CMS issued a final rule Tuesday preventing states from increasing or adding pass-through payments for hospitals, physicians or nursing homes contracted with Medicaid managed care organizations. Here ...

A former state prosecutor said the private insurance companies that manage most of the Medicaid care in Minnesota were also ...

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 ...

In a 50-50 vote broken by Vice President JD Vance, Senate Republicans advanced their budget reconciliation bill. According to estimates from the Congressional Budget Office, the bill would cut 12 ...

Medicaid and other managed care organizations could take several key steps to respond to the sexually transmitted infection (STI) epidemic in the US, including congenital syphilis. The US is facing a ...

AHA urges Congress to reject reductions to the Medicaid program that would not only strip access to health care from some of the most vulnerable populations but also destabilize hospitals and health ...

One of at least 24 states that gave control of institutional long-term care to private insurance companies is walking away ...

Lawmakers are cool on the governor’s proposal to move away from counties and nonprofit insurers to run Medicaid for 1.2 million Minnesotans.

Minnesota has been in the national spotlight for months because of the massive amount of fraud uncovered in numerous Medicaid ...