Download or read book Final Report of Medicaid Rate Setting Methodology Review Committee written by New Hampshire. Medicaid Rate Setting Methodology Review Committee and published by . This book was released on 1996 with total page 28 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Download or read book Medicaid Managed Care written by United States. Government Accountability Office and published by . This book was released on 2010 with total page 34 pages. Available in PDF, EPUB and Kindle. Book excerpt: Medicaid managed care rates are required to be actuarially sound. A state is required to submit its rate-setting methodology, including a description of the data used, to the Department of Health and Human Services' (HHS) Centers for Medicare & Medicaid Services (CMS) for approval. The Children's Health Insurance Program Reauthorization Act of 2009 required GAO to examine the extent to which states' rates are actuarially sound. GAO assessed CMS oversight of states' compliance with the actuarial soundness requirements and efforts to ensure the quality of data used to set rates. GAO reviewed documents, including rate-setting review files, from 6 of CMS's 10 regional offices. The selected offices oversaw 26 of the 34 states with comprehensive managed care programs; the states' programs varied in size and accounted for over 85 percent of managed care enrollment. GAO interviewed CMS officials and Medicaid officials from 11 states that were chosen based in part on variation in program size and geography. GAO recommends that CMS implement a mechanism to track state compliance with the requirements, clarify guidance on rate-setting reviews, and make use of information on data quality in overseeing states' rate setting.

Download or read book Medicaid Managed Care written by U.s. Government Accountability Office and published by Createspace Independent Publishing Platform. This book was released on 2017-08-11 with total page 40 pages. Available in PDF, EPUB and Kindle. Book excerpt: Medicaid managed care rates are required to be actuarially sound. A state is required to submit its rate-setting methodology, including a description of the data used, to the Department of Health and Human Services (HHS) Centers for Medicare & Medicaid Services (CMS) for approval. The Childrens Health Insurance Program Reauthorization Act of 2009 required GAO to examine the extent to which states rates are actuarially sound. GAO assessed CMS oversight of states compliance with the actuarial soundness requirements and efforts to ensure the quality of data used to set rates. GAO reviewed documents, including rate-setting review files, from 6 of CMSs 10 regional offices. The selected offices oversaw 26 of the 34 states with comprehensive managed care programs; the states programs varied in size and accounted for over 85 percent of managed care enrollment. GAO interviewed CMS officials and Medicaid officials from 11 states that were chosen based in part on variation in program size and geography.

Download or read book Medicaid written by United States. General Accounting Office and published by . This book was released on 1986 with total page 52 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Download or read book Annual Report to Congress written by United States. Physician Payment Review Commission and published by . This book was released on 1993 with total page 166 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Download or read book Report on Medicare Cost saving Experimentation written by United States. Congress. House. Committee on Ways and Means. Subcommittee on Oversight and published by . This book was released on 1977 with total page 40 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Download or read book Report to the Massachusetts Rate Setting Commission and Medicaid written by Hospital Payment System Advisory Commission (Massachusetts) and published by . This book was released on 1993 with total page 20 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Download or read book Clearinghouse Review written by and published by . This book was released on 1981 with total page 556 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Download or read book DHEW Publication written by and published by . This book was released on 1977 with total page 56 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Download or read book Health Care Financing Review written by and published by . This book was released on 2007 with total page 476 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Download or read book Status Report written by and published by . This book was released on 1983 with total page 156 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Download or read book Final Report of the Panel on Medicaid Reimbursement written by Florida. Agency for Health Care Administration and published by . This book was released on 2000 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt:

Download or read book First Annual Report of the National Hospital Rate Setting Study written by Diane E. Hamilton and published by . This book was released on 1980 with total page 156 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Download or read book Medicaid Rate Setting for Nursing Homes written by Connecticut. General Assembly. Legislative Program Review and Investigations Committee and published by . This book was released on 2001 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt:

Download or read book Final Report Establishing a Committee to Study Medicaid Reimbursement Rates for Pharmacy Providers written by New Hampshire. General Court and published by . This book was released on 2005 with total page 8 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Download or read book The Massachusetts register written by and published by . This book was released on 1989 with total page 242 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Download or read book Medicaid Reimbursement of Nursing Homes written by Missouri. General Assembly. House of Representatives. Governmental Review Committee and published by . This book was released on 1978 with total page 22 pages. Available in PDF, EPUB and Kindle. Book excerpt: