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.
The Obama administration intends to fix two of consumers' biggest complaints about the Affordable Care Act: Inaccurate provider directories and surprise bills for costs not covered by insurance.
While the Affordable Care Act established network requirements for plans in the commercial marketplaces, states played a role in both setting and enforcing such standards in 2014, according to the Commonwealth Fund.
Starting next year, health insurers must provide up-to-date doctor lists for their Medicare Advantage and Healthcare.gov policies, according to the Centers for Medicare & Medicaid Services.
Eight New York insurers have agreed to pay a $60,000 collective fine and will ensure their provider directories are accurate under a settlement agreement with the state attorney's general office.
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