Managed Care

How Are Employers Tackling Rising Specialty Drug Costs?
Management & Administration How Are Employers Tackling Rising Specialty Drug Costs?

The escalating expense of specialty drugs, critical for treating complex conditions such as cancer and rare diseases, has emerged as a pressing issue for employers and health plans across the healthcare landscape, demanding urgent and innovative solutions. With these medications accounting for a

Can Centene Overcome Its Legal Challenges and Restore Trust?
Management & Administration Can Centene Overcome Its Legal Challenges and Restore Trust?

Centene Corporation, a leading player in government-sponsored healthcare programs, has found itself embroiled in a significant legal quagmire, with allegations of securities fraud and corporate misrepresentation taking center stage. This high-profile class-action lawsuit has instilled a sense of

UnitedHealth Faces DOJ Investigation Over Medicare Operations
Management & Administration UnitedHealth Faces DOJ Investigation Over Medicare Operations

The recent cooperation of UnitedHealth Group with an extensive U.S. Department of Justice (DOJ) investigation marks a significant development amidst rising concerns over corporate practices within the Medicare landscape. The investigation focuses on allegations that UnitedHealth manipulated

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

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