Governor Tom Wolf announced that Pennsylvania is proposing a new profit-sharing agreement
with its Medical Assistance physical health (PH) managed care organizations (MCOs).
Blue Shield of California is launching a new value-based, shared savings payment model for specialty care physician practices
CMS recently approved 20 Medicare accountable care organizations (ACOs) for the High Needs track of the new ACO REACH model. These provider organizations can serve small populations, including those with complex conditions or dual eligibility for Medicare and Medicaid.
The Nebraska Department of Health and Human Services (DHHS) has announced its plan to interview five bidders who responded to the state’s RFP to provide Medicaid managed care services
Humana finalized a deal to acquire Inclusa, a Wisconsin managed care plan in a bid to bulk up its Medicaid services. Inclusa partners with more than 6,000 service providers across about 40 service categories.
Humana finalized a deal to acquire Inclusa, a Wisconsin managed care plan in a bid to bulk up its Medicaid services. Inclusa partners with more than 6,000 service providers across about 40 service categories.
As the nation’s leading authority on the direct care workforce, PHI promotes quality direct care jobs as the foundation for quality care. Their new strategic plan responds to the challenges and opportunities facing the direct care workforce through 2025
The U.S. Department of Health and Human Services, through the Centers for Medicare & Medicaid Services (CMS), today unveiled guidance on a new Medicaid health home benefit for children with medically complex conditions.
As part of Ohio Medicaid’s effort to launch the next generation of Medicaid, ODM has launched OhioRISE (Resilience through Integrated Systems and Excellence), a specialized managed care program for youth with complex behavioral health and multisystem needs.
CMS recently released the Fifth Annual Report evaluating the Home Health Value-Based
Purchasing (HHVBP) Model. Key findings show participating providers performed 7% better in 2020 than non-participating providers