Tariff increases threaten the US economy and health care costs, impacting managed care affordability and member financial ...

CareSource, a nationally recognized nonprofit managed care organization, announced the appointment of John Koehn as the ...

In-Depth, Transparent Industry Studies Highlight Leading IT Solutions, Managed Services, Outsourcing, and Advisory Firms ...

United Healthcare Medicare Advantage HMO plans do not cover out-of-network facilities and providers. Exceptions are generally ...

North Mississippi Health Services facilities and providers have terminated agreements with United Healthcare Medicare ...

Molina Healthcare, a Fortune 500 company that manages health care services for Medicaid and Medicare recipients, is closing ...

TUPELO– After nearly a year of negotiating, North Mississippi Health Services facilities and providers have terminated, as of May 31, agreements with United Healthcare AARP Medicare Advantage, as well ...

As Medicare Advantage (MA) continues its rapid rise, nonprofit home health care companies are grappling with unsustainable reimbursement rates, with some ...

Overall, six states experienced a decrease in health insurance rates. The cost of medical care has more than doubled since 2000 ... Your insurance company, your plan tier and whether you have an HMO ...

Medicare Advantage (Part C) plans may require referrals depending on the type. HMO ... health conditions. A person who is enrolled in Original Medicare does not need a referral from a primary care ...

As a result, avoidable costs from inappropriate variability in practice patterns coupled with patient noncompliance are a significant focus of managed care. Managed care plans play a key role in ...