Webinar: Medicaid Managed Care Contracts and Maternal Health
Download the Presentation Slides
CCF Comments on Proposed Managed Care Rule
The Georgetown University Center for Children and Families submitted the following comments to HHS regarding the proposed managed care rule (“Medicaid Program; Medicaid and Children’s Health Insurance Program (CHIP) Managed Care Access, Finance, and Quality; Proposed Rule-CMS-2439-P”). Comments on Managed Care Rule
A Closer Look at the Transparency Provisions of CMS’s Proposed Medicaid Access and Managed Care Rules
Editor’s Note: Since this post was published, CCF submitted formal comments on both the Medicaid Access and Managed Care proposed rules. Transparency has long been underrated as a way of improving access to care in Medicaid. This may be about to change. Two proposed rules that CMS published on May 3 use transparency—making information about […]
Medicaid Managed Care: A New Group Arrives on the CMCS Block
There’s a new box on the Center for Medicaid & CHIP Services (CMCS) organization chart! It’s the Managed Care Group, one of (now) eight Groups within CMCS that manage the Medicaid program for the federal government. You’re probably thinking, “So what? A federal bureaucracy gets a new Group. What difference will that make for children […]
A Closer Look at the Medical Loss Ratio (MLR) Provisions of CMS’s Proposed Medicaid Managed Care Rule
Editor’s Note: Since this post was published, CCF submitted formal comments on the Managed Care proposed rule. Earlier this month, CMS proposed changes to regulations that govern the operation of Medicaid managed care in 41 states. The main purpose of the proposals is to improve access to care (by, among other things, beefing up network adequacy […]
Medicaid Managed Care: Results for the Big Five in PHE Q13
The earnings reports for the “Big Five” for the quarter ending March 31—known here as PHE Q13—are in. The “Big Five”—CVSHealth (Aetna), Centene, Elevance Health (formerly Anthem), Molina Healthcare, and United Health Group—need no introduction, either to state Medicaid agencies or investors. Together, they had 44.2 million Medicaid enrollees as of March 31. If children […]