Molina Healthcare, a Medicaid managed care provider, is suing Missouri over the state’s recent decision to dole out managed care services, according to a Columbia Daily Tribune report. In February, ...

MEMPHIS, Tenn., April 6, 2022 /PRNewswire/ -- Sedgwick, a leading global provider of technology-enabled risk, benefits and integrated business solutions, is now offering its well-established managed ...

Indiana’s transition to Medicaid managed care for long-term supports and services this month was billed as a way to streamline care options and better manage costs for seniors. But some long-term care ...

Early managed care prioritized coordinated primary care “gatekeeping,” selective contracting, utilization/quality controls, ...

Network adequacy remains a significant challenge for behavioral healthcare in Medicare Advantage (MA) and Medicaid managed care, according to a new report. Analysts at the Department of Health and ...

Quantitative Medicaid managed care network adequacy standards were not associated with improved mental health (MH) care access among adults and those with MH conditions. Objectives: Medicaid is the ...

To mark the 30th anniversary of The American Journal of Managed Care, each issue in 2025 includes a special feature: reflections from a thought leader on what has changed—and what has not—over the ...

States have increasingly outsourced the provision of Medicaid services to private managed care plans. To ensure that plans maintain access to care, many states set network adequacy standards that ...

LAS VEGAS — Many long-term care providers need to get up to speed on how they can receive better treatment from managed care organizations, especially with greater opportunities starting Jan. 1. That ...