Naya Kehayes, managing principal and CEO of Eveia Health Consulting and Management, recommends that hospitals and other providers ask payors these 11 questions regarding termination of managed care ...

The contracts were awarded after Mississippi Medicaid issued one-year emergency contracts last month to Magnolia Health, Molina Healthcare and UnitedHealthcare – the companies currently contracting ...

Naya Kehayes, managing principal and CEO of Eveia Health Consulting and Management, recommends hospitals and other providers ask payors these three questions regarding enforcement within managed care ...

Here are 96 questions in 23 categories you should address when considering and reviewing managed care contracts. Does the term of the contract differ from the term applying to rates, for instance, ...

There’s a key question more providers need to know the answer to: What is a contract exclusion? A contract exclusion details the medications and treatments that are not included in the levels of a ...

Managed care contracting is often overlooked and is critical to the financial well being of your center. Here are four basic rules that you should know when negotiating with carriers. 1. Direction of ...

In August 2023, the Office of Inspector General for the Department of Health and Human Services (OIG) announced a new strategic plan to investigate the life cycle of Medicare Advantage and Medicaid ...

As Hoosiers are getting older and Indiana’s long-term care system evolves to embrace the needs of a more complicated population, state officials are finalizing a potential $15 billion worth of ...

Nevada sent out a request for Medicaid contract proposals in October that would expand its managed care program to cover almost everyone in the state. Currently, Nevada only offers managed care in ...

A losing bidder has filed a lawsuit seeking to prevent Florida health officials from moving forward with new Medicaid managed-care contracts while legal protests continue. ImagineCare LLC filed the ...

TUSTIN, Calif.--(BUSINESS WIRE)--LIBERTY Dental Plan, a leading benefits administrator founded in 2002 by dentists and health industry professionals which currently administers dental benefits in all ...