Montana Hires a Medicaid Director With a Managed-Care Past

Montana, one of only about a dozen states with a fully government-run Medicaid program, has hired a new Medicaid director who oversaw managed-care programs in Iowa and Kansas and championed the idea of having outside companies do the work. Mike Randol took over May 31 as head of Montana’s Medicaid program, which serves 280,000 people … Read more

Record Fines Might Mean California Is Finally Serious About Improving Medi-Cal

Is California getting tougher on health plans that participate in Medi-Cal, the state’s insurance program for low-income residents? A few weeks ago, state regulators imposed a record $55 million in fines on L.A. Care, California’s largest Medi-Cal managed-care plan, for failing to ensure adequate care and allowing treatment delays that threatened enrollees’ health. Patient advocates … Read more