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In the United States, Medicaid is a government program that provides health insurance for adults and children with limited income and resources. The program is partially funded and primarily managed by state governments, which also have wide latitude in determining eligibility and benefits, but the federal government sets baseline standards for state Medicaid programs and provides a ...
As of 2014, 26 states have contracts with MCOs to deliver long-term care for the elderly and individuals with disabilities. [2] There are two main forms of Medicaid managed care, "risk-based MCOs" and "primary care case management (PCCM)." [3] Managed care delivery systems grew rapidly in the Medicaid program during the 1990s.
Medicaid is a joint federal and state program that provides health care coverage to low-income individuals and families. There were over 79 million Americans enrolled in the program as of October ...
Among the touted benefits of the two new Medicaid contracts, scheduled to start on July 1, 2025, according to the McKee administration. Reducing unnecessary prior authorizations (PAs ...
The Medicaid Drug Rebate Program is a program in the United States that was created by the Omnibus Budget Reconciliation Act of 1990 (OBRA'90). The program establishes mandatory rebates that drug manufacturers must pay state Medicaid agencies related to the dispensing of outpatient prescription drugs covered by Medicaid .
The state also chose not to award a contract to Wellpoint, which provides health insurance to about 46% of kids and families with Medicaid and CHIP health insurance in the Tarrant County region.
TennCare is the state Medicaid program in the U.S. state of Tennessee. TennCare was established in 1994 under a federal waiver that authorized deviations from the standard Medicaid rules. It was the first state Medicaid program to enroll all Medicaid recipients in managed care . [ 1 ]
PROVIDENCE – The McKee administration has rescinded the $15-billion Medicaid contracts awarded last month in response to protests by two of the major players in the Rhode Island health insurance ...