Managed Care

Why Is Tennessee's Maternal Mortality Worse for TennCare Patients?
Management & Administration Why Is Tennessee's Maternal Mortality Worse for TennCare Patients?

Tennessee's maternal mortality rates are among the highest in the nation, with a particularly alarming disparity between TennCare recipients and those with private insurance. TennCare, the state's public insurance program for individuals living in poverty, covers a significant portion of

Will GOP Reshape Medicaid Under Trump's 2025 Presidency?
Management & Administration Will GOP Reshape Medicaid Under Trump's 2025 Presidency?

The article discusses the potential sweeping changes to the Medicaid program envisioned by the GOP with the return of Donald Trump to the presidency in 2025, along with a Republican-controlled Senate and House of Representatives. Under President Biden, Medicaid and the Children’s Health Insurance P

Innovative Trends Transforming the Future of Self-Managed Aged Care
Management & Administration Innovative Trends Transforming the Future of Self-Managed Aged Care

The aged care industry is undergoing significant transformations driven by the increasing desire among older adults for autonomy, personalization, and empowerment in their care solutions. Moving away from traditional, standardized models, there is now a heightened demand for care plans that respect

Rethinking Health Policy: Addressing Life Expectancy and Obesity Crisis
Management & Administration Rethinking Health Policy: Addressing Life Expectancy and Obesity Crisis

The United States is facing a troubling trend: despite significant investments in health insurance and care, life expectancy is declining. This paradox raises critical questions about the effectiveness of current health policies and the managed care systems that dominate the landscape. The need for

OIG Issues Fraud Alert on Medicare Advantage Marketing Schemes
Management & Administration OIG Issues Fraud Alert on Medicare Advantage Marketing Schemes

The Office of Inspector General (OIG) for the U.S. Department of Health and Human Services issued a special fraud alert on December 11, 2024, to address potentially fraudulent marketing activities linked to Medicare Advantage (MA) health plans, healthcare providers, and third-party marketers, such

Are Children Getting Full Medicaid Pediatric Benefits and Care?
Management & Administration Are Children Getting Full Medicaid Pediatric Benefits and Care?

Medicaid’s pediatric benefit package, known as Early and Periodic Screening, Diagnostic, and Treatment (EPSDT), is designed to provide comprehensive health coverage to over 30 million children in the United States. This program is particularly crucial for low-income families, children of color, and

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