mco Tag

27 Jan MEDICAID MANAGED CARE Rx BENEFITS HELP STATES

Posted at 15:10h in Medicaid

Medicaid prescription drug spending has been on the rise and some states have opted to carve out prescription drug benefits and transition to a Fee-For-Service (FFS) model. In theory, this delivery system helps states assert their purchasing power to reduce costs and improve oversight. However,...

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11 Sep CONCERNS OVER CA’s Rx CARVE OUT

Posted at 14:24h in Medicaid

California’s Governor, Gavin Newsom, signed an executive order at the beginning of the year to move all pharmacy services for Medi-Cal from managed care to a FFS model. The consolidated purchasing power would leverage the state’s population size to negotiate drug prices with pharmaceutical...

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07 Oct Iowa Moving to Total Medicaid Managed Care

Posted at 17:21h in 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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