Follow Health Care Reform Insider on Twitter
Loading...
You are here:  Home  >  Medicaid  >  Managed Medicaid
Latest

Data Note: Medicaid Managed Care Growth and Implications of the Medicaid Expansion

April 24, 2017  /  Managed Medicaid, Medicaid

This Data Note discusses the current role of managed care in Medicaid and addresses differences in managed care growth between states that expanded Medicaid to low-income adults under the Affordable Care Act (ACA) and states that did not expand Medicaid.

Read More →
Latest

Medicaid expansion linked with $2.8M decrease in uncompensated care per hospital

October 12, 2016  /  Managed Medicaid, Medicaid

Hospitals benefited financially from the 2014 Medicaid expansion under the Affordable Care Act, a study published in the Journal of the American Medical Association found.

Read More →
Latest

Molina uses narrow networks to make money on ACA

September 21, 2016  /  Managed Medicaid, Medicaid

Molina’s experience selling plans within a government framework prepared it for the ACA landscape. 

Read More →
Latest

CMS’s Final Rule on Medicaid Managed Care: A Summary of Major Provisions

June 9, 2016  /  Managed Medicaid, Medicaid

Major goals of CMS’ in revising the regulations were to align Medicaid and CHIP managed care requirements with other major health coverage programs.

Read More →
Latest

Major Medicaid managed-care reforms hand the ball to states. Will they run with it?

April 30, 2016  /  Managed Medicaid, Medicaid

The key word defining the first significant federal changes to Medicaid managed care in 14 years is “flexibility”—for states, that is.

Read More →
Latest

85% medical-loss ratio in final managed Medicaid rule

April 25, 2016  /  Managed Medicaid, Medicaid

CMS also punted to the states to determine network adequacy.

Read More →
Latest

Massive CMS rule seeks to align Medicaid managed care with Medicare Advantage and marketplace plans

June 2, 2015  /  Managed Medicaid, Medicaid

Yesterday, the US Centers for Medicare & Medicaid Services (CMS) published its long anticipated proposed rule on Medicaid managed care.  The ambitious proposal represents the first update to managed care regulations since 2002.

Read More →
Latest

Medicaid Managed Care Enrollment Expected to Increase by 13.5 Million by 2016

October 24, 2014  /  Managed Medicaid, Medicaid

According to a report from Avalere Health enrollment of Medicaid and Children’s Health Insurance Program (CHIP) beneficiaries in managed care is projected to increase by 13.5 million by 2016. In total, managed care enrollment will increase from a previous 67% of Medicaid and CHIP enrollees in 2013 to 76% in 2016.

Read More →
Latest

A different kind of Medicaid expansion

July 27, 2013  /  Managed Medicaid, Medicaid

Medicaid managed-care insurers prepare to offer plans on insurance exchanges, testing whether more Americans are ready for economy-class coverage.

Read More →
Latest

Advocates urge more government oversight of Medicaid Managed Care

July 15, 2013  /  Managed Medicaid

Advocates and experts say that the need for oversight is growing nationally as states have increasingly contracted out the huge state-federal program for the poor to insurance companies, aiming to control costs and improve quality through close management of patient care.

Read More →