AHIP June 23, 2020

Analysis by The Menges Group finds that more states are relying on Medicaid managed care to take on care management and administrative services, saving money and ensuring quality

WASHINGTON, D.C. – Americans with Medicaid deserve high-quality coverage and care, especially as the nation fights the COVID-19 crisis. States continue to increasingly recognize the value that Medicaid managed care plans bring to patient care and are turning to them to provide effective care management and efficient administrative services. States are also turning to Medicaid managed care’s prospective payment model as a superior cost-saving alternative to traditional fee-for-service Medicaid. Under this innovative model, Medicaid managed care plans receive a fixed payment per enrolled individual per month and ensure enrollees receive needed high-quality,...

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