Health Payer Intelligence August 30, 2023
The four-phase managed care life cycle reinforces OIG’s goals of ensuring access to care, providing financial oversight, and promoting data accuracy.
Managed care organizations (MCOs) require the same kind of oversight that fee-for-service programs receive from the Office of Inspector General (OIG), so OIG released a four-phase life cycle to align its oversight efforts.
A growing number of enrollees are covered through MCOs. Over eight in ten Medicaid beneficiaries have coverage through MCOs for one or more facets of care (81 percent).
Spending on managed care is also increasing. In 2022, $403 billion—or 50 percent—of all Medicare’s federal funds went into Medicare Advantage plans, up from 19 percent in 2007. Additionally, the federal government spent $254 billion on Medicaid managed...
Today's Sponsors
Today's Sponsor