Most Medicaid managed care plans are paid predetermined, per-member-per-month capitation payments to cover and coordinate all Medicaid services used by their enrollees. These payments must be ...

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Seeking to show Americans that he’s concerned about affordability, President Donald Trump on Thursday released his long-awaited plan to tackle the high cost of health care. Light on details, the ...

As we age, the prospect of needing long-term care becomes an increasingly important consideration. But this type of care comes at a significant cost — and depending on your needs, could come with a ...

In late 2024, I authored an article suggesting that 2025 might be the year health plans start working at the individual member level to address barriers to care. This included identifying and ...