Medicaid plans are falling behind with electronic claims management adoption

According to a new Council for Affordable Quality Healthcare, Inc. (CAQH) report, state Medicaid programs are significantly lagging with the adoption of fully electronic claim submissions, claim reimbursements, prior authorizations, and other claims management processes. The report also found that state agencies and health plans covering just 44 percent of all Medicaid enrollees have reached some level of CORE (CAQH’s Committee on Operating Rules for Information Exchange) certification. Read article here…

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