Managed Care

Brickyard Healthcare's Winning Playbook for Skilled Nursing
Management & Administration Brickyard Healthcare's Winning Playbook for Skilled Nursing

In the demanding realm of skilled nursing, where providers grapple with staffing shortages, regulatory pressures, and rising costs, one Indianapolis-based company has emerged as a beacon of innovation and resilience. Brickyard Healthcare, guided by CEO Wesley Rogers, has crafted a strategic

CMS Issues New Caps on Medicaid State-Directed Payments
Management & Administration CMS Issues New Caps on Medicaid State-Directed Payments

The Centers for Medicare & Medicaid Services (CMS) has unveiled a significant policy shift with its guidance released on September 9, 2025, imposing federal caps on state-directed Medicaid payments, which channel supplemental funds to healthcare providers through managed care contracts with private

UnitedHealth Shines with Strong 2026 Medicare Star Ratings
Management & Administration UnitedHealth Shines with Strong 2026 Medicare Star Ratings

In a landscape where healthcare insurers face mounting pressures, UnitedHealth has emerged with a powerful update that underscores its dominance in the Medicare Advantage (MA) arena, projecting that roughly 78% of its over 8 million MA enrollees will be enrolled in plans rated four stars or higher

Employers Face Largest Health Cost Surge in 15 Years
Management & Administration Employers Face Largest Health Cost Surge in 15 Years

In a startling development for businesses across the United States, a recent study by Mercer has projected a staggering 6.5% average increase in health benefit costs per employee for the coming year, marking the most significant rise in 15 years. This alarming statistic, drawn from responses of

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

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