We help design and transform managed care programs to reduce programmatic costs and meet regulatory expectations. Healthcare analytics Our analytics team provides the insights Medicaid agencies need to improve healthcare accessibility and efficacy.
Star+Plusis a Medicaid Managed Care program of theTexas Health and Human Services Commission(HHSC) for adults who are not receiving Medicare. The term "Managed Care" means the State of Texas hires managed care organizations (MCOs) to manage your health care and theStar+Plusplan is one option...
This cross-sectional study examines the association of Medicaid managed care penetration and specialty care access among publicly insured children, with a
During the COVID-19 public health emergency, a continuous coverage requirement was put in place for Medicaid beneficiaries, meaning millions were automatically reenrolled in healthcare coverage without needing to renew eligibility. The forthcoming expiration of this requiremen...
Table 3. Medicaid managed care plans covering substance abuse, fiscal year 2000 ParameterNumber of states (n = 31)Number of programs (n = 52)Number of plans (n = 339) Plan type MCO 23 (74.2%) 28 (53.8%) 183 (53.4%) PCCM 7 (22.6%) 6 (11.5%) 7 (2.1%) Specialty behavioral PHP...
Yes, and it’s a firm one. New York Medicaid requires healthcare providers to submit a claim within 90 days of the service provided. Yes! The purpose of our Medicaid billing software is to make it easier for providers to accurately code and submit Medicaid claims. We keep our software up...
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.
Our study on ridesharing by a managed care transportation broker found no change in ride quality compared with traditional nonemergency medical transportation, but differences were observed for access-to-care measures.
[author name scrubbed], Specialist in Health Care Financing ([email address scrubbed], [phone number scrubbed]) [author name scrubbed], Specialist in Health Policy/Acting Section Research Manager ([email address scrubbed], [phone number scrubbed]) ...
When indeterminate, we called the Medicaid office in each state, and for many, Medicaid managed care organizations (MCOs), and individual in-state providers, to confirm coverage. We recorded our experiences, number of, and duration of phone calls to confirm coverage.#The main outcome was a ...