The Centers for Medicare & Medicaid Services wants to bring quality ratings to Medicaid managed care organizations.
The Centers for Medicare & Medicaid Services released its proposed rule to update Medicaid managed care organization regulations yesterday, and the rule is already under fire for proposing a medical loss ratio of 85 percent for managed care plans.
The Centers for Medicare & Medicaid Services has released its long-awaited proposed rule that updates its Medicaid managed care organization regulations.
The federal government will soon propose new regulations to Medicaid managed care rules for the first time since 2002. The Centers for Medicare & Medicaid Services--which has been working on updating the regulations for more than a year--plans to address beneficiary information, provider network requirements and how plans spend money they receive from the program.
Forthcoming rules from the Centers for Medicare & Medicaid Services should strike a better balance between the services offered by Medicaid managed care organizations and the operating profits of the private insurers that offer MCO services.
Iowa's plan to privatize its $4 billion Medicaid program is raising larger questions about whether steering beneficiaries to managed care companies is about improving their health or simply saving the state money.
State standards for access to care for those enrolled in Medicaid managed care programs varies greatly, according to a new report from the Office of the Inspector General.
Improper payments cost Medicaid about $14.4 billion last year, and some of that loss may be due to a gap in managed care program oversight at state and federal levels, according to a report by the Government Accountability Office.
A dispute between Children's Hospital Central California and WellPoint's Anthem Blue Cross began in 2007 and 2008, when the two organizations were trying to craft a new contract, according to Healthcare Payer News.
The jury is still out on whether managed care companies can provide quality care and cost savings, reported Kaiser Health News and the St. Louis Dispatch.