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Managed Care

Expert articles and analysis related to managed care.

1 articlesβ€’Last 24 Hours

AI Summary β€” Last 24 Hours

In a significant shift towards managed care in Medicare, CMS has proposed automatic enrollment of beneficiaries into Accountable Care Organizations (ACOs). This move aims to streamline patient enrollment and enhance value-based care but raises concerns among stakeholders about the implications for beneficiary choice and the potential for reduced engagement with care options. Additionally, commentary from Milliman on the CMMI model for dual-eligibles underscores the tensions between traditional coverage and emerging payment models, as stakeholders grapple with the impacts on care delivery within the evolving Medicaid landscape, including the contentious topic of retroactive Medicaid coverage in states like Nebraska. For more details, see the expert interview with Chris Klomp [here](https://elinkfef.healthtechnerds.com/ss/c/u001.cQVGOrhtMBOKpKjxZUUQK_YME8rybaL4Pjg-Xuyn_AuKn6yIappdOMvE3qSrPiopP6sTWXiCLOCJE-6AH9pGs5XqJn1QPtgRB8omPM0Bgaz-0qRqGxkrZztadMwVHr7DR0nnC_Al70AKpyNtjXEY7Fv6_GUQOe8iv5EfB4-X2cdW57We9JKacbWfSLP9Vo-cbNfjyQjk1sKEK34Oo0Z