Medicaid managed care policy shifts scheduled for 2026 are poised to affect how home care agencies process and submit claims significantly. New compliance benchmarks, reporting expectations, and data ...

On April 22, the HHS Centers for Medicare and Medicaid Services (CMS) published a long-awaited final rule regulating the use of managed care in Medicaid and CHIP. The official Federal Register version ...

A government watchdog is ringing the alarm on potential quality and access issues in Medicaid managed care, when states contract with private companies to administer the care of Medicaid beneficiaries ...

In late April, the Centers for Medicare & Medicaid Services (CMS) issued the final Managed Care Rule, which codifies revisions intended to “improve access to care, accountability and transparency for ...

McLaren Health Plan, owned by McLaren Health Care in Flint, Mich., has announced an agreement to purchase CareSource Michigan, a 34,500-member Medicaid health maintenance organization in Lansing, Mich ...

This article is part of a Health Affairs Forefront featured topic, Medicaid Financing. The featured topic includes analysis, proposals, and commentary that will inform policies on the state and ...

Providers and advocates renewed their calls to reject a potential return to Medicaid managed care during multiple meetings hosted by the Department of Social Services last week. The stakeholder ...