Navigating the waters of Medicaid managed care contracting.
Managed care organizations (MCOs) are responding enthusiastically to Medicaid waiver contracting opportunities. However, these opportunities involve financial risks as well as complex requirements regarding services to be offered and enrollment procedures to be followed. MCOs that understand these complex programmatic and operational requirements can take best advantage of Medicaid contracting opportunities.
Birch & Davis Health Management Corporation, Silver Spring, MD, USA.
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Grimaldi
D002204:Capitation Fee; D003284:Contract Services / Q000191:economics; D004608:Eligibility Determination; D005376:Financial Management / Q000379:methods*; D008329:Managed Care Programs / Q000191:economics* / Q000592:standards; D008484:Medicaid / Q000331:legislation & jurisprudence / Q000458:organization & administration*; D011787:Quality of Health Care; D012308:Risk Management; D013221:State Health Plans / Q000191:economics / Q000331:legislation & jurisprudence; D014481:United States