Managed Care

Medicaid Duplication Wastes Billions Amid State Moves
Management & Administration Medicaid Duplication Wastes Billions Amid State Moves

The Medicaid program is encountering a critical issue wherein duplicative payments accrue when beneficiaries relocate across state lines without effectively canceling their original coverage. This phenomenon has led to financial inefficiencies within the managed care system, with significant

Could Ohio's Vulnerable Lose Medicaid for Tax Cuts?
Management & Administration Could Ohio's Vulnerable Lose Medicaid for Tax Cuts?

In the midst of political upheaval, a new challenge looms over Ohio as the state grapples with potential Medicaid coverage loss for over 750,000 residents. This possible predicament arises from the Republican-led federal spending bill, famously dubbed the “One Big Beautiful Bill” by President Tru

Indiana Fights to Secure Federal Approval for Medicaid Funding
Management & Administration Indiana Fights to Secure Federal Approval for Medicaid Funding

Indiana's Family and Social Services Administration (FSSA) is engaged in a crucial race to obtain federal approval for its revamped Medicaid expansion funding structure. The state's endeavors are driven by potential policy changes that could significantly hinder its financing mechanism

Kentucky Modernizes Medicaid for Better Health Outcomes
Management & Administration Kentucky Modernizes Medicaid for Better Health Outcomes

In recent years, Kentucky has embarked on a mission to transform its Medicaid system to better serve its residents—approximately 1.6 million individuals, about a third of the state's population. The significance of the Medicaid program in the state's economic and social framework is u

Cleveland Clinic Partners to Expand Affordable Surgeries
Management & Administration Cleveland Clinic Partners to Expand Affordable Surgeries

Cleveland Clinic announced a strategic collaboration with Regent Surgical to expand ambulatory surgery centers (ASCs) across the United States. This partnership aims to leverage Cleveland Clinic's esteemed clinical expertise to provide affordable outpatient procedures, benefiting insurers and

Health Insurers See Profit Amid Rising Costs and Challenges
Management & Administration Health Insurers See Profit Amid Rising Costs and Challenges

As the year unfolded, the health insurance industry experienced a nuanced yet promising performance, showing improvement despite persistent challenges such as soaring medical costs and shrinking revenue streams. This article delves into the complex dynamics and strategic maneuvers that shaped the

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