Examines types of Medicaid managed care organizations and contracts by state, including managed care organizations and primary care case management programs; issues for measuring, monitoring, and improving quality; and implications of health reform.Gifford, Kathleen...
Design, Setting, and Participants This cross-sectional study used nationally representative data from the 2016 to 2019 National Survey of Children’s Health to identify publicly insured children in 41 states that administered comprehensive managed care organizations for Medicaid. Data analysis was performed...
Medicaid collaborations vary greatly from organization to organization, but are often developed between Managed Care Organizations (MCOs), advocacy groups, specialty providers, community-based organizations (CBOs), and state-level influencers. Collaborations are key to the success of Medicaid and provide ...
Nearly all states are engaged in reforming their Medicaid organizations to meet the costs of increased financial responsibility. This article considers the issue of health care reform through one state organization's response to a particular mandate. The case shows how a state Medicaid agency ...
AHIP argued that expanding this flexibility would allow plans to become more innovative. Lastly, the payer organization recommended expanding managed care organizations’ involvement in pooled funding arrangements, for example, by pooling social services funding across state agencies....
As the US healthcare system slowly transitions to value-based care, Medicaid managed care organizations are joining the movement by promoting capitated payment models and quality-based assessments. California wasthe first stateto test out Medicaid managed care in the 1970s. Nearly 50...
DHH has identified Dental Services claims (for Provider Type 27-Dentist: Provider Specialty 67-0ral Surgeon) that were inappropriately paid by Legacy Medicaid beginning with date of service 2/1/2015. These claims became the responsibility of the Managed Care Organizations (MCOs) effective 2/1/2015...
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 ...
JEFFERSON CITY, Mo.--(BUSINESS WIRE)--The state of Missouri has selected UnitedHealthcare Community Plan of Missouri as one of three managed care organizations to administer its MO HealthNet Managed Care Program for Medicaid members in Temporary Assistance for Needy Families (TANF) and the Childre...
How to picka health insurance plan: In most states, Medicaid benefits are administeredthrough private companies–managed care organizations– just like Medicare and private insurance. You’ll have to choose which plan best meets your needs.