As of Sept. 1, the Texas Health and Human Services Commission has a new contract for the STAR+PLUS Medicaid program. Given the changes to STAR+PLUS in your area, now may be a good time to review ...

Some 1.8 million Texans who receive Medicaid coverage from six managed care organizations across the state would lose their current health plans and be shifted to new insurers next year if Texas ...

The state used managed care until 2010 but then transitioned to managed fee for service because of “a loss of confidence” in the managed care organizations running the program, including ...

STAR+PLUS is a Texas Medicaid-managed care program for adults who have disabilities or are age 65 or older. People enrolled in STAR+PLUS receive Medicaid benefits through a health plan of their ...

The managed care rule’s importance can hardly be overstated. As of 2022, three-quarters of states relied on managed care as a basic element of their Medicaid state plan administration. Over 80 ...

Texas’ Medicaid STAR and CHIP provide coverage for a range of medical services, including routine, acute and emergency care. The STAR program primarily serves pregnant women and low-income ...

2024 NOV 12 (NewsRx) -- By a News Reporter-Staff News Editor at Insurance Daily News-- Current study results on Managed Care have been published. According to news originating from Boston ...

As of Sept. 1, the Texas Health and Human Services Commission has a new contract for the STAR+PLUS Medicaid program. Given the changes to STAR+PLUS in your area, now may be a good time to review ...

A July 2023 analysis by the Department of Health and Human Services found that Medicaid managed care organizations denied 12.5% of prior authorization requests, compared to a 5.7% denial rate ...

The proposed shake-up would remove Cook Children's Health Plan in the state's Tarrant service area, Texas Children's Health Plan in the Harris region, ... It will also require the nearly 1.8 million ...

In September 2022, Centene agreed to a $166 million settlement to resolve claims it overcharged the state's Medicaid program for pharmacy services. The news was first reported by the St. Louis ...