Medicaid Managed Care
Expert articles and analysis related to medicaid managed care.
AI Summary â Last 24 Hours
OIGâs new review found that CMSâs accuracy-check process for state-submitted Medicaid managed care medical loss ratio data has limitations, raising near-term compliance and rate-setting risk for states, MCOs, and VBC contractors that rely on MLR reporting to validate plan performance and premium adequacy (OIG report). At the same time, CMS is broadening the ACCESS model while states prepare Medicaid work requirement rollouts.
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Medicaid Managed Care: CMSâs Accuracy Check Process For State-Submitted Medical Loss Ratio Data Has Limitations - Office of Inspector General (.gov)
Medicaid Managed Care: CMSâs Accuracy Check Process For State-Submitted Medical Loss Ratio Data Has Limitations  Office of Inspector General (.gov)
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The rocky rollout of Nebraska's Medicaid work requirements
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