Managed Care

Lawmaker urges more oversight of Medicaid managed care

McKnight's Staff April 26, 2012

Medicaid managed care contracting should come under increased federal and state scrutiny, a prominent senator said Wednesday.

Pharmacist underpayments results in adverse events, citations, investigation finds

January 30, 2012

Nursing homes that provide below-average consultant pharmacist salaries may be getting what they pay for, a state investigation suggests.

Report: States propose managed care plans for dual eligibles

August 17, 2011

All of the 15 states selected by the Centers for Medicare & Medicaid Services to develop better plans for dual eligibles have proposed managed care models.

States should re-evaluate Medicaid managed care plans, report says

June 17, 2011

States will have to consider changes to their Medicaid managed care plans in order to accommodate the bigger, more diverse population expected to apply for Medicaid benefits, according to a new report.

Florida's Medicaid HMO program could lead to 'granny dumping'

June 16, 2011

A lesser known provision of Florida's newly adopted Medicaid reform law includes an incentive for health plans that can reduce the number of seniors in nursing homes, according to Florida elder law attorney Ellen Morris.

Florida passes Medicaid HMO plan with special nursing home provisions

May 10, 2011

The Florida Legislature has approved a bill to move three million Medicaid enrollees into a managed care program, making it one of the biggest states to do so.

Rheumatoid arthritis treatments for seniors called 'unacceptable'

February 07, 2011

More than one-third of 93,000 Medicare managed care enrollees who received care for rheumatoid arthritis in recent years did not receive recommended drugs, according to researchers. In addition, the quality of drug treatments varied among geographic areas, socio-economic groups and health plans. Study results appeared in Wednesday's issue of the Journal of the American Medical Association.

Florida House approves Medicaid managed care program expansion

April 22, 2010

The Florida House of Representatives this week approved two bills that would gradually shift most of the state's Medicaid recipients to managed care plans, according to local reports.

Use of managed care for long-term care could save $140 billion, insurance report finds

April 19, 2010

Modernizing long-term care and other Medicaid-funded programs could yield hundreds of billions of dollars in government savings over the next 10 years, according to a new report from UnitedHealth Group.