Managed Care Organizations
Gaining network participation with a managed care organization can be difficult. In the ever-changing landscape of requirements to participate with an MCO, providers not only need to know what areas matter but also what matters in those areas.
Dart Chart Systems released a Map & Track Contract Solution in late 2014, which allows providers to streamline contracts and become more efficient.
All the benefits of managed care come with a price.
Noting that long-term care increasingly is being provided through Medicaid managed care plans, the government has released guidance on how to monitor the quality of care in these systems.
Medicaid enrollment growth fell to 3.2% in 2012, compared to 4.4% in 2011. Government spending growth on Medicaid slowed to 2% in 2012, according to a Kaiser Family Foundation Commission on Medicaid and the Uninsured report.
Effective oversight is the key to ensuring access to care for states using managed care organizations for elderly and disabled Medicaid enrollees, a new report suggests.