Measuring Up: A Novel Approach to Assessing State Oversight of Medicaid Managed Care
نویسندگان
چکیده
States that contract with managed care plans must demonstrate to a variety of stakeholders, including the Centers for Medicare & Medicaid Services (CMS), that the state Medicaid agency is appropriately overseeing the plans. This includes monitoring enrollees’ access to care as well as the quality and cost of services. However, there are no recognized standards for what constitutes sufficient monitoring, which has hindered efforts to assess the effectiveness of state oversight. This brief describes a novel approach that Mathematica Policy Research used to evaluate state oversight of a new Medicaid managed care program for individuals with disabilities in Washington State. Measuring Up: A Novel Approach to Assessing State Oversight of Medicaid Managed Care
منابع مشابه
How far have state Medicaid agencies advanced in performance measurement for children?
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