Managed Care

Can Care Pathways Redefine Rehab Performance?
Management & Administration Can Care Pathways Redefine Rehab Performance?

The American healthcare landscape is undergoing a profound and irreversible transformation, moving decisively away from a volume-based, fee-for-service model toward a value-based care system that prioritizes quality outcomes and cost-efficiency. For the community of rehabilitation

How Will a New Provider Tax Ban Affect State Medicaid?
Management & Administration How Will a New Provider Tax Ban Affect State Medicaid?

A new federal rule is set to fundamentally alter the intricate financial architecture supporting state Medicaid programs, introducing a period of profound uncertainty for lawmakers, healthcare providers, and the millions of Americans who rely on these services. The final rule, issued by the Centers

What Is AI's Role in Healthcare Administration?
Management & Administration What Is AI's Role in Healthcare Administration?

As artificial intelligence continues its rapid integration into nearly every industry, healthcare payers and administrators are confronted with a pivotal decision regarding how to incorporate this transformative technology into their complex operational frameworks. The prevailing industry

NY Hospitals Avert Billion-Dollar Funding Cut
Management & Administration NY Hospitals Avert Billion-Dollar Funding Cut

New York's healthcare system has narrowly sidestepped a catastrophic financial cliff, securing a critical nine-month extension for a vital funding mechanism that will prevent an estimated billion-dollar shortfall for hospitals and nursing homes. This crucial reprieve, which pushes a looming

Elevance Health Lowers Outlook on High Medical Costs
Management & Administration Elevance Health Lowers Outlook on High Medical Costs

The American health insurance landscape is facing a period of significant turbulence, with Elevance Health becoming the latest industry titan to signal distress by lowering its financial expectations for 2026. This adjustment is not an isolated event but rather a symptom of a much larger ailment

Why Are NJ Schools Wasting Millions on Health Insurance?
Management & Administration Why Are NJ Schools Wasting Millions on Health Insurance?

A recent state audit has unearthed a staggering financial blunder within a single New Jersey school district, revealing that nearly fifty million dollars in potential savings on employee health insurance were completely squandered over just four years. This incident in Perth Amboy is not an

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