Managed Care

Can New Reports Bring Accountability to Medicaid?
Management & Administration Can New Reports Bring Accountability to Medicaid?

A new era of federal oversight is dawning on the vast and intricate landscape of Medicaid managed care, driven by a powerful new reporting tool designed to illuminate the performance of private health plans that manage benefits for tens of millions of Americans. The Managed Care Program Annual

Rising Healthcare Costs Drain Social Security
Management & Administration Rising Healthcare Costs Drain Social Security

Many Americans diligently save for decades with a clear vision of retirement, yet a stealthy and rapidly growing expense is systematically dismantling those carefully laid plans for a secure future. This financial threat stems from out-of-pocket healthcare costs, which are consuming an unexpectedly

Florida House Bill Shifts Funds to Disability Services
Management & Administration Florida House Bill Shifts Funds to Disability Services

The Republican-led Florida House of Representatives has introduced a sweeping health care budget bill that charts a new course for the state's funding priorities, proposing a significant reallocation of resources that could reshape how care is delivered to some of Florida's most vulnerable

Can AI Fix the Ailing US Healthcare System?
Management & Administration Can AI Fix the Ailing US Healthcare System?

The American healthcare system, a colossal $5.3 trillion sector, finds itself at a precarious tipping point, burdened by the immense pressure of a rapidly aging population, pervasive operational inefficiencies, and significant macroeconomic uncertainty. This critical juncture, described by industry

Value-Based Care Success Requires an Operational Overhaul
Management & Administration Value-Based Care Success Requires an Operational Overhaul

The era of treating value-based care as a series of experimental pilot programs has definitively ended, giving way to a new standard where it functions as an indispensable operational capability for healthcare organizations. Success is no longer measured by mere participation in alternative payment

What's Behind Cigna's Layoffs and FTC Deal?
Management & Administration What's Behind Cigna's Layoffs and FTC Deal?

Global health insurance giant Cigna has sent ripples through the industry by announcing a significant workforce reduction affecting approximately 2,000 employees, which comes at the same time the company revealed a major settlement with the Federal Trade Commission over drug pricing. The decision

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