C&M Health Law

C&M Health Law

Analysis, commentary, and the latest developments in health care law and policy

Tag Archives: Medicaid Managed Care

GAO and CMS Seek Increased Scrutiny on Medicaid Managed Care Organizations

Posted in Fraud, Waste & Abuse, Medicaid
Federal agencies are signaling closer oversight of Medicaid managed care organizations (“MCOs”). On August 21, 2018, the U.S. Comptroller General Gene Dodaro and Centers for Medicare and Medicaid Services (“CMS”) Administrator Seema Verma testified to the Senate Homeland Security and Governmental Affairs Committee about combating Medicaid fraud and urged additional oversight of Medicaid MCOs and… Continue Reading

Medicaid Managed Care Final Rule: Prevention of Fraud, Waste, and Abuse

Posted in Fraud, Waste & Abuse, Medicaid
The Medicaid Managed Care Final Rule aims to align Medicaid regulations with those of other health coverage programs, modernizing the post-Affordable Care Act healthcare landscape. Among other goals, the Final Rule seeks to bolster the transparency, accountability, and integrity of Medicaid managed care by imposing and clarifying requirements meant to reduce fraud, waste, and abuse.… Continue Reading