Managed Care

How Will Medicare Changes in 2025 Affect Your Health Coverage?
Management & Administration How Will Medicare Changes in 2025 Affect Your Health Coverage?

The upcoming changes to Medicare in 2025 are set to bring significant modifications that will impact beneficiaries nationwide. With the open enrollment period from October 15 to December 7, it is crucial for those on Medicare to stay informed and review their options carefully to make the best

Why Did Huntsville Hospital and UnitedHealthcare Split After Talks?
Management & Administration Why Did Huntsville Hospital and UnitedHealthcare Split After Talks?

The recent termination of the relationship between Huntsville Hospital (HH) and UnitedHealthcare has resonated throughout the healthcare landscape, leaving many patients and stakeholders searching for answers. After extended and unproductive negotiations, this split has significant implications for

Will Texas's Medicaid Contract Disputes Disrupt Health Services?
Management & Administration Will Texas's Medicaid Contract Disputes Disrupt Health Services?

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

States Miss Key Opportunities in Medicaid Maternal Health Coverage
Management & Administration States Miss Key Opportunities in Medicaid Maternal Health Coverage

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

Is Florida's AHCA Failing to Oversee Medicaid Home Care Services?
Management & Administration Is Florida's AHCA Failing to Oversee Medicaid Home Care Services?

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

Lawsuit Challenges Florida's Medicaid Managed-Care Contract Awards
Management & Administration Lawsuit Challenges Florida's Medicaid Managed-Care Contract Awards

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

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