Entries from HEALTH LAW SECTION BLOG tagged with 'managed care'

CMS Posts Sweeping New Medicaid Managed Care Regs

CMS has released the pre-publication version of the long-awaited and highly anticipated Medicaid managed care regulations. The proposed rule is intended to "modernize the Medicaid managed care regulations to reflect changes in the usage of managed care delivery systems." According...

Insurance Department Releases 2010 Managed Care Guide

Last week the NY Insurance Department released its annual Managed Care Guide for 2010. Download it in .pdf format from the Insurance Department's website....

As Managed Care Plans Go, New York's Are Pretty Good

So says the New York State Department of Health: Managed care plans in New York State continue to provide high quality services to consumers in the areas of preventive care for children, women's health, and care for individuals with chronic...

NY Managed Care Report

The Health Department has released its 2008 Managed Care Plan Performance report. The report is generally favorable: Commercial plans exceeded the national averages in several measures of care for children and adults, including well-child and preventive care for children and...

GAO Disses Medicare Advantage

A report released by the U.S. Governnment Accountability Office February 28, 2008, suggests that Medicare Advantage may be at a disadvantage to traditional Medicare: Although private health plans were originally envisioned in the 1980s as a potential source of Medicare...

Minnesota Medical Association Turns the Tables, Ranks Insurers' P4P Programs

Turnabout is fair play, at least idiomatically speaking: In their most confrontational move yet, the [Minnesota Medical A]ssociation turned the tables on insurers by ranking nine of the so-called pay-for-performance programs. The Centers for Medicare and Medicaid Services ranked at...

AG Puts the Brakes On More Physician Ranking Programs

According to an AG press release issued yesterday: In an expanding industry-wide investigation, New York Attorney General Andrew M. Cuomo today [10/18/2007] issued letters to Empire Blue Cross Blue Shield, Preferred Care, and HIP Health Plan of New York/GHI requesting...

DOH Study: Managed Care Quality Improves

From the DOH website: More people enrolled in managed care plans in New York are receiving the preventive and chronic-disease services that are essential to good health, according to a new study from the State Department of Health. The 13th...

United HealthCare Settles Claims Processing Problems for $20 Million

On the Insurance Department's website: United HealthCare will pay New York $4 million to settle claims processing problems, the largest ever health related settlement entered into by the State Insurance Department, Superintendent Eric Dinallo announced today. This is part of...

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