* The State Agency Made Unallowable Payments to Certain Medicaid Managed Care Entities ... 5 - Unallowable Prepaid Inpatient Health Plan Payments ... 5 - Unallowable Prepaid Ambulatory Health Plan ...
Add Yahoo as a preferred source to see more of our stories on Google. (COLORADO) — An audit by the Office of the Inspector General (OIG) is reporting that approximately $6 million in payments were ...
Veterans with VA benefits are enrolling in MA plans, raising concerns about duplicative federal spending due to substantial capitated payments. A study found no significant differences in dental and ...
It’s happening in different ways and different places around the country, but, broadly speaking, healthcare payors are starting to move away from traditional fee-for-service payment models. Providers, ...
For primary care physicians, a capitation model risk adjusted for age and sex generates the smallest physician gender pay gap, researchers found. For primary care physicians, the gender pay gap among ...
Why are ACOs so important to CMS?Many observers believe that CMS’s ultimate goal in healthcare reform is to pay for covered services at capitated rates that are just high enough to assure adequate ...