Anew report urges states to replace Medicaid fee-for-service pharmacy programs with the kind of managed drug benefits used in Medicare Part D plans, Medicaid managed care organizations, and some commercial health plans.Gebhart, FredAdvanstar Communications Inc...
Medicaid managed care plans must submit actual expenditures and revenues for state-directed payments as a part of their medical loss ratio reports to states, and states must provide medical loss ratios for each managed care plan. In addition, managed care plans must report ...
Centers for Medicare and Medicaid Services (CMS) regarding the seven health care sponsors who signed an agreement to suspend voluntarily the marketing of private-fee-for-service plans. Leslie V. Norwalk of CMS stated that the agreement showed that CMS and the health plan firms are ensuring that...
The Centers for Medicare & Medicaid Services (CMS) has a strong desire to make accountable care organizations (ACOs) work, but there are many variables, and panelists said further experimentation with this form of care could have the effect of driving physicians out of fee-for-service (FFS) ...