Medicaid Managed Care – medicarereport.org

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Health Care Finance Medicaid

Eileen Cook February 28, 2025February 28, 2025 Healthcare Finance, Medicaid, Medicaid Managed Care

10 Things to Know About Medicaid Managed Care

(By Elizabeth Hinton and Jada Raphael for The Kaiser Family Foundation Published: Feb 27, 2025) Managed care is the dominant

CMS DHS -OIG Medicaid

Eileen Cook December 1, 2023December 1, 2023 CMS, Deceased Medicaid Enrollees, DHS-OIG, HHS Inspector General's Office Audit, Improper Payments, Medicaid, Medicaid Managed Care

OIG: 14 states paid managed care organizations $249M for deceased Medicaid enrollees

(By Rylee Wilson for Becker’s Hospital Review) Fourteen states gave managed care organizations payments for Medicaid enrollees for months after

Disabled Health Care - General Health Care Finance Hospice/Home Health Services LTC Medicaid Nursing Homes

Eileen Cook October 25, 2023October 25, 2023 Disabled, Long-term Care, Medicaid, Medicaid HCBS program, Medicaid Managed Care, Older Adults

In Response to Home-Care Workforce Shortages, Most States Report Increasing Medicaid’s Payment Rates and Expanding Worker Opportunities

(By Alice Burns, Maiss Mohamed, and Molly O’Malley Watts for The Kaiser Family Foundation Published: Oct 24, 2023) Long-standing workforce

DHS -OIG Medicaid

Eileen Cook July 20, 2023 0 Comments DHS -Office of Inspector General, Medicaid Managed Care, Prior Authorization

Medicaid managed care organizations deny 1 in 8 prior authorization requests: OIG

(By Rylee Wilson for Becker’s Hospital Review) HHS’ Office of Inspector General raised concerns about the rate of prior authorization