Summer Swallow

Summer Swallow

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Medicaid and CHIP Managed Care Final Rule: It’s All About Consistency

The Centers for Medicare & Medicaid Services (CMS) recently issued a 1,425-page regulation (Rule) on managed care in Medicaid and the Children’s Health Insurance Program (CHIP), dubbed the first overhaul of these regulations...more

5/10/2016  /  Centers for Medicare & Medicaid Services (CMS) , Children's Health Insurance Program (CHIP) , Managed Care Contracts , Medicaid , Medical Loss Ratio

Medicaid Managed Care Proposed Rules: The Intersection of Private Insurance and Government Programs

Approximately a quarter of all Medicaid expenditures is spent on the more than half of all beneficiaries (approximately 39 million by 2011 figures cited in the 2014 MACPAC Report) currently accessing part or all of their...more

6/9/2015  /  Centers for Medicare & Medicaid Services (CMS) , Children's Health Insurance Program (CHIP) , Health Insurance , MACPAC , Managed Care Contracts , MCOs , Medicaid , Proposed Regulation , Qualified Health Plans , Rulemaking Process
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