Hampton Roads, Va.-based Sentara Health has promoted Rachelle Capps to vice president of managed care contracting, according to a post on her LinkedIn page. Ms. Capps has been with the health system ...

Managed Care Contracting: Strategies for SuccessReprinted with the permission from Surgical Management Professionals, as published in the Spring 2012 Issue of the SMP Connection, www.smpsd.com.

Founded in 1982, Trans-Century Resources specializes in the provision of managed care contracting and credentialing services for physician groups, IPAs, PHOs and community hospitals.

Learn more about the ins and outs of managed care contracting during a webinar hosted by National Medical Billing Services and Becker’s Hospital Review on Oct. 14 10:30 AM to 11:30 AM CT.

Here are seven best practices from managed care contracting experts to help you get paid fairly by third-party payors. 1. Give yourself ample time to negotiate a contract. To convince a payor that you ...

We then analyzed publicly available Medicaid managed care contracting materials from thirty-nine states and Washington, D.C. (hereafter “forty states”), that operate some portion of their ...

CareSource Nevada is a nonprofit managed care organization that provides access to high quality care to Nevada Medicaid and Nevada Check-Up-eligible residents of the Silver State.

One of four insurers providing care for Illinois Medicaid patients has agreed to pay $1.2 million to settle allegations it failed to provide SNFists to nursing homes as required by its state contract.

States can align capitation withholds with value-based payment state-directed payment arrangements to incentivize managed care plans and providers to improve outcomes for dually eligible individuals.

HENDERSON, Nev., April 15, 2025 (GLOBE NEWSWIRE) -- The Nevada Department of Health and Human Services Division of Health Care Financing and Policy has awarded CareSource, a nationally-recognized, ...

HENDERSON, Nev., April 15, 2025 (GLOBE NEWSWIRE) -- The Nevada Department of Health and Human Services Division of Health Care Financing and Policy has awarded CareSource, a nationally-recognized ...