Cardinal Innovations Healthcare is the largest specialty health plan in the country, insuring more than 850,000 North Carolinians with complex needs. Using a community-based model of care management, ...

Health care spending in 2019 reached $3.8 trillion, 17.7 percent of the gross domestic product in the United States. Likewise, employer-sponsored health insurance premiums — which cover about 157 ...

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 ...

Editor’s note: Part 1 of this post, which appears below, provides background on Medicaid managed care and outlines the pressing questions and challenges facing states that—increasingly—use it. Part 2 ...

Medicaid managed care has not been the panacea for spending, care quality, and access that policy makers expected, but reforms could change that. Evidence indicates a need for further reform in ...