* The State Agency Made Unallowable Payments to Certain Medicaid Managed Care Entities ... 5 - Unallowable Prepaid Inpatient Health Plan Payments ... 5 - Unallowable Prepaid Ambulatory Health Plan ...

The California Department of Health Care Services agrees with the audit findings. Federal watchdogs are asking Medi-Cal to refund $15.7 million in unallowable capitation payments made to managed care ...

Many healthcare delivery organizations have adopted some form of value-based payment model in recent years, shifting the healthcare focus from quantity of services to quality of outcomes. In a ...

The option of capitated payments for accountable care organizations makes it possible for ACOs to lose money if they fail to reduce the cost of care, according to a report by the Wall Street Journal ...

Add Yahoo as a preferred source to see more of our stories on Google. (COLORADO) — An audit by the Office of the Inspector General (OIG) is reporting that approximately $6 million in payments were ...

Veterans with VA benefits are enrolling in MA plans, raising concerns about duplicative federal spending due to substantial capitated payments. A study found no significant differences in dental and ...

BOSTON, Mass. (SHNS)–MassHealth errantly paid more than $84 million related to care for residents who were living in other states, Auditor Diana DiZoglio’s office concluded in a new report that the ...

It’s happening in different ways and different places around the country, but, broadly speaking, healthcare payors are starting to move away from traditional fee-for-service payment models. Providers, ...