Managed Health Care Oversight
Listing Websites about Managed Health Care Oversight
Managed Care HHS-OIG - Office of Inspector General
(4 days ago) WEBThe HHS-OIG Strategic Plan for Oversight of Managed Care for Medicare and Medicaid has three goals: Promote access to care for people enrolled in managed care. Provide comprehensive financial oversight. Promote data accuracy and …
https://oig.hhs.gov/reports-and-publications/featured-topics/managed-care/
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Managed Care Oversight : MACPAC
(8 days ago) WEBIt covers the key elements of managed care oversight, including payment, network adequacy, quality measurement, and reporting, and concludes with an update on the …
https://www.macpac.gov/publication/managed-care-oversight/
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California Department of Managed Health Care
(4 days ago) WEBMark Ghaly. Secretary, Health & Human Services Agency. View Mark's profile. Mary Watanabe. Director, Department of Managed Health Care. View Mary's profile. Health …
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Managed Care Oversight - MACPAC
(6 days ago) WEBOversight approach: Beneficiary protections for vulnerable populations. Individuals with significant or complex health care needs require additional protections …
https://www.macpac.gov/wp-content/uploads/2018/09/Managed-Care-Oversight.pdf
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Key federal program accountability requirements in Medicaid …
(5 days ago) WEBThe requirements related to the federal oversight of full-risk Medicaid managed care programs can be found in Section 1932 of the Social Security Act (the Act) as well as in …
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Managed Care Quality Improvement Medicaid
(3 days ago) WEBWebinar: Using Medicaid and CHIP Managed Care Quality Oversight Activities for Quality Improvement (audio, transcript). This July 2023 webinar describes how MCQ oversight …
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MACPAC recommends changes to improve Medicaid managed …
(Just Now) WEBJan 29, 2024 - 04:01 PM. The Medicaid and CHIP Payment and Access Commission (MACPAC) last week recommended seven changes to Medicaid managed care policy to …
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California Department of Managed Health Care > About Us
(1 days ago) WEBThe Office of Enforcement represents the Department in actions to enforce the managed health care laws. The primary purpose of an enforcement action is to change plan …
https://www.dmhc.ca.gov/AbouttheDMHC.aspx
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Medicaid Managed Care: Improvements Needed to Better Oversee …
(9 days ago) WEBGAO was asked to examine payment risks in Medicaid managed care. In this report, GAO (1) identified payment risks; (2) identified any challenges to state oversight …
https://www.gao.gov/products/gao-18-528
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Medicaid Providers: CMS Oversight Should Ensure State …
(7 days ago) WEBCMS concurred with our recommendation. In June 2021, CMS issued an informational bulletin to introduce a series of tools for states and CMS to enhance …
https://www.gao.gov/products/gao-20-8
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Managed Care in Medicaid — Need for Oversight, Accountability, …
(8 days ago) WEBMedicaid spending through managed care has quadrupled after the ACA in inflation-adjusted dollars—up from about $100 billion in 2010 (the year the ACA was …
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The Medicaid Managed Care Rule Is A Blockbuster Health Affairs
(6 days ago) WEBThe Medicaid Managed Care Rule Is A Blockbuster. On April 22, the HHS Centers for Medicare and Medicaid Services (CMS) published a long-awaited final rule …
https://www.healthaffairs.org/content/forefront/medicaid-managed-care-rule-blockbuster
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Government watchdog warns of Medicaid oversight gaps
(9 days ago) WEBIn Medicaid managed care, states pay private health insurers a flat rate per enrollee, giving plans an incentive to control the medical costs of their members by, for …
https://www.healthcaredive.com/news/medicaid-managed-care-quality-access-oversight-gaps-gao/710531/
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Managed Care Oversight Presentation - DHCS
(3 days ago) WEBManaged Care Oversight. Audits and Investigations’ Strategy- Program Partners. 1/13/2020 3. Annual Medical Audit • The department shall conduct annual medical …
https://www.dhcs.ca.gov/provgovpart/Documents/6422/ManagedCareOversight-1-21-20.pdf
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Anthem Blue Cross Gets Flagged And Fined More Than Other …
(7 days ago) WEBThe state Department of Managed Health Care hit Anthem Blue Cross with $9.6 million in fines from January 2014 through early November 2019, according to a …
https://kffhealthnews.org/news/anthem-blue-cross-gets-flagged-and-fined-more-than-other-insurers/
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Medicaid Managed Care Oversight Commission
(4 days ago) WEBMedicaid Managed Care Oversight Commission. The Medicaid Managed Care Oversight Commission is created within the Department of Healthcare and …
https://hfs.illinois.gov/about/boardsandcommisions/medicaidmanagedcareoversightcommission.html
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Department of Health Health Facilities Consumer Reports and …
(Just Now) WEBGuide for adults planning for their future financial, health and housing needs. Describes programs that provide medical, financial, legal, and social service …
https://www.nj.gov/health/healthfacilities/reportcards.shtml
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Managed Care Oversight : MACPAC
(Just Now) WEBThe use of managed care shifts responsibility and accountability from states to managed care organizations. This session will consider the adequacy of managed care oversight …
https://www.macpac.gov/publication/managed-care-oversight-2/
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Supporting Hospital and Health System Boards as We Navigate a …
(5 days ago) WEBThe many complexities of health care today continue to challenge hospital and health system governing boards to ensure that high-quality patient care is provided …
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Healthcare Stocks: Testing the Vital Signs of Managed Care Providers
(Just Now) WEBUS managed care includes the seven largest publicly traded US managed care companies by market capitalization: Centene, Cigna , CVS Health, Elevance …
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Managed Long Term Care Plan Oversight of Social Adult Day Care …
(3 days ago) WEBUtilizing the suggested tool provided to all plans, the MLTC plan must ensure the SADC is compliant with the HCBS Final Rule prior to finalizing a contract and …
https://www.health.ny.gov/health_care/managed_care/mltc/sadc/mltc_faq.htm
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Healthcare Stocks: Testing The Vital Signs Of Managed Care …
(4 days ago) WEBMA is a health insurance plan for senior citizens and people with certain disabilities offered by managed care companies, which are paid by the government to …
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New Jersey Managed Care Program Features, as of 2014
(2 days ago) WEBSpecial care nursing facility stays (prior to 7/1/14) are FFS until 7/1/16, and managed care thereafter. New special care nursing facility admissions (beginning on or after 7/1/14) …
https://www.medicaid.gov/Medicaid/downloads/nj-2014-mmcdcs.pdf
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U.S. Managed Care Market Report 2024, with Focus on
(8 days ago) WEBThis projection is based on a compound annual growth rate (CAGR) of 5.62% from 2024 to 2028. The segmentation of national health expenditure by source includes …
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Managed care overview : MACPAC
(4 days ago) WEB¹ Additional details on features of federal Medicaid managed care authorities are available here.. Following approval of the managed care state plan amendment or …
https://www.macpac.gov/subtopic/managed-care-overview/
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OTHER HEALTH CARE PROFESSIONAL CHECKLIST - Horizon …
(7 days ago) WEBIn order for us to assess your credentials and ensure that you meet all criteria for participation, please complete this form and mail it along with ALL other items outlined …
https://www.horizonblue.com/sites/default/files/32244_other_healthcare_professional_checklist.pdf
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DOMI HEALTHCARE LLC, NPI 1548891385 - Family Medicine in …
(7 days ago) WEBAbout DOMI HEALTHCARE LLC. Domi Healthcare Llc is a primary care provider established in North Bergen, New Jersey operating as a Family Medicine.The …
https://npiprofile.com/npi/1548891385
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DiNapoli Releases Analysis of SFY 2024-25 State Budget
(7 days ago) WEBThe budget provides $35.7 billion in Medicaid spending for SFY 2024-25. Budget actions are expected by the Executive and the Legislature to produce savings of …
https://www.osc.ny.gov/press/releases/2024/05/dinapoli-releases-analysis-sfy-2024-25-state-budget
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