Managed Care

Texas is facing a significant legal challenge that has the potential to impact the healthcare services of nearly 1.8 million residents. Recently, the Texas Health and Human Services Commission (HHSC) sought to implement new Medicaid contracts for its STAR and CHIP managed care programs, which

Recently, a report from the U.S. Department of Health and Human Services (HHS) Office of Inspector General (OIG) has highlighted missed opportunities by states to improve maternal health access through Medicaid managed care organizations (MCOs). The report points out significant gaps in insurance

The Florida Agency for Health Care Administration (AHCA) is currently under intense scrutiny following a federal lawsuit filed by attorneys representing individuals with disabilities. The core accusation centers on AHCA's alleged failure to provide sufficient oversight of Medicaid managed-care

The ongoing legal turmoil surrounding Florida's Medicaid managed-care contracts has taken a dramatic turn with a lawsuit filed by ImagineCare LLC, a losing bidder. At the crux of the issue lies the recent announcement by the Florida Agency for Health Care Administration (AHCA) concerning their

The healthcare sector is undergoing rapid transformations driven by policy changes and technological advancements. These shifts are reshaping financial structures, improving operational efficiencies, and enhancing patient care outcomes. To grasp the full impact of these changes, one needs to

Healthcare providers enrolled in Illinois Medicaid will need to navigate a rigorous revalidation process to continue delivering services to Medicaid patients. This federal requirement was paused during the COVID-19 federal public health emergency but is now back in effect, as confirmed by the