A National Study of Commercial Health Insurance and Medicaid Definitions of Medical Necessity: What Do They Mean for Children? To analyze medical necessity standards used by state Medicaid agencies and the largest commercial insurers in the United States on the basis of criteria re......
“Plus, if managed care organizations (MCOs) and individual states have different data elements, it makes it more difficult to share and analyze the data,” continued Watson. “That was meant to be one of the benefits of EVV – more transparency and access to data.” Is there a push for...
Managed Care Organisations (MCOs) are now part of the Malaysian medical landscape. Its proponents believe that it will shift the emphasis of medicine back to preventive and primary care, increase efficiency as well as control costs. Its ... KL Phua - 《Malaysian Journal of Community Health》 ...
Medicaid managed long-term care: is Florida ready? MAA collects HEDIS[R] results from MCOs, conducts studies with theEQRO, and sponsors a statewide survey using the CAHPS[R] and FAACT survey instruments. Evidence of Innovative Uses of Performance Measures Among Purchasers ...
Similar to PCF, DC is a set of voluntary payment models. In an effort to support multipayer alignment, the DC models are intended to offer a broader range of organizations, including accountable care organizations (ACOs), MA plans, and Medicaid managed care organizations (MCOs), an opportunity...
The Asthma Care Quality Assessment (ACQA) Project is a multipart observational study aimed at identifying factors influencing quality of care for Medicaid-insured children with asthma. Given the participating MCOs' reputations for engagement in quality improvement activities and their interest in assessing...