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Managed Care Outlook

How new Medicaid managed care rules affect MCOsThis May, CMS published a final rule addressing Medicaid managed care, through which the regulatory requirements for both the Medicaid MCOs and for states managing the plans has become even more complex.
Marilyn Tavenner discusses AHIP’s strategy
Marilyn Tavenner discusses AHIP’s strategyAHIP’s president and CEO Marilyn Tavenner discusses the association’s top priorities, challenges, and opportunities.
Payers, providers eye global growth: What execs should know
Payers, providers eye global growth: What execs should knowHealth insurers and providers are looking for ways to grow outside of the United States. Here’s a look at some of the tactics that are picking up traction.
Presidential election: 4 things managed care should watchAs the 2016 presidential election approaches, analysts and experts are advising healthcare executives to watch and monitor certain issues.
Four takeaways: California’s 13% exchange premium increaseGiven what will occur in California, what should executives be aware of? What does the future hold for exchanges nationwide? Experts weigh in.
Payer mega mergers in question: Industry expert weighs inMichael Abrams of Numerof and Associates healthcare consulting firm discusses how the DOJ’s actions to block the Anthem-Cigna and Aetna-Humana mergers could affect the industry.
DOJ attempts to block health plan mergers: What to knowThe government recently filed lawsuits to block Aetna-Humana and Anthem-Cigna mergers. Here’s how experts say this will impact the industry.
Top 7 leadership deficiencies in healthcareThe Managed Healthcare Executive editorial advisory board says healthcare executives should watch out for these seven leadership deficiencies.
How four health plans are fighting the opioid epidemic
How four health plans are fighting the opioid epidemicFrom new outreach programs to multidisciplinary teams, here are some new strategies health plans are employing to fight the opioid epidemic
Regulators react to debate over narrow networksNew regulations will check the drive to narrow networks, just as the business case for forming them grows more compelling.