Medicaid managed care services are mainly concentrated across a handful of providers in a trend that's happening at a time when the managed care space is becoming more lucrative for health insurance ...

OIG issued a new report finding that in 2022 some Medicaid managed care plans self-reported making no or very few potential provider fraud, waste, and abuse referrals. OIG reported that 33 plans, ten ...

States have increasingly outsourced the provision of Medicaid services to private managed care plans. To ensure that plans maintain access to care, many states set network adequacy standards that ...