New Jersey's Medicaid managed-care system allows private insurers to decide on essential services for residents with disabilities. Families and advocates argue that insurers often deny or reduce care, ...
Historically, the US health care system has failed to effectively assess or address food insecurity and poor nutrition. However, new policy pathways are emerging to support access to interventions ...
Biosimilar adoption and market dynamics are reshaping managed care, with the Inflation Reduction Act impacting innovation and market incentives. Specialty pharmaceuticals, particularly GLP-1 drugs, ...
Lawmakers are cool on the governor’s proposal to move away from counties and nonprofit insurers to run Medicaid for 1.2 million Minnesotans.
Most Medicaid managed care plans are paid predetermined, per-member-per-month capitation payments to cover and coordinate all Medicaid services used by their enrollees. These payments must be ...
Medicaid managed care organizations should prioritize children in low-opportunity neighborhoods to optimize health care utilization, improve minority health, and address health-related social needs.
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