Network Management

There are several approaches to providing Medicaid health plan. One such approach involves the use of organizations who contract with the state's Medicaid agenc...

State Medicaid agencies can contract with health plans through open contracting or selective contracting. One advantage of selective contracting is that it:

The Portway Hospital is qualified to receive Medicaid subsidy payments as a disproportionate share hospital (DHS). The DHS payments that Portway receives are:

Grant Pelham is covered by both a workers' compensation program and a group health plan provided by his employer. The Shipwright Health Plan administers both pr...

Grant Pelham is covered by both a workers' compensation program and a group health plan provided by his employer. The Shipwright Health Plan administers both pr...