Managed Care Organizations

Hospitals Concerned About Medicaid State-Directed Payment Changes

December 5, 2023 - Eight leading healthcare industry groups are urging CMS to abandon proposed restrictions on provider-based Medicaid funding sources, citing coverage and cost consequences if the proposals are finalized. The American Hospital Association (AHA), Association of American Medical Colleges (AAMC), and Federation of American Hospitals (FAH) were among the...

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Providers in Iowa Face Medicaid Claims Reimbursement Delays

by Jacqueline LaPointe

After privatizing the Medicaid program in April, some healthcare providers in Iowa have experienced serious delays in Medicaid claims reimbursement that have caused some organizations to consider...

MA Medicaid Proposes $1.5B Investment in Accountable Care

by Catherine Sampson

MassHealth, the combine management of Medicaid and Children's Health Insurance Programs by the Commonwealth, is joining the accountable care movement by proposing a major $1.5 billion overhaul of its...

CMS Releases 2015 Guidance for Managed Care Rate Setting

by Ryan Mcaskill

The Centers for Medicare & Medicaid Services (CMS) is announcing the availability of the 2015 Managed Care Rate Setting Consultation Guide. It is used by states when developing their Medicaid...

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