My #insurer #WellCare #Wellmark #Centene provides #managedCare services primarily through #Medicaid, #MedicareAdvantage and #Medicare #prescription #drug plans for members across the US.
Yesterday got notice from my #prescription drug #insurance. Said my cost to keep plan I have in #2027 will rise 14%.
Ooookay. And how many ppl’s #pay will rise 14% in 2007?
Ooookay. And how many ppl’s #pay will rise 14% in 2007?
Jake Tapper: Silence... Crickets...
ALT: Jake Tapper: Silence... Crickets...
static.klipy.com
September 24, 2026 at 6:28 PM
My #insurer #WellCare #Wellmark #Centene provides #managedCare services primarily through #Medicaid, #MedicareAdvantage and #Medicare #prescription #drug plans for members across the US.
Ethical Issues With Using Managed Care For Psychotherapy buff.ly/2RgcpPd
#Insurance #ManagedCare #Psychotherapy #Therapy #Ethics #Confidentiality #Mentalhealth #NewYorkCity #TherapistSky
#Insurance #ManagedCare #Psychotherapy #Therapy #Ethics #Confidentiality #Mentalhealth #NewYorkCity #TherapistSky
Ethical Issues With Using Managed Care For Psychotherapy
buff.ly
December 7, 2024 at 12:27 PM
Ethical Issues With Using Managed Care For Psychotherapy buff.ly/2RgcpPd
#Insurance #ManagedCare #Psychotherapy #Therapy #Ethics #Confidentiality #Mentalhealth #NewYorkCity #TherapistSky
#Insurance #ManagedCare #Psychotherapy #Therapy #Ethics #Confidentiality #Mentalhealth #NewYorkCity #TherapistSky
#$UNH #$HUM — ACA cuts incoming
- VP Vance expected to announce reductions to ACA healthcare coverage Tuesday
- Directly impacts Medicaid and exchange enrollment pools
- UnitedHealth and Humana among the largest ACA marketplace insurers
#ManagedCare
- VP Vance expected to announce reductions to ACA healthcare coverage Tuesday
- Directly impacts Medicaid and exchange enrollment pools
- UnitedHealth and Humana among the largest ACA marketplace insurers
#ManagedCare
September 22, 2026 at 3:13 PM
#$UNH #$HUM — ACA cuts incoming
- VP Vance expected to announce reductions to ACA healthcare coverage Tuesday
- Directly impacts Medicaid and exchange enrollment pools
- UnitedHealth and Humana among the largest ACA marketplace insurers
#ManagedCare
- VP Vance expected to announce reductions to ACA healthcare coverage Tuesday
- Directly impacts Medicaid and exchange enrollment pools
- UnitedHealth and Humana among the largest ACA marketplace insurers
#ManagedCare
Medicare Advantage is one of the biggest fiscal governmental blunders in decades. HMOs ("managedcare") didn't work, back in the day, and that's exactly what MA is . . . "managed care." Except, it's not managed & it's not care.
January 7, 2025 at 3:05 AM
Medicare Advantage is one of the biggest fiscal governmental blunders in decades. HMOs ("managedcare") didn't work, back in the day, and that's exactly what MA is . . . "managed care." Except, it's not managed & it's not care.
1/
Life expectancy rose before antibiotics. Sewers, not stethoscopes, saved lives.
#healthcare #publichealth #managedcare #medsky #healthpolicy #imsky
🧵👇
Life expectancy rose before antibiotics. Sewers, not stethoscopes, saved lives.
#healthcare #publichealth #managedcare #medsky #healthpolicy #imsky
🧵👇
October 4, 2025 at 4:16 PM
1/
Life expectancy rose before antibiotics. Sewers, not stethoscopes, saved lives.
#healthcare #publichealth #managedcare #medsky #healthpolicy #imsky
🧵👇
Life expectancy rose before antibiotics. Sewers, not stethoscopes, saved lives.
#healthcare #publichealth #managedcare #medsky #healthpolicy #imsky
🧵👇
Time to get back to these people job #managedcare
August 11, 2026 at 1:18 PM
Time to get back to these people job #managedcare
"But all of us, even the relatively healthy, now use a lot of health care. It’s no longer an unexpected need — an insurable risk. It has turned into one of our largest expected needs. Expected needs aren’t insurable."
I couldn't agree more.
#health #insurance #managedcare
wapo.st/3Pa8cg6 (gift)
I couldn't agree more.
#health #insurance #managedcare
wapo.st/3Pa8cg6 (gift)
Opinion | Insurance is what makes U.S. health-care prices so high
America needs a working marketplace where patients are the primary customers.
wapo.st
December 26, 2024 at 1:43 PM
"But all of us, even the relatively healthy, now use a lot of health care. It’s no longer an unexpected need — an insurable risk. It has turned into one of our largest expected needs. Expected needs aren’t insurable."
I couldn't agree more.
#health #insurance #managedcare
wapo.st/3Pa8cg6 (gift)
I couldn't agree more.
#health #insurance #managedcare
wapo.st/3Pa8cg6 (gift)
There are many villains in Medicaid but none of them are the beneficiaries or the workers who support them…
This article points out both #PrivateEquity and its move into the long-term care space AND the reality of how bad #ManagedCare is. PE and private insurance has no place in long-term care.
This article points out both #PrivateEquity and its move into the long-term care space AND the reality of how bad #ManagedCare is. PE and private insurance has no place in long-term care.
Mother with cerebral palsy struggles to hire aides after private equity takeover
In the hands of financiers, a New York Medicaid program that lets disabled and elderly participants live at home is under fire.
www.nbcnews.com
August 14, 2025 at 9:25 PM
There are many villains in Medicaid but none of them are the beneficiaries or the workers who support them…
This article points out both #PrivateEquity and its move into the long-term care space AND the reality of how bad #ManagedCare is. PE and private insurance has no place in long-term care.
This article points out both #PrivateEquity and its move into the long-term care space AND the reality of how bad #ManagedCare is. PE and private insurance has no place in long-term care.
#Teachers & #nurses have been #terrorized for many years in #toxicworkenvironments. 🤬But most of them are WOMEN so not much attention paid. This is especially true due to #managedcare and federally mandated crap #StandardizedTesting. No one deserves to be treated like this. #Edusky #teachersky
March 22, 2025 at 11:52 PM
#Teachers & #nurses have been #terrorized for many years in #toxicworkenvironments. 🤬But most of them are WOMEN so not much attention paid. This is especially true due to #managedcare and federally mandated crap #StandardizedTesting. No one deserves to be treated like this. #Edusky #teachersky
My 5-article deep dive series on #valuebasedcare shows how it increases admin complexity and leads to consolidation in #healthcare.
Read more on: www.pcplens.com
#healthpolicy #medsky #managedcare #vbc
Read more on: www.pcplens.com
#healthpolicy #medsky #managedcare #vbc
PCP Lens | Sudeep Bansal, MD, MS | Substack
Welcome to the Wonderful World of Healthcare: A journey through metrics, money, and madness. Click to read PCP Lens, by Sudeep Bansal, MD, MS, a Substack publication.
www.pcplens.com
December 27, 2024 at 2:47 PM
My 5-article deep dive series on #valuebasedcare shows how it increases admin complexity and leads to consolidation in #healthcare.
Read more on: www.pcplens.com
#healthpolicy #medsky #managedcare #vbc
Read more on: www.pcplens.com
#healthpolicy #medsky #managedcare #vbc
I understand. My income doesn't cover my rent. I am 76 years old and drew my first paycheck at 13. I raised 3 daughters as a single mother. I never got assistance. Now, trying to hold on to Medicaid this renewal period has been hell.
Thank God for CarePlus who helps. #ManagedCare
Thank God for CarePlus who helps. #ManagedCare
October 28, 2025 at 1:25 PM
I understand. My income doesn't cover my rent. I am 76 years old and drew my first paycheck at 13. I raised 3 daughters as a single mother. I never got assistance. Now, trying to hold on to Medicaid this renewal period has been hell.
Thank God for CarePlus who helps. #ManagedCare
Thank God for CarePlus who helps. #ManagedCare
Vitus Search Group: Vitus Pro, Vitus Fleet, Vitus Managed Care, Vitus Health, Vitus Claims
#vitussearchgroup #fleetmanagement #fleet #cdl #managedcare #aco #adjusters #claims
#vitussearchgroup #fleetmanagement #fleet #cdl #managedcare #aco #adjusters #claims
October 22, 2025 at 5:30 PM
Vitus Search Group: Vitus Pro, Vitus Fleet, Vitus Managed Care, Vitus Health, Vitus Claims
#vitussearchgroup #fleetmanagement #fleet #cdl #managedcare #aco #adjusters #claims
#vitussearchgroup #fleetmanagement #fleet #cdl #managedcare #aco #adjusters #claims
Partners for Kids. Tune in as we explore accountable care organizations, reimbursement models, pharmacy benefits, and pediatric dental access for children covered by Ohio Medicaid.
#Pediatric #MedEd #Medicaid #ManagedCare #DentalCare #CME @nationwidekids
bit.ly/4Aglaiy
#Pediatric #MedEd #Medicaid #ManagedCare #DentalCare #CME @nationwidekids
bit.ly/4Aglaiy
September 15, 2026 at 8:16 PM
Partners for Kids. Tune in as we explore accountable care organizations, reimbursement models, pharmacy benefits, and pediatric dental access for children covered by Ohio Medicaid.
#Pediatric #MedEd #Medicaid #ManagedCare #DentalCare #CME @nationwidekids
bit.ly/4Aglaiy
#Pediatric #MedEd #Medicaid #ManagedCare #DentalCare #CME @nationwidekids
bit.ly/4Aglaiy
🤔 Did you know your #primarycare #doctor might be held accountable for your #healthoutcomes even if they've never met you?
Dive into the complicated world of #PatientAttribution in #ValueBasedCare
www.pcplens.com/p/whos-your-...
#vbc #healthpolicy #healthcare #managedcare #pcp #medicine
Dive into the complicated world of #PatientAttribution in #ValueBasedCare
www.pcplens.com/p/whos-your-...
#vbc #healthpolicy #healthcare #managedcare #pcp #medicine
Who's your PCP?
Patient Attribution in VBC: Where Accountability Meets Confusion
www.pcplens.com
December 6, 2024 at 7:03 PM
🤔 Did you know your #primarycare #doctor might be held accountable for your #healthoutcomes even if they've never met you?
Dive into the complicated world of #PatientAttribution in #ValueBasedCare
www.pcplens.com/p/whos-your-...
#vbc #healthpolicy #healthcare #managedcare #pcp #medicine
Dive into the complicated world of #PatientAttribution in #ValueBasedCare
www.pcplens.com/p/whos-your-...
#vbc #healthpolicy #healthcare #managedcare #pcp #medicine
Comparing the first six months of 2023 and 2024, enrollment in Medicaid HMOs in Texas dropped by 24.4% and their premium revenues dropped by $4 billion or 20%. #HealthPolicy #Medicaid #ManagedCare
March 25, 2025 at 1:30 PM
Comparing the first six months of 2023 and 2024, enrollment in Medicaid HMOs in Texas dropped by 24.4% and their premium revenues dropped by $4 billion or 20%. #HealthPolicy #Medicaid #ManagedCare
@aoc.bsky.social
bsky.app/profile/ajna...
2018: #Insurers Game #Medicare System to Boost Federal Payments
@wsj.com
www.wsj.com/articles/ins...
"Other large #managedcare companies including #UnitedHealthGroup, Aetna, and Anthem, also engage in the practice according to analysis of federal data."
bsky.app/profile/ajna...
2018: #Insurers Game #Medicare System to Boost Federal Payments
@wsj.com
www.wsj.com/articles/ins...
"Other large #managedcare companies including #UnitedHealthGroup, Aetna, and Anthem, also engage in the practice according to analysis of federal data."
June 24, 2025 at 10:50 PM
@aoc.bsky.social
bsky.app/profile/ajna...
2018: #Insurers Game #Medicare System to Boost Federal Payments
@wsj.com
www.wsj.com/articles/ins...
"Other large #managedcare companies including #UnitedHealthGroup, Aetna, and Anthem, also engage in the practice according to analysis of federal data."
bsky.app/profile/ajna...
2018: #Insurers Game #Medicare System to Boost Federal Payments
@wsj.com
www.wsj.com/articles/ins...
"Other large #managedcare companies including #UnitedHealthGroup, Aetna, and Anthem, also engage in the practice according to analysis of federal data."
What if #QualityMetrics designed to improve #healthcare #quality are doing more harm than good?
Learn more about the paradox of #HealthQuality metrics and their unintended consequences.
www.pcplens.com/p/the-qualit...
#medsky #qualitymeasures #ValueBasedCare #vbc #managedcare #populationhealth
Learn more about the paradox of #HealthQuality metrics and their unintended consequences.
www.pcplens.com/p/the-qualit...
#medsky #qualitymeasures #ValueBasedCare #vbc #managedcare #populationhealth
January 17, 2025 at 6:31 PM
What if #QualityMetrics designed to improve #healthcare #quality are doing more harm than good?
Learn more about the paradox of #HealthQuality metrics and their unintended consequences.
www.pcplens.com/p/the-qualit...
#medsky #qualitymeasures #ValueBasedCare #vbc #managedcare #populationhealth
Learn more about the paradox of #HealthQuality metrics and their unintended consequences.
www.pcplens.com/p/the-qualit...
#medsky #qualitymeasures #ValueBasedCare #vbc #managedcare #populationhealth
We are excited to share our annual Managed Care Outlook 2025, a comprehensive report highlighting the key trends, regulatory shifts and legal risks that will shape the managed care industry in the year ahead.
Visit reedsmith.law/MCO25 for more info.
#ManagedCare #HealthCareLitigation #HealthPlans
Visit reedsmith.law/MCO25 for more info.
#ManagedCare #HealthCareLitigation #HealthPlans
January 8, 2025 at 4:34 PM
We are excited to share our annual Managed Care Outlook 2025, a comprehensive report highlighting the key trends, regulatory shifts and legal risks that will shape the managed care industry in the year ahead.
Visit reedsmith.law/MCO25 for more info.
#ManagedCare #HealthCareLitigation #HealthPlans
Visit reedsmith.law/MCO25 for more info.
#ManagedCare #HealthCareLitigation #HealthPlans
“ #Medibank, #NIB & #Bupa all out-earn every major Aus bank…
Where does that profit go next? Increas, on expansion into the GP clinics, dental chains & allied health networks the funds now own outright — the same playbook that built #US-style #managedcare, the model Aus has spent decades avoiding.”
Where does that profit go next? Increas, on expansion into the GP clinics, dental chains & allied health networks the funds now own outright — the same playbook that built #US-style #managedcare, the model Aus has spent decades avoiding.”
Show me the money! How top five health funds spend your premiums
Claudia Weisenberger reports.
Read it here:
https://michaelwest.com.au/show-me-the-money-how-top-five-health-funds-spend-your-premiums/
Claudia Weisenberger reports.
Read it here:
https://michaelwest.com.au/show-me-the-money-how-top-five-health-funds-spend-your-premiums/
July 21, 2026 at 7:11 AM
“ #Medibank, #NIB & #Bupa all out-earn every major Aus bank…
Where does that profit go next? Increas, on expansion into the GP clinics, dental chains & allied health networks the funds now own outright — the same playbook that built #US-style #managedcare, the model Aus has spent decades avoiding.”
Where does that profit go next? Increas, on expansion into the GP clinics, dental chains & allied health networks the funds now own outright — the same playbook that built #US-style #managedcare, the model Aus has spent decades avoiding.”
#ManagedCare model delays and denies care, advocates say
Inside the push to cut NY's Medicaid Managed Care middlemen
Healthcare advocates in New York are pushing for a bill that would remove most mental health and substance use services from private insurance management, arguing that the current system creates de…
www.news10.com
May 19, 2026 at 9:43 PM
#ManagedCare model delays and denies care, advocates say
Blog Post: Provider networks aren't failing — they're evolving. Here's a clear look at what’s driving those changes, and what they mean for consumers. buff.ly/HAR20Sj #healthcoverage #managedcare #providernetworks
Provider Networks: Challenges and Opportunities – Making it Make Sense
Provider networks aren't failing — they're evolving. Here's a clear look at what’s driving those changes, and what they mean for consumers.
buff.ly
February 4, 2026 at 6:30 PM
Blog Post: Provider networks aren't failing — they're evolving. Here's a clear look at what’s driving those changes, and what they mean for consumers. buff.ly/HAR20Sj #healthcoverage #managedcare #providernetworks
BLOG POST: Provider networks solve real problems in health care, but they also create financial, access, and continuity risks for everyone involved. buff.ly/y9iUAd4 #healthcoverage #managedcare #providernetworks
Provider Networks: Everyone Suffers – Making it Make Sense
Provider networks solve real problems in health care, but they also create financial, access, and continuity risks for everyone involved.
buff.ly
January 21, 2026 at 3:30 PM
BLOG POST: Provider networks solve real problems in health care, but they also create financial, access, and continuity risks for everyone involved. buff.ly/y9iUAd4 #healthcoverage #managedcare #providernetworks
Elevance Insider Purchases Put a Public-Record Marker on Managed-Care Risk Elevance Health's CEO and a director disclosed open-market purchases on July 17,...
https://www.narrowit.com/news/elevance-insider-purchases-medicaid-costs-2026-07-19
#ElevanceHealth #Form4 #InsiderPurchases #ManagedCare
https://www.narrowit.com/news/elevance-insider-purchases-medicaid-costs-2026-07-19
#ElevanceHealth #Form4 #InsiderPurchases #ManagedCare
Elevance Health Insider Purchases Follow Q2 Managed-Care Cost Focus | Narrowit.com
SEC Form 4 filings show Elevance Health insider purchases after Q2 results raised guidance but kept investors focused on medical-cost and membership trends.
www.narrowit.com
July 19, 2026 at 10:19 AM
Elevance Insider Purchases Put a Public-Record Marker on Managed-Care Risk Elevance Health's CEO and a director disclosed open-market purchases on July 17,...
https://www.narrowit.com/news/elevance-insider-purchases-medicaid-costs-2026-07-19
#ElevanceHealth #Form4 #InsiderPurchases #ManagedCare
https://www.narrowit.com/news/elevance-insider-purchases-medicaid-costs-2026-07-19
#ElevanceHealth #Form4 #InsiderPurchases #ManagedCare
About 3/4 people who have #Medicaid are enrolled in #managedcare organizations (MCOs), per the latest national data. Most of these are private plans operated by companies such as #UnitedHealth Group & #Centene. 🔥They have no idea that this is really #Medicaid paid for by public funds.🔥 #BigTruth
A fifth of Americans are on Medicaid. Some of them have no idea. (Stateline)
An emergency room nurse tends to a patient at a Houston hospital. Experts worry that Medicaid's complexity can make it hard for people to see how potential c...
l.smartnews.com
April 9, 2025 at 12:43 PM
About 3/4 people who have #Medicaid are enrolled in #managedcare organizations (MCOs), per the latest national data. Most of these are private plans operated by companies such as #UnitedHealth Group & #Centene. 🔥They have no idea that this is really #Medicaid paid for by public funds.🔥 #BigTruth
![Emoji Legend
💨x# | "Increased Trending Rate" for a Word (meaningful value; "💨x8 - burger" will mean "burger" is trending at 8 times its own normal rate for this time of day)
🔓 | "Unlocked" Ongoing Emergency Word (such words are not weighted down by their own previous usage; their *ongoing* increased usage--weeks, months, years--would otherwise move them down the list.)
[PREVIOUSLY USED]
⚠️💨# | "Trend Strength Rating"
⚠️🌀💨 | "Trend Strength Rating" (see above)
⚠️🌀 CAT. # | [same; "CAT." = Category, like hurricane]
💬# | 10min Post Count
🆎# | 10min Word Count
🙂# | 10min Emoji Count](https://cdn.bsky.app/img/feed_thumbnail/plain/did:plc:mcb6n67plnrlx4lg35natk2b/bafkreigp6bgag3jzkool6uxrujpcrwtn6zkd7cbfrmevhaxaqhhewgolmu)