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

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 ...

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 ...

UnitedHealthcare has suffered two setbacks in its legal fight against a new Minnesota law that blocks for-profit HMOs from winning contracts to serve the state Medicaid program. First in late August ...

Iowa has awarded Centene a new Medicaid managed care contract, extending the insurer’s participation in the state’s $6.7 billion Medicaid program for another six years. Centene subsidiary Iowa Total ...

UnitedHealthcare has filed a lawsuit challenging a new state law that bars for-profit HMOs from running Medicaid health plans. The measure, which takes effect next year, was part of a massive ombinus ...

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 ...

A Ramsey County judge has halted a lawsuit that could have restored UnitedHealth Group to the Medicaid health plan market in Minnesota. The ruling is the latest development in a 50-year debate in ...