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Navigating Provider/PHP Disputes In NC Medicaid Managed Care

With managed care contracts between North Carolina Medicaid providers and the state’s new prepaid health plans (PHPs) expected to begin July 1, 2021, and provider network contracting well underway, it is safe to assume that...more

Legislation Repeals Federal Antitrust Immunity For The Health Insurance Business

Seven decades of antitrust immunity for the health insurance industry has just ended. That startling but not unexpected action should prompt insurers, health care providers and suppliers to carefully assess the competitive...more

North Carolina DHHS Set To Launch Medicaid Prepaid Health Plans July 1 – Provider Networks Forming Now

In a January 12 report to state lawmakers on Medicaid managed care implementation, the North Carolina Department of Health and Human Services (DHHS) predicted it will launch prepaid health plans as scheduled on July 1, 2021,...more

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