Add Yahoo as a preferred source to see more of our stories on Google. The House is proposing reducing the rates the state pays Medicaid HMOs to provide care to the poor, elderly, and disabled. (Getty ...

One in 4 Medicaid managed care organization sanctions are not remediated, revealing inconsistent state and federal oversight and the need to standardize CMS reporting and enforcement guidelines.

As states reassess Medicaid coverage following recent federal policy changes and the end of pandemic-era protections, ...

The Office of Inspector General has released a report examining prior authorization patterns from seven managed care companies, and based on the findings is urging increased oversight of prior ...

Managed care stocks bounced back from a year-to-date decline to reach a three-month high on Tuesday after the Centers for ...

Indiana nursing homes are owed $462 million in back payments under the state’s Medicaid program due to delays caused by the transition to managed care, ...

A former Aetna president and a Wellcare chief take on expanded remits as Centene continues refining its structure ...

The Centers for Medicare and Medicaid Services April 8 issued guidance on implementing a provision within the reconciliation bill passed in July 2025 regarding federal matching funds for full Medicaid ...