Under a managed care arrangement, Medicaid MCOs determine the rates they pay providers for inpatient hospital services.

The AHA calls on Congress to reject changes to states’ use of provider taxes, which help fund their Medicaid programs.

The Albany Med Health System and insurance company CDPHP have reached a new contract agreement after months of negotiation ...

A settlement between the Minnesota Attorney General’s Office and Hutchinson Health this past October has resulted in $184,000 in medical debt forgiveness. Attorney General Keith Ellison made ...

For emergency care, make sure a bill complies with the No Surprises Act. That law requires that patients receive in-network ...

Ko's AI system can use doctors' behaviors to better understand and measure their expertise, offering a framework for fairer compensation. His tests of machine learning models have delivered consistent ...

The California Quality Collaborative (CQC), a program of the Purchaser Business Group on Health, is dedicated to improving the quality and affordability of health care across California. CQC ...

Editor’s Note: A version of this article also appeared in the December 2024 issue of Consumer Reports On Health. Kevin Loria is a senior reporter covering health and science at Consumer Reports.

Depending on the specifics of your plan and the care you've needed thus far in the year, you might find that you have to pay out-of-pocket for a service even though it's covered by your health plan.

Conduent’s system also struggled to adapt to contactless payments with credit cards and smartphones, which were not widely accepted for fares until 2023. “This is not to cast any aspersions at ...