managed care

Washington Court Rejects State Medicaid Agency’s Payment Methodology for FQHC Reimbursement On April 23, 2026, the Superior Court of the State of Washington, Spokane County, held[1] that Washington’s state Medicaid agency, the [...]

On April 8, 2026, the Centers for Medicare and Medicaid Services (CMS) issued guidance directing states to restrict Medicaid and Children’s Health Insurance Program (CHIP) eligibility for certain categories of non-citizens effective [...]

Feldesman Partners Ted Waters and Adam Falcone will be featured speakers at the 2025 CPCA Annual Primary Care Association (CPCA) Annual Conference, taking place from October 30-31 in San Diego, CA. Mr. [...]

Feldesman Partner Adam Falcone will speak at the CHCANYS25 Annual Conference in Saratoga Springs, NY, offering strategic insights for federally qualified health centers (FQHCs) navigating Medicare Advantage and the New York State [...]

Feldesman Partner Adam Falcone will speak on a panel at the PCA VBC Collaborative Conference in Denver, Colorado.  On July 31, he will join primary care associations (PCA) and a clinically integrated [...]

To further emphasize healthcare fraud as an area of enforcement priority under the Trump Administration, the U.S. Department of Justice (DOJ) and U.S. Department of Health and Human Services (HHS) announced the [...]

Feldesman Partner Adam Falcone has co-authored a compelling article in Health Affairs Forefront titled "Policy Strategies to Propel Community Health Centers Into Value-Based Payment" (March 10, 2025). The piece explores the critical [...]

On June 1, 2015, CMS published a proposed rule with extensive updates to the Medicaid managed care regulations. This is the first update to Medicaid managed care regulations since 2002. Nearly 70% [...]

In this April 20, 2015 article, Falcone provides 10 tips on how to negotiate with managed care.  In addition, he spoke at this month’s National Council for Behavioral Health 2015 conference in Orlando. Click [...]