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- Title
Examining the extent of data available for policy planning and oversight of Medicaid managed care insurers.
- Authors
Zewde, Naomi; Edwards, Raz; Gordon, Keith
- Abstract
Until the new regulations are enforced, Medicaid managed care remains the only major health insurance market that lacks nationally representative data on the share of insurer revenues allocated to medical care versus overhead and profits. By contrast, Medicaid managed care is not subject to these federal requirements, and only half of managed care states impose their own. The private insurance plans that administer coverage for the majority of Medicaid beneficiaries may undergo enhanced financial reporting as recent federal rules begin to be enforced.
- Subjects
MEDICAID; INSURANCE companies; MANAGED care programs; MENTAL health services; MEDICAL care costs; FREEDOM of Information Act (U.S.)
- Publication
Health Services Research, 2023, Vol 58, Issue 2, p242
- ISSN
0017-9124
- Publication type
Article
- DOI
10.1111/1475-6773.14121