2025 SEP 17 (NewsRx) -- By a News Reporter-Staff News Editor at Insurance Daily News-- Investigators publish new report on Managed Care. According to news reporting out of Providence, Rhode Island, by ...
On April 22, 2024, the U.S. Department of Health and Human Services (HHS) and the Centers for Medicare & Medicaid Services (CMS) issued a Final Rule (CMS-2439-F), effective July 9, 2024, aimed at ...
Ron Brank, a group vice president for Symbion in Nashville, Tenn., offers 10 points on using cost data for managed care contract negotiations. 1. Meaningful data is essential. In managed care contract ...
ASCs and their urologists can often feel intimidated and ill-equipped to deal with the negotiation process. They may accept what payors offer and begrudgingly sit tight year after year knowing that ...
New Jersey's Medicaid managed-care system allows private insurers to decide on essential services for residents with disabilities. Families and advocates argue that insurers often deny or reduce care, ...
Biosimilar adoption and market dynamics are reshaping managed care, with the Inflation Reduction Act impacting innovation and market incentives. Specialty pharmaceuticals, particularly GLP-1 drugs, ...
Supported value-based care improves prenatal care while reducing neonatal intensive care unit stays, preterm birth rates, low birth weight rates, and costs for mothers and infants. Objectives: ...
(INDIANA CAPITAL CHRONICLE) — Negotiations between a group representing senior care organizations and the insurers tasked with overseeing the state’s summer transition of long-term care services ...
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