Managed Care

In a report issued Thursday, MACPAC urged Congress to make transitioning to managed care easier for states — one method the commission suggested could improve efficiency within the Medicaid system.

Michigan is laying the groundwork to privatize its $2.8 billion Medicaid nursing home and long-term care services.

You are unlikely to meet many people who understand this field quite like Robert G. Kramer. When he talks about what skilled care operators should be doing to get past the turbulent years to come, it’s...

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...