Managed Care news and information

Managed care rapidly gained and quickly lost favor more than a decade ago, but even as it lost ground, it never fully lost a hold in the market. Now, it's an increasingly popular option among seniors enrolled in Medicare, and some managed-care tenets—care coordination led by primary care and...
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Kentucky Spirit Health Plan doesn't have the right to withdraw early from a contract with the state as a Medicaid managed care organization.
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Hospital visits are shorter and less costly for all patients in markets with more of them enrolled in Medicare managed care, according to new research. The results suggest hospitals make far-reaching changes to delivery as incentives to better manage care increase.
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More than half of the states that applied to participate in a controversial CMS pilot for dual-eligible beneficiaries have either dropped out or delayed implementation of their programs.
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Modern Healthcare reporter Maureen McKinney talks with Michael Tarwater, CEO of Carolinas HealthCare System, Charlotte, N.C.
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As the deadline nears for Medicare's first accountable care organizations to decide whether they will continue with the initiative, at least one is debating whether to leave.
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The Alabama Legislature passed a sweeping revision to Medicaid that replaces the way the program delivers and pays for care with regional managed care operators.
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One of the last undecided Democratic governors has opted to expand Medicaid. West Virginia Gov. Earl Ray Tomblin announced his intention to urge funding of the expansion by the Democratic-led Legislature after considering it for nearly a year.
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Policymakers hope moving Medicare- and Medicaid-eligible seniors into managed-care plans will save a lot of money through better coordination of care, but the payoff may not be as big as expected.
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UnitedHealth Group's first-quarter net income dropped 14% as the nation's largest health insurer paid out more for medical claims and booked a smaller gain due to leftover insurance claims.
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