A new study published in the current issue of the Journal of Managed Care & Specialty Pharmacy (JMCP)—conducted by a Humana Healthcare Research team and Dr.

As part of its commitment to protect patient access to care as the One Big Beautiful Bill Act (OBBBA) (PDF) is implemented, the AMA continues to engage with CMS, support state and specialty medical ...

MAHA Elevate and the 10-year LEAD model aim to fund noncovered interventions, diversify participating provider types, stabilize benchmarks, and increase accountability for preventive testing and ...

Gov. Sherrill wants to fine large companies up to $725 annually per worker enrolled in Medicaid. Business groups oppose the plan.

Some companies have found lucrative opportunities to capitalize on a growing need, extracting payments as high as $800 an hour.

APCM vs. CCM: what every primary care practice needs to know before switching; rates, rules, revenue impact, and who ...

A complete breakdown of APCM billing codes G0556, G0557, and G0558 - eligibility requirements, reimbursement rates, and ...

When Danielle Wright was pregnant with her third child, she had coverage from a state Medicaid program to pay for her doctor ...

If you or someone you care about is exploring addiction treatment options, you may be wondering whether your state Medicaid coverage extends to virtual outpatient rehab. The short answer is: in most ...

As the American healthcare landscape faces unprecedented shifts in 2026, elder law expert and advocate Jason Neufeld has officially announced the release of the significantly expanded and updated ...

Produce prescriptions and hospital food programs are expanding fast. But the real test isn’t medical—it’s financial.

Patient advocates say state administrators in Iowa appear to be reining in Medicaid spending by cutting services for people ...