Fact Based List:

JLARC: Review of the Cost-Effectiveness of Virginias Medicaid Program, 5 Takeaways

Submitted by GMcCalister on Tue, 12/13/2016 - 17:42


  1. LTSS eligibility screening process creates risk of unreliable results
  2. Opportunities exist to provide more cost-effective LTSS services in the community
  3. DMAS has not prioritized opportunities to control spending in its managed care program
  4. DMAS has paid MCOs more than necessary and Virginia’s profit cap is more lenient than other states
  5. Medicaid spending growth continues to pressure general fund budget, but spending per enrollee has been flat, accounting for inflation


Source: Joint Legislative Audit & Review Commission
Source URL: http://jlarc.virginia.gov/medicaid-2016.asp



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