcare system, burdened by an expenditure of $4.9 trillion in 2023, stands at a crossroads due to the fundamentally flawed nature of commercial negotiated rates for health benefits, which exhibit staggering inconsistencies. These rates, shaped through shadowy dealings between payers,

Private Health Insurance Surges in Colombia Amid Crisis
Management & Administration Private Health Insurance Surges in Colombia Amid Crisis

In a striking turn of events, Colombia has experienced an unprecedented 37% surge in private health insurance enrollment, with 1.4 million individuals now covered under prepaid medical plans as of mid-2025, reflecting a profound shift in how citizens access medical care. This dramatic rise unfolds

Post-Acute Nursing Directors Key to Value-Based Care Success
Management & Administration Post-Acute Nursing Directors Key to Value-Based Care Success

In the rapidly evolving healthcare landscape, the transition to value-based care (VBC) has placed unprecedented pressure on health plans to deliver high-quality outcomes while curbing costs, especially in the realm of post-acute care (PAC). PAC, which encompasses recovery services provided in

SCAN Group Exposes Medicare Advantage Flaws in Bold Campaign
Management & Administration SCAN Group Exposes Medicare Advantage Flaws in Bold Campaign

In a striking move that challenges the status quo of health insurance marketing, a prominent not-for-profit organization in the Medicare Advantage (MA) space has unveiled a national campaign that dares to call out the deep-seated issues plaguing the industry. Titled with a provocative message, this

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