Managed Care Archive

… results in Managed Care.

September 1, 2016
NHeLP Comments to MACRA Regulations
Leo Cuello Comments
In comments to the U.S. Department of Health and Human Services, NHeLP Director of Health Policy Leonardo Cuello recommends that HHS should improve the Medicare and CHIP Reauthorization Act regulations to encourage models of care that will provide consumers with high-quality care, and put less emphasis only on increasing provider risk…
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August 31, 2016
Issue Brief 6: Medicaid Managed Care Final Regulations: Older Adults
Leo Cuello Issue Brief
In this issue brief, Leonardo Cuello reviews the recently finalized Medicaid managed care regulations, and how they impact access to health care for older adults. He highlights important new provisions in the regulations on a range of topics such as enrollment protections, network adequacy requirements, long-term services and supports…
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July 18, 2016
Issue Brief: Why Are Medicaid Lock-in Programs Used and How Can They Be Improved
Jane Perkins Issue Brief
In this Issue Brief, Legal Director Jane Perkins explains what Medicaid lock-in programs are, what are the legal requirements for implementing them, and how these programs can be improved to better serve Medicaid beneficiaries.
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June 23, 2016
Issue Brief 5: Medicaid Managed Care Final Regulations and Reproductive Health
Catherine McKee Issue Brief
In this issue brief, NHeLP Staff Attorney Catherine McKee reviews the recently finalized Medicaid managed care regulations, and how they impact access to quality reproductive health services. She notes the new rules are "designed to increase access to reproductive health providers and services," but says state health care advocates…
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June 10, 2016
Issue Brief 4: Medicaid Managed Care Final Regulations: Quality and Transparency
David Machledt and Wayne Turner Issue Brief
This issue brief will review selected provisions in the final rule, Medicaid and Children's Health Insurance Program (CHIP) Programs, Medicaid Managed Care, CHIP Delivered in Managed Care, and Revisions Related to Third Party Liability implementing the requirements concerning quality and transparency. The final rule advances quality assessment, transparency and…
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June 6, 2016
EPSDT in the Final Medicaid Managed Care Regulations
Jane Perkins Letter
In a letter to CMS the National Health Law Program asks for an amendment to the final regulations on Medicaid managed care to ensure that child enrollees receive the full scope of services they are entitled.
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NHeLP Comments to MACRA Regulations

Issue Brief 6: Medicaid Managed Care Final Regulations: Older Adults

Issue Brief: Why Are Medicaid Lock-in Programs Used and How Can They Be Improved

Issue Brief 5: Medicaid Managed Care Final Regulations and Reproductive Health

Issue Brief 4: Medicaid Managed Care Final Regulations: Quality and Transparency

EPSDT in the Final Medicaid Managed Care Regulations