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Start Over Subjects Medicaid ✖Remove constraint Subjects: Medicaid Recently Added Within 6 Months ✖Remove constraint Recently Added: Within 6 Months Recently Added Within 3 Months ✖Remove constraint Recently Added: Within 3 Months Dates by Range 2000 and later ✖Remove constraint Dates by Range: 2000 and later

1. CMS has opportunities to strengthen states’ oversight of Medicaid Managed Care Plans’ reporting of medical loss ratios

Publication:
Washington, D.C. : U.S. Department of Health and Human Services, Office of Inspector General, September 2022
Subject(s):
Government Regulation
Managed Care Programs -- organization & administration
Medicaid
State Health Planning and Development Agencies
United States
Centers for Medicare & Medicaid Services (U.S.)

9. High rates of prior authorization denials by some plans and limited state oversight raise concerns about access to care in Medicaid managed care

Publication:
Washington, D.C. : U.S. Department of Health and Human Services, Office of Inspector General, July 2023
Subject(s):
Government Regulation
Health Services Accessibility
Managed Care Programs
Medicaid
Prior Authorization -- organization & administration
Prior Authorization -- statistics & numerical data
State Health Planning and Development Agencies
United States