Subscribe to RSS - managed care

managed care

North Carolina rate protects DME

 - 
07/07/2020

RALEIGH, N.C. – North Carolina Gov. Roy Cooper on July 2 signed Bill 808, including a provision creating a rate floor for durable medical equipment.

Payers tighten their control

Of a recent Centene-WellCare merger, one provider cited Centene’s ‘track record’ in Illinois
 - 
02/14/2020

ST. LOUIS – As big payers get ever bigger, HME providers and stakeholders fear the impact these monopolies could have on the market.

Centene, WellCare merger finalized

 - 
01/24/2020

ST. LOUIS – Centene Corp. has completed its acquisition of WellCare Health Plans, creating what it calls the leading healthcare enterprise focused on government-sponsored healthcare programs.

Monroe Wheelchair works system

 - 
10/29/2019

SYRACUSE, N.Y. – With the rise of managed care organizations in Medicaid, especially in New York, it’s been worth it for Monroe Wheelchair to have a contract relations manager on staff, Doug Westerdahl says.

Auditors avoid appeals process, make ‘major’ requests

 - 
09/13/2019

YARMOUTH, Maine – If you’re an HME provider trying to appeal a denial by a managed care payer, it’s probably not going very smoothly, reports consultant Wayne van Halem.

Payer Relations Council sets agenda

 - 
09/05/2019

WASHINGTON – AAHomecare’s new Payer Relations Council met for the first time in Arlington, Va., last week, to establish objectives for 2020, including educating the payer community on the value o

MCO bill becomes law in Kentucky

 - 
04/05/2019

FRANKFORT, Ky. – Kentucky Gov. Matt Bevin has signed into law a bill that streamlines DME regulations and reimbursement policy for the managed care organizations managing the state’s Medicaid program.

The bill ensures that MCOs:

Medtrade Spring preview: Don’t get ‘railroaded’ by MCOs, says speaker Pam Colbert

 - 
03/29/2019

LAS VEGAS – Now that Medicare and Medicaid are turning to managed care organizations (MCOs) more and more to cut costs, HME providers must be vigilant to make sure they get a fair deal, says Pam Colbert, an attorney with Brown & Fortunato.

NCART seeks managed care data

 - 
03/01/2019

BUFFALO, N.Y. – NCART has developed a survey for suppliers and manufacturers to share information on reduced access to complex rehab technology at the hands of Medicaid managed care organizations.

MCO bill clears Kentucky House

 - 
02/22/2019

FRANKFORT, Ky. – A bill that would hold managed care organizations more accountable passed the Kentucky House of Representatives on Thursday 100-0, VGM reports. The bill, H.B.

Pages