Managed Care

 

Waivers Out For Medicaid Managed Care

MANAGED CARE February 1998. © MediMedia USA
Washington Initiatives

Waivers Out For Medicaid Managed Care

MANAGED CARE February 1998. ©1998 Stezzi Communications
Washington Initiatives

Once upon a time (and not so very long ago), state Medicaid directors had to apply to the Health Care Financing Administration for waivers before moving their beneficiaries into managed care. Now, instead of the waivers requirement, states will submit their managed care contracts to HCFA for review.

While this may seem to be only a cosmetic change, most Medicaid directors are reacting favorably. Contract review should be much easier than the cumbersome, time-consuming waiver process. HCFA still will enforce beneficiary protections, quality assurance standards and payment methods. It will expedite the process by reviewing draft or model managed care contracts and giving states an interim go-ahead to enroll beneficiaries and to conclude pacts with managed care organizations. Once a final contract is inked, a state can provide Medicaid managed care services.

Meetings

2014 Annual HEDIS® and Star Ratings Symposium Nashville, TN November 3–4, 2014
PCMH & Shared Savings ACO Leadership Summit Nashville, TN November 3–4, 2014
Medicare Risk Adjustment, Revenue Management, & Star Ratings Fort Lauderdale, FL November 12–14, 2014
World Orphan Drug Congress Europe 2014 Brussels, Belgium November 12–14, 2014
Healthcare Chief Medical Officer Forum Alexandria, VA November 13–14, 2014
Home Care Leadership Summit Atlanta, GA November 17–18, 2014
6th Semi-Annual Diagnostic Coverage and Reimbursement Conference Boston December 4–5, 2014
Customer Analytics & Engagement in Health Insurance Chicago December 4–5, 2014
Pharmaceutical and Biotech Clinical Quality Assurance Conference Alexandria, VA December 4–5, 2014
9th Semi-Annual Medical Device Coverage and Reimbursement Conference San Diego December 5, 2014
8th Annual Medical Device Clinical Trials Conference Chicago December 8–9, 2014
HealthIMPACT Southeast Tampa, FL January 23, 2015