Latest Technology News
Analysis: At Least 37 States Have Medicaid State Directed Payments for Hospital Services That Could Be Reduced by the 2025 Reconciliation Law Limits
An estimated $60 billion in federal Medicaid spending in 37 states (including the District of Columbia) would likely exceed new...
Prior Authorization Metrics Provide New Insights into Insurer Practices, but Gaps Remain
Data collected for this analysis represent the largest insurers in each business segment — those with at least 2.5% market...
Medicaid Managed Care Reporting and Transparency: Managed Care Program Annual Reports
Comprehensive, capitated managed care is the dominant Medicaid delivery system, accounting for about 78% of beneficiaries (over 66 million individuals as...
Clover Health pushing for growth, shows 74% net income boost
Medicare Advantage insurer Clover Health believes its AI assistant platform has positioned the company toward success next year. Just months...
