Medicaid is a pivotal safety net for millions of low-income and disabled Americans, providing access to critical health services, including prenatal care for pregnant women. Recent findings, however, have exposed glaring inefficiencies in Virginia's Medicaid managed care organizations (MCOs)
The Cook Children’s Health Plan (CCHP) has been a steadfast provider of Medicaid services to low-income families in North Texas for over two decades. Recently, however, it found itself in the throes of a heated dispute with the Texas Health and Human Services Commission (HHSC), which decided not to
As 2025 approaches, significant changes in Medicare Advantage plans are on the horizon that could affect millions of seniors across the United States. This article delves into what these changes entail, why they’re happening, and how they will impact plan members and providers. Current b
The healthcare industry continually evolves, and one of the perennial issues impacting both patient care and healthcare providers is the practice of prior authorization by health insurers. The American Medical Association (AMA) has recently undertaken significant policy changes to enhance insurer
In a notable move to elevate the standard of healthcare convenience, Empower Healthcare Solutions has joined forces with DispatchHealth to extend in-home urgent medical care services to its Central Arkansas members. This collaboration is a reflection of a burgeoning healthcare model that not only
In a significant shift in health policy, the Arkansas Department of Human Services (DHS) has announced its decision to end its Medicaid managed care dental program. Instead, beginning November 1, the system will move to a fee-for-service model. This adjustment aims to enhance the
