Medicaid Managed Care: SDOH, MCO, and MLR

There is no shortage of acronyms or initialisms in government agencies and programs and Medicaid is no exception. The Medicaid and CHIP Payment and Access Commission or MACPAC (one of our favorite acronyms) devotes an entire glossary to them.  The most prominent initialism in Medicaid policy discussions these days is SDOH: social determinants of health, […]

California’s Medicaid Managed Care Waiver: New Potential for Access and Transparency

One of the most significant Medicaid managed care developments in 2021 happened on December 29, when CMS approved federal funding and waivers for California’s reform initiative, Advancing Innovation in Medi-Cal (CalAIM).  The approval involved two sets of waivers, one operating under section 1115 of the Social Security Act, the other under section 1915(b)(4). For good […]