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1. www.cms.gov › newsroom › fact-sheetsMedicaid and Children’s Health Insurance Program Managed Care ...

   www.cms.gov › newsroom › fact-sheets

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   4 days ago · Managed care is the predominant delivery system in Medicaid and the Children’s Health Insurance Program (CHIP), with over 70% of Medicaid and CHIP beneficiaries receiving some or all of their care through a managed care plan.[1],[2] In recent years, CMS and states have strived to ensure beneficiaries’ access to high-quality care, ensure adequate provider payment, and provide comprehensive ...

2. www.legis.state.pa.us › cfdocs › legis1998 Act 68 - PA General Assembly

   www.legis.state.pa.us › cfdocs › legis

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   6 days ago · 1998 Act 68 - PA General Assembly. Share: Home / Statutes of Pennsylvania / Unconsolidated Statutes / Law Information /1998 Act 68. 1998 Act 68. Text Size: A A A Print. today at 10:30 AM. today at 10:30 AM. today at 9:00 AM.

3. People also ask

   What is managed care regulation?

   • The managed care regulation sets forth requirements for states to submit their contracts with managed care plans to the Centers for Medicare & Medicaid Services (CMS) for review and approval.

   Contract Review | Medicaid

   www.medicaid.gov/medicaid/managed-care/guidance/contract-review/index.html

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   How has managed care changed Medicare & Medicaid?

   • The growth of managed care over the last several years has changed fundamental aspects of the Medicare and Medicaid programs. This significant shift transformed how the government pays for and covers health care for approximately 100 million enrollees. Download the Managed Care Strategic Plan

   Managed Care | HHS-OIG - Office of Inspector General

   oig.hhs.gov/reports-and-publications/featured-topics/managed-care/

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   What is the life cycle of managed care?

   • The life cycle of managed care is fourfold: plan establishment and contracting, enrollment, payment, and the provision of services. Each stage of this life cycle raises different risks and vulnerabilities. Managed Care is quickly becoming the predominant payment system for people enrolled in Medicaid and Medicare.

   Managed Care | HHS-OIG - Office of Inspector General

   oig.hhs.gov/reports-and-publications/featured-topics/managed-care/

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   What is the HHS-OIG strategic plan for managed care?

   • The HHS-OIG Strategic Plan for Oversight of Managed Care for Medicare and Medicaid has three goals: OIG developed the managed care life cycle to guide oversight and enforcement work. The life cycle of managed care is fourfold: plan establishment and contracting, enrollment, payment, and the provision of services.

   Managed Care | HHS-OIG - Office of Inspector General

   oig.hhs.gov/reports-and-publications/featured-topics/managed-care/

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4. www.hhs.gov › about › newsBiden-Harris Administration Takes Historic Action to Increase ...

   www.hhs.gov › about › news

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   4 days ago · As part of the Biden-Harris Administration’s commitment to the long-term care workforce, CMS will also require states to collect and report on the percent of Medicaid payments that are spent on compensation for direct care workers and support staff delivering care in nursing facilities and intermediate care facilities for individuals with ...

5. oig.hhs.gov › featured-topics › managed-careManaged Care | HHS-OIG - Office of Inspector General

   oig.hhs.gov › featured-topics › managed-care

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   Apr 3, 2024 · Managed Care. Last Updated: 04-03-2024. The growth of managed care over the last several years has changed fundamental aspects of the Medicare and Medicaid programs. This significant shift transformed how the government pays for and covers health care for approximately 100 million enrollees.

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7. www.natlawreview.com › article › oig-sparks-publicOIG Alludes to Enforcement Guidance on Managed Care

   www.natlawreview.com › article › oig-sparks-public

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   Apr 1, 2024 · OIG Sparks Public Excitement about Managed Care and Alludes to Incoming Enforcement Guidance. “ The American people deserve to know that the insurance companies receiving more than $700B ...

8. familiesusa.org › press-releases › new-rules-helpNew rules help enhance care, quality, and equity for Medicaid ...

   familiesusa.org › press-releases › new-rules-help

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   2 days ago · WASHINGTON, D.C. – Yael Lehmann, Interim Executive Director of Families USA, issued the following statement on final rules released this week, Ensuring Access to Medicaid Services and Medicaid and Children’s Health Insurance Program Managed Care Access, Finance, and Quality. Together, these rules will help improve health care access, quality, and equity for Medicaid and Children’s Health ...

9. www.aha.org › news › headlineCMS finalizes rules to improve Medicaid, CHIP access and ...

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   4 days ago · Apr 22, 2024 - 05:42 PM. The Centers for Medicare & Medicaid Services April 22 finalized rules intended to improve access in both the Medicaid fee-for-service and managed care programs. The rules also align requirements in the Children’s Health Insurance Program with the Medicaid program and finalize several changes to state directed payments ...