Medicaid Managed Care Organizations (MCOs) denied one out of eight prior authorization requests in 2019, according to a new report from the Office of Inspector General (OIG). The OIG review included ...

Gov. Ned Lamont's administration put forth proposals designing to lower the cost of health care in 2022. Some succeeded, while others failed. Credit: MARK PAZNIOKAS / CT MIRROR MCOs are private ...

Medicaid managed care organizations are finding innovative ways to integrate physical and behavioral health services, including forging strong partnerships with community organizations, according to ...

CMS' Center for Medicare and Medicaid Innovation will allow Medicaid managed care organizations serving beneficiaries dually eligible for Medicaid and Medicare to take part in its new direct ...

States are missing opportunities to require Medicaid managed care organizations (MCOs) to improve maternal health access, a new report from the Department of Health and Human Services Office of ...

Federal healthcare auditors think Medicaid managed care organizations aren't doing enough to combat fraud and that states might have to step in with policy changes. "Specifically, officials from 21 ...

Top congressional Democrats have launched an investigation into the largest Medicaid managed care organizations in the U.S. over their prior authorization practices, after a watchdog report found high ...

CMS is rolling out a new direct contracting model for Medicaid managed care organizations covering dual eligibles, those enrolled in both Medicare and Medicaid, to improve care and reduce overall ...

Federal auditors have found that Medicaid managed care organizations (MCOs) denied, on average, one of every eight prior authorization requests in 2019, echoing recent concerns about similar denials ...

Lance Watkins, vice president of client services, CompManagement Health Systems Every employer that has Ohio state-funded workers’ compensation coverage has a Managed Care Organization (MCO) assigned ...