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 ...
Care Qventus launches gap and coding automation suite to improve patient care and increase reimbursement accuracy in real time.
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 ...
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 ...
A session at AMCP Nexus on the use of artificial intelligence (AI) and machine learning (ML) in managed care highlights some real-world examples of successful implementation of these technologies. A ...
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 ...
Network adequacy standards in Medicaid managed care vary widely, with most states using time and distance criteria, but differing by provider type and geographic area. The 2020 Medicaid managed care ...
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