HEALTH SOLUTIONS
Medicaid
We explore what the Medicare-Medicaid integration opportunity could mean for states as the CMS’s new ACO LEAD model details are released.
We outline current challenges State Medicaid agencies may face in their managed care programs, and offer some considerations and potential mitigation strategies.
What should life sciences companies know about risk adjustment for the Medicare, Medicaid, and ACA markets?
We examine how leading healthcare organizations operationalize risk adjustment to improve accuracy, compliance, and financial sustainability.
Understanding the risk adjustment (RA) landscape—its definitions, challenges, and key stakeholders—is the first step to building stronger RA performance.
What state Medicaid programs should know and do ahead of the January 2026 launch
Continued efforts at parity implementation and enforcement in state Medicaid agencies
10 key observations and an assessment of potential future changes
We provide a reference and some benchmarking information for key metrics used in the analysis of 2024 MCO performance.
Non-emergency medical transportation (NEMT) is a required benefit provided to Medicaid beneficiaries to enable access to medical services and treatment that may be routine or non-emergent in nature.
