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 ...

To mark the 30th anniversary of The American Journal of Managed Care (AJMC), each issue in 2025 includes a special feature: reflections from a thought leader on what has changed—and what has not—over ...

Lawmakers are cool on the governor’s proposal to move away from counties and nonprofit insurers to run Medicaid for 1.2 million Minnesotans.

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 ...