New CMS Proposal Aims to Enhance Transparency & Access in Medicaid Managed Care
Discover how the CMS proposal seeks to improve access, transparency, and quality of healthcare for beneficiaries of Medicaid managed care and CHIP.
Healthcare Payers
Connecticut is Taking a Different Approach to Managed Care
Connecticut’s current managed fee-for-service program, known as the Husky Health program, has been in operation for a decade now. Learn more about the program, and the pros and cons of such a model.
California Pledges Millions to Strengthen the Future of Behavioral Health Care Workforce
Discover how California is investing millions to support the next generation of behavioral health care workers, fostering innovation and strengthening mental health services across the state.
Medicare vs. Medicaid: A Quick Recap and Reference Guide
You likely hear a lot about Medicare, Medicaid, and Medicare Advantage, but do you know what the difference between the programs is?
Next Generation of Ohio Medicaid Managed Care Launches
Ohio’s Next Generation Managed Care program is officially off the ground and running. We take a look at the ins and outs of the program and determine if we think it has the foundation to be successful.
Value-Based Payments Are Crucial to Improving the Value of U.S. Healthcare
The Commonwealth Fund study indicates that while the U.S. excels in certain aspects of healthcare, there is still much work to be done in terms of access, efficiency, and equity. Value-based payments are a potential solution to reducing healthcare costs and improving health outcomes for consumers.
Providers and Health Insurers United on Protest of Proposed Payment Rule
CareFirst BlueCross BlueShield formed a strategic alliance with Aledade, Inc. They will jointly offer independent primary care physicians the tools and resources necessary to help them achieve value-based care goals.
New Value-Based Care Partnership Unveiled by CareFirst BCBS
CareFirst BlueCross BlueShield formed a strategic alliance with Aledade, Inc. They will jointly offer independent primary care physicians the tools and resources necessary to help them achieve value-based care goals.
Value-Based Care Platform Joining CMS Advance Investment Payments (AIP) Incentive Program
Federally qualified health centers (FQHCs) and rural providers participating in ACOs using the Signify Health platform will receive advanced incentive payments when they join the Medicare Shared Savings Program.
Ohio Launches Nest Generation Managed Care Plans
The Ohio Department of Medicaid recently launched its Next Generation managed care plans, following an overhauling process that began in 2019.