To represent and strengthen not-for-profit, safety net health plans as they work in their communities to improve the health and well-being of vulnerable populations.
To represent and strengthen not-for-profit, safety net health plans as they work in their communities to improve the health and well-being of vulnerable populations.
News Release: GAO Criticizes Lax Oversight of Medicaid Rate Setting
August 5, 2010
The federal government’s oversight of how states determine rates paid to managed care organizations serving Medicaid beneficiaries is inconsistent and lacks sufficient data, according to a just-released report. The investigation by the General Accountability Office (GAO) said the Center for Medicare and Medicaid Services (CMS) is failing to ensure that states pay rates that are actuarially sound, as required by law.
“This report should spur not only greater oversight by CMS, but clearer direction to states to ensure that health plans can serve Medicaid enrollees on a financially sound basis,” said Margaret A. Murray, the CEO of the Association for Community Affiliated Plans (ACAP). “Washington needs to provide greater clarity in how rates should be set, open up the process, and provide avenues for health plans to negotiate with the states.”
Press Release: GAO Criticizes Lax Oversight of Medicaid Rate Setting
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News Release: GAO Criticizes Lax Oversight of Medicaid Rate Setting
August 5, 2010
The federal government’s oversight of how states determine rates paid to managed care organizations serving Medicaid beneficiaries is inconsistent and lacks sufficient data, according to a just-released report. The investigation by the General Accountability Office (GAO) said the Center for Medicare and Medicaid Services (CMS) is failing to ensure that states pay rates that are actuarially sound, as required by law.
“This report should spur not only greater oversight by CMS, but clearer direction to states to ensure that health plans can serve Medicaid enrollees on a financially sound basis,” said Margaret A. Murray, the CEO of the Association for Community Affiliated Plans (ACAP). “Washington needs to provide greater clarity in how rates should be set, open up the process, and provide avenues for health plans to negotiate with the states.”
Press Release: GAO Criticizes Lax Oversight of Medicaid Rate Setting
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ACAP Report & Webinar - How Safety Net Health Plans are Transforming Primary Care: Case Studies from the Field
August 3, 2010
ACAP hosted a webinar to discuss a new paper entitled “How Safety Net Health Plans are Transforming Primary Care: Case Studies from the Field”. Focusing on seven Medicaid-focused health plans, the paper provides examples of specific innovative programs that are translating key elements of the concept into practice. The goal of transforming primary care is to improve access to medical services, care coordination, patient satisfaction, and the quality of care.
The webinar focused on the activities of two plans, CareSource and CareOregon. Below is the presentation from the the webinar as well as press release and the full report. A recording of the webinar is now available.
ACAP Report & Webinar - How Safety Net Health Plans are Transforming Primary Care: Case Studies from the Field
August 3, 2010
ACAP hosted a webinar to discuss a new paper entitled “How Safety Net Health Plans are Transforming Primary Care: Case Studies from the Field”. Focusing on seven Medicaid-focused health plans, the paper provides examples of specific innovative programs that are translating key elements of the concept into practice. The goal of transforming primary care is to improve access to medical services, care coordination, patient satisfaction, and the quality of care.
The webinar focused on the activities of two plans, CareSource and CareOregon. Below is the presentation from the the webinar as well as press release and the full report. A recording of the webinar is now available.
Orange County Health Collaboration Gets National Recognition: Wins ACAP “Supporting the Safety Net” Award
July 13, 2010
Press Release: "Orange County Health Collaboration Gets National Recognition"
Orange County Health Collaboration Gets National Recognition: Wins ACAP “Supporting the Safety Net” Award
July 13, 2010
Press Release: "Orange County Health Collaboration Gets National Recognition"
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