Managed Care

Will Prior Authorization Reforms Truly Transform Healthcare?
Management & Administration Will Prior Authorization Reforms Truly Transform Healthcare?

In a recent move signaling potential change within the healthcare domain, approximately 50 health insurance plans, including major entities like UnitedHealthcare, SCAN Health Plan, Kaiser Permanente, and Humana, have pledged to reduce the burden of prior authorizations. This commitment is part of a

Modernizing Medicaid: Texting Reform Sparks Legislative Debate
Management & Administration Modernizing Medicaid: Texting Reform Sparks Legislative Debate

James Maitland is a leading voice in the intersection of healthcare and technology, with a remarkable ability to translate complex robotics and IoT applications into practical solutions for medical care advancement. Here, he shares insights on the pressing issue of updating managed care

Can Technology Ease Skilled Nursing's Regulatory Burdens?
Management & Administration Can Technology Ease Skilled Nursing's Regulatory Burdens?

The world of skilled nursing and short-term rehabilitation is no stranger to challenges, especially when it comes to the convoluted maze of regulations imposed by federal oversight institutions. Organizations like Ignite Medical Resorts are navigating an increasing array of regulatory requirements

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

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 for the

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