Politics & policy

Insight into federal and state health care legislation & CMS regulation

Clinton Wants HMO-Medicaid Match To Stick

Why are so many HMOs getting out of the managed Medicaid business? Wall Street analysts have wondered about that for several months, and now, apparently, so is President Clinton. He ordered Health and Human Services Secretary Donna Shalala to determine the reasons why health plans are withdrawing from Medicaid managed care programs — and how further erosion can be prevented. It has been reported that many plans are not particularly fond of Medicaid's low reimbursements, benefit mandates and high administrative costs — and simply have opted not to play this once promising game.

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