Managed Care Archive

Submit site search
Clear Filters

Never miss a thing.

Subscribe today.

Subscribe
… results in Managed Care.
  • November 27, 2023

    Continuity of Care in Medi-Cal Managed Care (Updated 2023)

    Abbi Coursolle

    Continuity of Care (“COC”) is critical to Medi-Cal beneficiaries in a variety of circumstances. There are a number of laws and policies that govern COC for Medi-Cal beneficiaries, depending on the situation. Some of these protections are specific to Medi-Cal while others are more broadly applicable to people enrolled…

    Read more
  • July 31, 2023

    Roadmap for State Pharmacy Access Laws

    and ,

    This is a roadmap for state advocates, policymakers, and other stakeholders to understand how best to achieve legislation, state plan amendments, regulation, and other guidance that allow for pharmacist prescribing and pharmacy access for reproductive and sexual health medications, primarily self-administered contraceptives. *Liz McCaman Taylor is a former Senior…

    Read more
  • July 14, 2023

    Comments on Proposed Medicaid Managed Care Access Rule

    CMS proposed a major administrative rule that would increase transparency in managed care; improve  monitoring and assure adequacy of payments in managed care; increase accountability, transparency, and participant input into external quality review; and help states to make information about quality measures widely available. NHeLP filed comments in support…

    Read more
  • June 8, 2023

    [Webinar] Managed Care

    and

    A broad overview of the managed health care delivery system, what managed care is, why it’s attractive to states, the incentives managed care organizations have to cut services, and why that creates a need for accountability. This session will also cover critical policy issues including proposed changes to managed…

    Read more
  • May 30, 2023

    Trends in State Medicaid Continuous Coverage Unwinding Plans

    As part of the Medicaid continuous coverage unwinding, states were required to create plans to describe how they will redetermine the eligibility of all Medicaid enrollees. This paper identifies some of the major trends affecting beneficiaries in available unwinding plans including choices that may affect coverage loss and ease…

    Read more
  • May 3, 2023

    NHeLP Summary of Proposed Access and Managed Care Rules

    Last week, the Centers for Medicare and Medicaid Services (CMS) released two proposed rules intended to improve access to care, quality and health outcomes, and address health equity issues. The first, Medicaid Program: Ensuring Access to Services (Access Rule), addresses in Medicaid fee-for-service, managed care, and HCBS program. The…

    Read more