* The State Agency Made Unallowable Payments to Certain Medicaid Managed Care Entities ... 5 - Unallowable Prepaid Inpatient Health Plan Payments ... 5 - Unallowable Prepaid Ambulatory Health Plan ...
Physicians in large California physician groups, who have capitated contracts with payors, are concerned that proposed payment formulas for accountable care organizations would result in low ...
Many healthcare delivery organizations have adopted some form of value-based payment model in recent years, shifting the healthcare focus from quantity of services to quality of outcomes. In a ...
The option of capitated payments for accountable care organizations makes it possible for ACOs to lose money if they fail to reduce the cost of care, according to a report by the Wall Street Journal ...
Add Yahoo as a preferred source to see more of our stories on Google. (COLORADO) — An audit by the Office of the Inspector General (OIG) is reporting that approximately $6 million in payments were ...
The OBBBA will substantially increase volatility in Medicaid Managed Care by increasing churn, generating pent-up demand, and ...
Veterans with VA benefits are enrolling in MA plans, raising concerns about duplicative federal spending due to substantial capitated payments. A study found no significant differences in dental and ...
BOSTON, Mass. (SHNS)–MassHealth errantly paid more than $84 million related to care for residents who were living in other states, Auditor Diana DiZoglio’s office concluded in a new report that the ...
The Centers for Medicare & Medicaid Services (CMS) was very busy last week! On Jan. 30, CMS issued its long-awaited Risk Adjustment Data Validation (RADV) Final Rule. Two days later, it published its ...
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