Managed care

Regulatory Issues July 12, 2024

Friday at Five – 5 Key Provisions of the CMS Medicaid Managed Care Final Rule

What do managed care organizations (MCOs) need to consider to successfully comply with the various requirements and achieve the goals the CMS final rule sets out to accomplish? This week’s Friday at Five, courtesy of Sellers Dorsey, provides five critical considerations for MCOs.

Healthcare Revenue Cycle and Finance October 18, 2018

Provider Provisions under Managed Care Contracts—What CFOs Need to Know

By Brian McGraw – Managed care contractual provisions affect payment, departmental organization, billing procedures and confidential records. Contracts can also impact clinical decision-making.

Regulatory Issues June 1, 2015

CMS Proposes Rule to Strengthen Managed Care for Medicaid and CHIP Enrollees

The Centers for Medicare & Medicaid Services (CMS) proposed to modernize Medicaid and Children’s Health Insurance Program managed care regulations to update the programs’ rules and strengthen the delivery of quality care for beneficiaries.