Medicaid Managed Care Organization

Latest Headlines

Latest Headlines

How MCO rules update could lead to better data collection, better care

The proposed update to Medicaid managed care organization rules would standardize data collection across the program, allowing Medicaid to "fill substantial gaps" in its understanding of how to serve its ever-growing member population, according to an opinion piece published in the  Journal of the American Medical Association.

Why insurers should be watching New Jersey ACOs

New Jersey has certified three of six applicants for its Medicaid Accountable Care Organization (ACO) Demonstration Project. And insurers could benefit by following the three community coalitions--the Camden Coalition of Healthcare Providers, the Healthy Greater Newark ACO and the Trenton Health Team--during the three-year demonstration project. 

3 key reasons CMS overhauled MCO rule

Although insurers have already begun pushing back against proposed Medicaid managed care organization regulations, the Centers for Medicare & Medicaid Services released the rule so that it could catch existing regulation up with reality.

Medicaid managed care organization rule supports EHRs, health info exchange

The new proposed rule that updates the Centers for Medicare & Medicaid Services' Medicaid managed care organization (MCO) regulations supports both electronic health record systems and health information exchange.