Since 1997, New York has required many of its Medicaid beneficiaries to enroll in managed care plans. There are now 1.7 million Medicaid managed care enrollees in the state. Fifteen health plans serve the majority of that population. A report by the New York State Coalition of Prepaid Health ...
CMS has instituted its Final Rule, a sweeping overhaul of Medicaid Managed Care, resulting in new regulations and mandates with the goal of improving Medicaid member access to quality healthcare, enhancing outcomes while reducing healthcare costs. State Medicaid Agencies and Medicaid Health Plans ...
The case shows how a state Medicaid agency attempted to alleviate the financial burdens of that mandate by extending its philosophy of managed competition through the use of negotiated and competitive managed care contracts for organ transplantations. The agency expected to achieve significant cost ...
Results from this study provide guidance to health care organizations in the development of plans to ensure the health of people with asthma during disaster situations. 展开 关键词: Asthma Medicaid managed care Terrorism World Trade Center DOI: 10.1093/jurban/jti010 被引量: 139 ...
With 267,895 enrollees in the state of New York,Excellus Health Plan, Inc.is the third-largest 4.5 star-rated Medicaid managed care plan. It has an Electronic Clinical Data accreditation from NCQA. Like Tufts Health Public Plans, Excellus Health Plan, Inc. had the highest scor...
Exposure Form CMS-416 data were used to measure state-year level share of Medicaid-enrolled children who were covered by MMC (ie, MMC penetration). Main Outcomes and Measures Measures of specialty care access included whether, in the past year, the child had (1) any visit to non–mental ...
Quality management by state Medicaid agencies converting to managed care: plans and current practice. JAMA. 1998;279(3):211-2169438741Google ScholarCrossref 9. Landon BE, Epstein AM. Quality management practices in Medicaid managed care: a national survey of Medicaid and commercial health plans ...
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, compared with an average of only 10 percent...
“Medicaid managed care plans collaborate with their state partners to deliver successful public private partnerships uniquely tailored to meet the needs of each individual state and the populations that are served by that state’s Medicaid program, proving that when the public and priv...
Compare different benefits and providers offered by the plans. Compare Health Plans Compare Dental Plans I would like to Change My Health or Dental Plan Change Health or Dental Plans Online Log in to the FL Medicaid Member Portal to change your Health or Dental Plan. We will walk you ...