HealthIT Answers July 12, 2024
By Karen Brach, Managing Director, Sellers Dorsey
Healthcare professionals and other industry stakeholders are now familiar with CMS’ final rule, “Medicaid Program; Medicaid and Children’s Health Insurance Program (CHIP) Managed Care Access, Finance, and Quality (CMS-2439-F).” They’re also familiar with the rule’s intention — to build stronger managed care programs to better meet the needs of beneficiaries by improving healthcare access and quality.
From reporting and network adequacy to quality rating systems and more, the new rule’s requirements are likely to present challenges for various stakeholders. So, what do managed care organizations (MCOs) need to consider to successfully comply with the various requirements and achieve the goals the final rule sets out to accomplish? Here are 5 critical considerations for...
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