Managed Care

Why Does Louisiana's Health Department Keep Failing Audits?
Management & Administration Why Does Louisiana's Health Department Keep Failing Audits?

The Louisiana Department of Health (LDH) has been facing continuous financial and compliance issues, as highlighted in a new report by the Louisiana Legislative Auditor. The report reveals that despite some progress, LDH has failed to address the majority of prior audit findings, with some issues

Can Hope Florida’s Nonprofit Integration Transform Medicaid?
Management & Administration Can Hope Florida’s Nonprofit Integration Transform Medicaid?

Florida's ambitious plan to integrate the Hope Florida network of nonprofits into its Medicaid program has sparked a mix of support and controversy. Spearheaded by the DeSantis administration, the initiative aims to foster self-sufficiency among Floridians, reducing reliance on government

How Can Hospitals Thrive Under the Two-Midnight Medicare Rule?
Management & Administration How Can Hospitals Thrive Under the Two-Midnight Medicare Rule?

How can a hospital ensure compliance and optimize patient care while navigating complex Medicare guidelines? This question has become increasingly pertinent for many healthcare institutions. Did you know that inpatient stays account for significant revenue for hospitals compared to outpatient

Evolution and Future Trends of U.S. Private Healthcare
Management & Administration Evolution and Future Trends of U.S. Private Healthcare

The evolution of the U.S. private healthcare system is a tale of continual adaptation and innovation, shaped by market dynamics, regulatory changes, and technological advances. This comprehensive overview charts the history from the early foundations to emerging future trends in the industry. In

Did Court Dismissal Fail Florida Medicaid Patients with Disabilities?
Management & Administration Did Court Dismissal Fail Florida Medicaid Patients with Disabilities?

In a contentious legal battle, a federal judge recently dismissed a lawsuit alleging inadequate oversight by Florida's Agency for Health Care Administration (AHCA) over Medicaid managed care plans intended for adults with disabilities. The lawsuit, filed on behalf of five adults with serious health

How is Blue Shield Advancing Health Equity in California?
Management & Administration How is Blue Shield Advancing Health Equity in California?

In a significant milestone for healthcare equity, Blue Shield of California and its subsidiary, Blue Shield of California Promise Health Plan, have received national recognition for their exceptional efforts in promoting health equity. The National Committee for Quality Assurance (NCQA) honored the

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