Managed Care Programs News Today

Courts are grappling with questions in the context of managed care programs in False Claims Act cases. Courts should not find a false claim where additional screening for diagnoses resulted in increased capitation payments if the additional diagnoses are correct.

In an industry obsessed with consumer satisfaction national patient surveys still dont get at an important question: Are hospitals delivering culturally competent care?

As states prepare for the end of the COVID public health emergency, they are making plans to reevaluate each Medicaid enrollee’s eligibility. They will rely primarily on mail and email.

The backroom deal with politically connected Kaiser Permanente, which infuriated other Medi-Cal health plans, allows the health care giant to continue selecting the enrollees it wants.

Investegate announcements from ConvaTec Group PLC, Non-Executive Director appointment

Apply for a job with Banner Health as a/an Coding Director, Physician Practice - Remote in Anaheim, CA (41431889). Search for jobs on CareerArc.

Apply for a job with Banner Health as a/an Credentialing Specialist in Mesa, AZ (41054537). Search for jobs on CareerArc.