Health plans face unique challenges brought on by the Covid-19 pandemic. The most successf

As the Covid-19 pandemic has swept the nation, all health care stakeholders have had to ma

The State of California is “carving out” the pharmacy benefit for Medi-Cal beneficiari

The Affordable Care Act (ACA) has survived for a decade despite Congressional attempts to

In the calendar year (CY) 2020 for the “Value-based insurance design” (VBID) Model and

The Affordable Care law has survived for nearly a decade despite efforts to upend it, incl

Background Managed care procurement processes are a required part of public sect

Payers of all stripes are increasingly holding health plans accountable for moving the hea

Earlier this year, the Centers for Medicare & Medicaid Services (CMS) announced a new

Tom Dougherty, FACHE
January 26, 2017