Managed Care

I hung up the phone with the managed care case reviewer. The patient in question was in her late 50s, with multiple sclerosis and other physical problems that had left her bed-bound. What else would need...

Evidence-based quality data can be a powerful tool — especially for building partnerships with hospitals and managed care entities. These relationships will become increasingly important, making McKnight’s...

Managed care is not being warmly embraced by long-term care providers everywhere. Nearly 40 states are in various completion phases of transitioning to privatized Medicaid managed care systems, but Louisiana’s...

While providers have made some progress with reducing rehospitalizations, the era of managed care organizations and better hospital partnerships means new strategies are needed. Attendees at the McKnight’s...

Hospitals traditionally have viewed a patient’s discharge as the endpoint of their care responsibilities. In reality, hospital stays frequently are just one step in ongoing episodes of care. Ensuring...

Proposed regulations slated for early 2015 likely will affect how Medicaid managed care balances home- versus facility-based long-term care, news sources reported Wednesday.

More than three-quarters of Medicaid beneficiaries will be enrolled in a managed care plan as of 2016, according to an Avalere Health analysis released Thursday. The numbers reveal that managed care growth...

The government should collect and release more claims information from managed care plans, the nation’s largest long-term care provider association stated in a recent letter to Senate leaders.

McKnight’s second Fall Online Expo takes place today, bringing long-term care professionals three free webcasts for continuing education credit. Experts will discuss regulatory compliance, strategies...

McKnight’s second Fall Online Expo will take place tomorrow, featuring three free webcasts on pressing long-term care issues. Attendees can earn continuing education credit while learning about regulatory...