Medicaid managed-care plans get federal help on state ratesThe CMS took action Wednesday to improve the way states pay private health plans to oversee the care of Medicaid beneficiaries.Modern Healthcare
New York advocates issue warning on Medicaid managed care plans.Examines concerns regarding the impact of the planned introduction of six special-needs plans (SNPs) on managed care plans in the state of New York. Provision of services to 60,000 people with the most serious mental and emotional...
La. targets docs steering patients to Medicaid managed-care plans.The article presents information on a rule implemented in Louisiana as of December 1, 2013 acorrding to which regulators will crack down on a perceived pattern of physicians steering patients into particular Medicaid managed-care ...
A new Commonwealth Fund report finds that Medicaid managed care plans that are owned by publicly traded for-profit companies whose primary line of business is managing Medicaid enrollees spent an average of 14 percent of premiums on administrative costs,
For more than 20 years, state and federal policy-makers have promoted Medicaid managed care as a way to improve access to good quality care for the Medicaid beneficiary, while at the same time containing (or at least stabilizing) costs. Capitated health plans would reduce relianceon expensive ...
Following decades of criticism for "cherry-picking" the healthiest patients, Medicare managed care plans now appear to be holding onto sicker patients with more complex health needs, new research has found.
不过因为联邦政府的补助减少,而医疗花费却增加; health care不得不向病人和保险机构 (主要是Medicare 和Medicaid) 收取费用。在1996年,900个小区医疗中心服务1千万个美国民众,而其中很多人没有健保。 Prepaid group practices目前已成为美国主要的医疗组织架构,而HMO亦建立在它的基础上。在美国许多州,Kaiser Health ...
Managed care organization means an entity that (1) is under contract with the department to provide services to Medicaid recipients and (2) meets the definition of “health maintenance organization” as defined in Iowa Code section 514B.1. Database Management System (DBMS) A system of manual ...
4.For instance, there are still no New York State managed care plans with a lactation consultant in their directory, which is a disgrace. 5.The state then switched to the traditional Medicaid model by putting enrollees under the 138% poverty level in Medicaid managed care, allowing the private...
Freedom of choice: Medicaid, managed care, and California family planning clinics. Access to out-of-plan family planning services for Medicaid beneficiaries enrolled in managed care plans in California has been limited by poor relationshi... BM Aved,SD Michaels - 《Journal of Public Health Manage...