Medicaid Managed Care

Medicaid Managed Care

Watch this short video Medicaid Managed Care https.www.youtube.com watch v JsYkDW8va5w   

For the Module 4 SLP, conduct some preliminary research on the Medicaid managed care plans in your state.

Write a 4 page paper answering the following questions  

1. Find out the enrollment rate of Medicaid managed care plans in your state and compare it to the national Medicaid managed care penetration rate.

2. What types of Medicaid managed care plans are offered in your state e.g.  MCO, PCCM or others?   What is the share of enrollees for each of these managed care plans in your 

states overall Medicaid-managed system?  

3. What are the payment arrangements for these different types of managed care plans  Explain how providers are reimbursed and whether beneficiaries need to pay cost sharing and at what level.   

Required Reading: Apple Rebekah. (2013). “IT Infrastructure  Physician Leadership Critical for ACO Success.” Physician Executive, 39 (2): 8-10, 12.   

Auerbach  David I  Liu  Hangsheng   Hussey  Peter S  Lau  Christopher  Mehrotra  Ateev.  2013.   Accountable Care Organization Formation Is Associated With Integrated Systems But Not High Medical Spending. Health Affairs. 32 10  1781-8.   

Banach  Edo  Bella  Melanie.  2013 . What Is the Focus of the Integrated Care Initiatives Aimed at Medicare-Medicaid Beneficiaries   Generations  37 2   6-12.   

Brecher  Charles  Rose  Shanna  2014 . Medicaid s Next Metamorphosis. Public Administration Review  73 1   s-60-s68.   

Brennan  Niall  Conway  Patrick H. Tavenner  Marilyn.  2014 . The Medicare Physician-Data Release -- Context and Rationale. The New England Journal of Medicine  371 2   99-101.   

Macfarlane  Michael Alex. 2014 . Sustainable Competitive Advantage for Accountable Care Organizations. Journal of Healthcare Management  59 4   263-71.   

O Gara  Patrick T.  2014 . Caution Advised  Medicare s Physician-Payment Data Released. The New England Journal of Medicine  371 2   101-3.   

Shrank  William.  2013  The Center For Medicare and Medicaid Innovation s Blueprint For Rapid-Cycle Evaluation Of New Care And Payment Models. Health Affairs  32 4   807-12.  

 

Video    Kaiser Health News  2011 . Video  Understanding the New HHS ACO Rule. Available at http   www.kaiserhealthnews.org Multimedia 2011 March 033111-accountable-care-organizations.aspx   

Websites    U.S. Department of Health and Human Services  2011 . Accountable Care Organizations  Improving Care Coordination for People with Medicare. Available at  http   www.healthcare.gov news factsheets accountablecare03312011a.html      

Need help on your school work? We write essays for you. Affordable price ($10/page - 250 words). High quality. Email me at thewriteproject@ymail.com