By a News Reporter-Staff News Editor at Insurance Daily News-- A new study on Managed Care is now available. According to news reporting originating from Evansville, Indiana, by NewsRx correspondents, ...

By a News Reporter-Staff News Editor at Insurance Daily News-- A new study on Managed Care is now available. The news correspondents obtained a quote from the research from Dartmouth-Hitchcock Medical ...

AI-driven solutions can optimize specialty drug billing, reducing costs and enhancing financial efficiency in managed care. An AI algorithm identifies cost-effective billing methods by comparing ...

Contract negotiations adhere to a rule that 80 percent of time should be used to prepare for the negotiation and 20 percent to negotiate. To help be more effective in achieving results when you ...

Kevin Dowdy, director of managed care for Meridian Surgical Partners, identifies two common mistakes ASCs make when negotiating managed care contracts. 1. Tying the negotiated rates to a moving target ...

States using managed care to handle long-term services and supports for Medicaid beneficiaries have reduced their nursing home populations, but it’s not necessarily residents with fewer needs making a ...

Coding of physician office visits can be very confusing – and is ever-changing. Every year, regulations and guidelines change, and it is difficult for providers to keep up. Most groups have coding ...

Promoting interdisciplinary collaboration via molecular tumor boards and shared decision-making frameworks might improve the ...

Significant changes to Florida's Medicaid managed-care system take effect this month, impacting millions of beneficiaries across the state. These changes include new contracts with health plans and a ...

To mark the 30th anniversary of The American Journal of Managed Care® (AJMC®), each issue in 2025 will include a special feature: reflections from a thought leader on what has changed—and what has not ...