Joseph Burns

January 13, 2023

Most states have contracted with insurers to manage their Medicaid programs. Connecticut uses administrative services only contracts and a variety of means to manage the care.

January 06, 2023

Experts say Democrats and Republicans could work together on telehealth, mental health and physician payment issues in 2023.

September 22, 2022

North Carolina pioneered patient-centered medical homes and other ways of managing the healthcare of Medicaid beneficiaries. But it was one of the last states to contract with managed care organizations and hasn’t expanded Medicaid.

July 22, 2022

The program started before specialty drugs became such a large expense for Medicare and its beneficiaries. Congress is considering legislation that would cap beneficiary out-of-pocket costs and require price discounts from manufacturers.

June 20, 2022

As many asme 14 million people with Medicaid coverage stand to lose their health insurance when the COVID-19 public health emergency ends.

June 20, 2022

States looked to Medicaid managed care plans to control costs and provide some predictability. Now a growing number are asking questions of the plans and investigating whether the plans are living up to their state contracts. Meanwhile, new federal reporting requirements are being implemented that may shed some light on how the plans operate.