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DOH's "Get-Tough Approach" to Medicaid Managed Care Plans


A recent Businessweek article examined New York State's approach to improving the quality of care provided by Medicaid managed care plans such as WellCare. In the article, Jason Helgerson, the state's Medicaid Director, elaborates on DOH's enforcement strategy. The article highlights the predominance of not-for-profit plans, payments for good performance, and the state's 85 percent MLR requirement for Medicaid managed care plans as reasons why New York is succeeding where other states have not.

For those of you with experience representing Medicaid plans in New York as well as other states, how does DOH's approach to quality compare to the approach taken by other states?

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This page contains a single entry from the blog posted on August 24, 2012 6:05 PM.

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