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Month: March 2014

Coordinated Care- Bringing Key Components Together

This edition explores the dynamics of optimal coordinated care, in relation to governmental policies/actions and MCO operational activities. There are several combinations of ways that optimal care coordination programs are not yet being achieved. The construct described may be useful in…

Mar. 24, 2014 Download 5 slide

KEYWORDS:Medicaid, Medicare

Analyses of NCQA Quality Ratings Among Medicaid Health Plans

This report assesses Medicaid MCO quality scores as published annually by NCQA. One of the report’s key findings is that there does not appear to be any relationship between Medicaid MCOs’ enrollment levels and their quality scores. Another is that…

Mar. 24, 2014 Download Full Report

KEYWORDS:Enrollment, Quality

State Policies Regarding Medicaid MCO Preferred Drug Lists

The Association for Community Affiliated Plans (ACAP) enlisted The Menges Group to prepare a report on the ways in which state Medicaid agencies have opted to regulate Medicaid MCO PDL content. Most states afford MCOs wide latitude in establishing their…

Mar. 11, 2014 Download Full Report

KEYWORDS:Policy, Prescription Drugs