Subscribe to RSS - managed care

managed care

MCOs shift Medicaid landscape

‘We are disappointed that they are taking away quality customer service and care’
 - 
08/18/2017

YARMOUTH, Maine – Managed care organizations targeting single-source or preferred provider contracts to provide DME and supplies for Medicaid recipients is a trend that’s spreading across the country, according to the results of a recent HME Newspoll.

In brief: HHS scores win in appeals fight, Superior HealthPlan makes changes to Medline contract

 - 
08/18/2017

NEW YORK – The D.C. Circuit on Aug. 11 ordered a federal judge to take a deeper look at whether or not the U.S. Department of Health and Human Services can clear a backlog of about 600,000 appeals by 2021, while still protecting taxpayer dollars, according to Law360.

Superior HealthPlan to make changes to Medline contract

 - 
08/15/2017

AUSTIN, Texas – Superior HealthPlan, a managed care company that’s administering part of the state’s Medicaid program, has decided to delay a contract with Medline until Oct. 1, according to the San Antonio Express-News.

AAHomecare looks beyond Medicare

 - 
05/17/2016

WASHINGTON – AAHomecare has brought on board Laura Williard to help the association identify opportunities with payers besides Medicare.

Managed Care: Survive service agreements

 - 
12/22/2015

Q. What’s the deal with service level agreements?

Iowa: Providers fear managed care lock out

 - 
12/22/2015

DES MOINES, Iowa – Stakeholders in Iowa say they have a number of concerns about the upcoming transition to IA Health Link, a new Medicaid managed care program, slated for Jan. 1, 2016.  

Managed care mess: Providers struggle with new reality of serving Medicaid recipients

 - 
10/16/2015

YARMOUTH, Maine – The increasing number of states turning to managed care to run their Medicaid programs is creating a logistical nightmare for providers.

Providers feel shut out from managed care

 - 
10/02/2015

YARMOUTH, Maine – Record numbers of beneficiaries are enrolling in Medicare Advantage plans, but with many of those plans locking down their markets to a handful of providers, that doesn’t always translate to an increase in business for HME providers.

Managed Care: Locate the haystack

Q. How do I know whether my HME company is built for a managed care world?
 - 
09/25/2015

A. Shifts in the market point to continued growth in managed Medicaid. This is the place where most HME providers will need to be prepared to play.

Who’s to blame for Univita's collapse?

 - 
Thursday, September 3, 2015
Bob Lichtenstein
Hollywood Medical Supply

I am reading the Univita story in the latest edition and something is missing or was lost in translation (“Chaos erupts as Univita loses biz,” p. 1, September 2015).

Pages