In Medicare, the term “managed care plans” refers to Medicare Advantage (Part C) plans offered by private companies contracted by Medicare. These plans work in place of your Original Medicare ...

Eliminating the pharmacy benefits of spreads and rebates appears unlikely to be a significant headwind for managed care organizations. While bills can be approved by a simple majority in the US ...

Comparing plans with similar characteristics, such as size, geographic location, or demographics served, allows for more meaningful insights and improvement opportunities.

On this episode of Managed Care Cast, we speak with the author of a study published in the February 2025 issue of The American Journal of Managed Care® to uncover significant differences in ...

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After two years of fines, Gold Coast Health Plan, which serves low-income county residents, was ranked among the top plans in the state in 2023.

Chordline Health was founded in 1983 to address the critical need for managed care solutions designed from the clinician perspective. Chordline's cloud-based software and analytics platforms ...

Proposed legislation could make California one of only a handful of states that require insurers to disclose denial rates and ...

Community Care, Inc. (CCI) is pleased to announce that its Family Care program has officially expanded into seven new counties: Adams, Columbia, Dodge ...

Rocket Doctor's virtual care model reduces unnecessary emergency department (ED) visits, reduces wait times, and ensures timely specialist referrals. With services now live, eligible plan members can ...