Medicaid payment advisors on Friday recommend policymakers improve transparency of managed care directed payments, which are commonly used to increase Medicaid payment to hospitals. The Medicaid and ...

Medicaid managed care policy shifts scheduled for 2026 are poised to affect how home care agencies process and submit claims significantly. New compliance benchmarks, reporting expectations, and data ...

CMS issued a final rule Tuesday preventing states from increasing or adding pass-through payments for hospitals, physicians or nursing homes contracted with Medicaid managed care organizations. Here ...

The renewed embedded AP payments partnership expands optimized payment operations with industry-leading fraud protection and the ability to reach and convert longtail suppliers through fully managed ...