medical services efficiencyThe recent final rule on Medicaid managed care establishes the minimum medical loss ratio (MLR) requirement for Medicaid managed care and contains several proviBrockett, Patrick L.Golden, Linda L.Yang, Charles C.Young, David H....
Accordingly, this research examines the quality of Medicaid managed care and the effect of MLR and efficiency. The results show that, medical services efficiency has an insignificant (but negative) effect on the quality of care, which indicates that there may be room to improve medical services ...
A letter report issued by the General Accounting Office with an that begins "Pursuant to a congressional request, GAO reviewed the Medicaid managed care services for children with special needs, focusing on the: (1) extent to which states are enrolling children with special needs, as defined by...
Sparer, M. 'Medicaid managed care: Costs, access, and quality of care.' Robert Wood Johnson Foundation, 2012.Sparer, Michael "Medicaid managed care: costs, access and quality of care" Robert Wood Johnson Foundation. September 2012.Sparer, Michael. 2012. "Medicaid Managed Care: Costs, Access,...
Network of experts:We gather insights from a network of Medicaid and plan-eligibility experts, including former officials of federal and state health-services agencies. Examples of our work Transformation diagnostic for a mixed fee-for-service and managed-care state Medicaid program ...
The authors advocate for the implementation of value-based principles to address the underutilization and limited supply of home care and rehabilitation services. July 30th 2024 Bridging the Vaccination Gap: Insights on Global Immunization Challenges Maggie L. Shaw On this episode of Managed Care Cast...
servicesaregrowinginsignificanceforvulnerable groups,littleisknownaboutstates’experiencesindesigningandimplementingthem. Somestates—notably,OregonandWashington—haveledthewayinmandatingthatMCOs developcarecoordinationservicestoensurethatmedicalandsocialneedsareidentified andmet.Inaddition,theproposedMedicaidmanagedcarerule...
Although children enrolled in Medicaid managed care plans increased over the past seventeen years, children’s preventative care rates still fall short of the Centers for Medicare and Medicaid Services’ (CMS) goal, according to astudyfrom Ann & Robert H. Lurie Children's Hospit...
Medicaid Managed Care and Health Care Access for Adult Beneficiaries with Disabilities Objective. To evaluate the impact of Medicaid managed care organizations (MCO) on health care access for adults with disabilities (AWDs). Data Sources. Ma... ME Burns - 《Health Services Research》 被引量: 40...
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