Biosimilar adoption and market dynamics are reshaping managed care, with the Inflation Reduction Act impacting innovation and market incentives. Specialty pharmaceuticals, particularly GLP-1 drugs, ...
On April 22, the HHS Centers for Medicare and Medicaid Services (CMS) published a long-awaited final rule regulating the use of managed care in Medicaid and CHIP. The official Federal Register version ...
With the announcement of the nursing home minimum staffing rule, I asked myself the same question as operators nationwide: how on earth are we going to pay for this? Even if nursing homes could find ...
Managed care began as a whisper in the original Medicaid statute, but over nearly six decades has evolved into a core feature of most state programs. In 2020, managed care accounted for 84 percent of ...
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