Accessing medical and social resources for patients, heavy administrative burden, and lack of data integration are barriers to Medicaid managed care organization care coordinators’ job performance.

In American healthcare, Medicaid presents significant challenges, particularly regarding inpatient stay approvals. In recent years, Medicare and the Two-Midnight Rule have dominated discussions around ...

While pharmaceutical manufacturers are absorbing the spotlight in the debate over drug pricing, managed care insurers are quietly grappling with their own set of challenges. Rising utilization, ...

This material was paid for by UnitedHealthcare Community and State and provided by UnitedHealthcare Community and State. The views expressed by the author are their own. This material is not part of ...

The Supreme Court's decision on Kennedy v Braidwood Management could affect coverage for over 30 preventive services, impacting HIV, cancer, and mental health care. The ACA has survived major legal ...

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 ...

It’s been 10 years since the Cuomo administration imposed a managed-care model on Medicaid’s behavioral health services, allowing mostly for-profit health plan “middlemen” to oversee mental health and ...