Fact Based List:
Avalere Health: 6 provisions of Medicaid Managed Care Proposed Rule
Submitted by Clive Riddle on Fri, 05/29/2015 - 16:08
- Medical Loss Ratio (MLR), including setting a minimum MLR for Medicaid managed care organizations.
- Standards to evaluate healthcare access, as well as a focus on the accuracy of network information that beneficiaries receive.
- Greater standardization of quality metrics across states and plans.
- Federal oversight of rate setting and a more detailed, regimented process for ensuring actuarial soundness.
- Continuity of care, including alignment of enrollment practices between Medicaid fee-for-service, Medicaid managed care organizations and exchange coverage.
- Stronger public reporting and transparency requirements for Medicaid managed care organizations and states.
Source: Becker's Hospital CFO
Source URL: http://www.beckershospitalreview.com/finance/6-projections-o...
List Ratings: |
Lists You Might Also Be Interested In
- Urban Institute: Five study takeaways on Medicaid expansion's effect on hospital finances
- 7 Care Coordination Models and the Number of State Medicaid Plans Using Them in 2019
- 10 Things to Know about Medicaid Managed Care
- States Without, And Not Considering Medicaid Expansion as of July 2018
- 5 Insights on States With Medicaid Expansion
Login or register to post comments