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

How Are Policy and Tech Advancements Shaping Healthcare Finance?
Management & Administration How Are Policy and Tech Advancements Shaping Healthcare Finance?

The healthcare sector is undergoing rapid transformations driven by policy changes and technological advancements. These shifts are reshaping financial structures, improving operational efficiencies, and enhancing patient care outcomes. To grasp the full impact of these changes, one needs to

How Will Medicaid Providers Handle Mandatory Revalidation Process?
Management & Administration How Will Medicaid Providers Handle Mandatory Revalidation Process?

Healthcare providers enrolled in Illinois Medicaid will need to navigate a rigorous revalidation process to continue delivering services to Medicaid patients. This federal requirement was paused during the COVID-19 federal public health emergency but is now back in effect, as confirmed by the

California's Proposition 35: Permanent Tax to Fund Medi-Cal Services
Management & Administration California's Proposition 35: Permanent Tax to Fund Medi-Cal Services

Proposition 35 is poised to change the landscape of California’s healthcare system significantly. This measure, which proposes a permanent tax on health insurance providers, aims to bolster and expand healthcare services through Medi-Cal, California's Medicaid program. The initiative has sparked

Is Iowa's Medicaid Managed Care Model Stabilizing with New Contracts?
Management & Administration Is Iowa's Medicaid Managed Care Model Stabilizing with New Contracts?

Iowa’s Medicaid managed care program has been a focal point of intense debate and scrutiny since its inception, fueled by concerns over its impact on care access and financial sustainability. Initially met with resistance and apprehension, especially from healthcare providers and beneficiaries, the

United Healthcare and UF Health Contract Dispute Leaves Patients in Limbo
Management & Administration United Healthcare and UF Health Contract Dispute Leaves Patients in Limbo

The breakdown in contractual negotiations between United Healthcare and UF Health has left thousands of patients in Gainesville, Jacksonville, and St. Johns in a precarious situation. The conflict, which centers around financial disagreements and patient care concerns, marks a significant moment in

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