Medicaid Managed Care

medicaid managed care

18 Jun Is Medicaid Managed Care At Risk?

The AHCA , which narrowly passed in the House of Representatives, aims to cap federal Medicaid funding. The drastic reduction in funding could potentially put an end to Medicaid Managed Care as we know it. Converting the open-ended entitlement program to a system of per capita caps...

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25 Jan Trends is Medicaid Managed Care Spending

Government expenditures for Medicaid managed care embodied more than one-third of the total government Medicaid spending in 2014, according to a government report (GAO-16-77) released Jan. 19 that highlights exactly how states are increasingly relying on managed care as they expand Medicaid coverage within the...

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07 Oct Iowa Moving to Total Medicaid Managed Care

In September, The Globe Gazette reported that Iowa representatives have turned in waiver requests with the federal government as a part of Gov. Terry Branstad's strategy to switch Medicaid to a privately run managed care system effective Jan. 1 - a shift they anticipate will deliver...

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20 Jul Cost Avoidance and Recovery

Payer of last resort providers are challenged with the difficult task of recovering payments when primary coverage information is not presented by the recipient at the time services are rendered. For a multitude of reasons, many recipients do not share other coverage information or are...

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