Managed Care

Integrated ACOs to Improve Care for Dual-Eligible Patients
Management & Administration Integrated ACOs to Improve Care for Dual-Eligible Patients

The dual-eligible population, comprising individuals eligible for both Medicare and Medicaid, represents one of the most vulnerable segments of the healthcare system, often facing gaps in service delivery. Current healthcare structures do not adequately address the complexities of their care needs.

Trump's Tax Bill Threatens Medicaid Coverage for Millions
Management & Administration Trump's Tax Bill Threatens Medicaid Coverage for Millions

Former President Donald Trump's tax reform, colloquially known as the "One Big Beautiful Bill," is at the center of a complex debate regarding its future impact on healthcare coverage for millions of Americans. The legislation, praised for tax reductions and corporate benefits, is also linked to

Is Minnesota Mismanaging Medicaid Federal Funds?
Management & Administration Is Minnesota Mismanaging Medicaid Federal Funds?

Minnesota's handling of Medicaid federal funds, particularly in the context of transparency and accountability, has come under fierce scrutiny. This issue primarily revolves around the state's position as a "donor state," meaning it contributes more in federal taxes than it receives. State

Which Home Health Companies Will Transform Care in 2025?
Management & Administration Which Home Health Companies Will Transform Care in 2025?

In 2025, the home health care industry stands at a pivotal crossroads, driven by the relentless pursuit of innovation and strategic collaboration among leading companies. This transformation is fueled by companies harnessing cutting-edge technology and innovative business models, marking a new era

Transforming Healthcare: Shift to Profit-Driven Corporatization
Management & Administration Transforming Healthcare: Shift to Profit-Driven Corporatization

The U.S. healthcare landscape is undergoing profound changes as corporatization shifts its focus from traditional, non-profit models to profit-driven entities. This evolution smacks of a broader, intensified corporatization—transforming how healthcare operates on multiple levels and reshaping

Is Managed Care Facing Systemic Flaws in Risk Adjustment?
Management & Administration Is Managed Care Facing Systemic Flaws in Risk Adjustment?

The healthcare insurance landscape has been significantly disrupted by Centene Corporation's decision to retract its earnings guidance for the current year, highlighting potential systemic weaknesses in risk adjustment and cost management. With a reported $1.8 billion revenue gap attributed to risk

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