Prior authorizations are the way MA managed care plans pre-approve some procedures before they’ll pay for them.

The contracts will involve tens of billions of dollars in the coming years, with about 3 million people receiving health care ...

Significant changes to Florida's Medicaid managed-care system take effect this month, impacting millions of beneficiaries ...

Given the prevalence of managed care, it’s incumbent upon the industry to ensure that there is a robust supplier pool.

The issue will feature guest editor Nate Apathy, Ph.D., from the University of Maryland School of Public Health in College ...

As managed care expands in the United States, few prescribed therapeutics today are purchased completely out-of-pocket. Rather, most are covered, at least in part, by a third-party payer ...

After a dip in the wake of the release of UnitedHealth Group's Q4 2024 earnings figures, shares in the company and other ...

CRANBURY, N.J., Jan. 29, 2025 (GLOBE NEWSWIRE) -- Today, The American Journal of Managed Care® (AJMC®), the leading multimedia peer-reviewed journal dedicated to issues in managed care ...