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Year in review: The next front materializes, and the impact piles up

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Wednesday, November 29, 2017

Here’s a look at the most read stories for 2017. I know there are still 32 days left in 2017 (who’s counting), but I couldn’t help myself (and I needed a blog topic).

MCOs shift Medicaid landscape

‘We are disappointed that they are taking away quality customer service and care’
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08/18/2017

YARMOUTH, Maine – Managed care organizations targeting single-source or preferred provider contracts to provide DME and supplies for Medicaid recipients is a trend that’s spreading across the country, according to the results of a recent HME Newspoll.

In brief: HHS scores win in appeals fight, Superior HealthPlan makes changes to Medline contract

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08/18/2017

NEW YORK – The D.C. Circuit on Aug. 11 ordered a federal judge to take a deeper look at whether or not the U.S. Department of Health and Human Services can clear a backlog of about 600,000 appeals by 2021, while still protecting taxpayer dollars, according to Law360.

Superior HealthPlan to make changes to Medline contract

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08/15/2017

AUSTIN, Texas – Superior HealthPlan, a managed care company that’s administering part of the state’s Medicaid program, has decided to delay a contract with Medline until Oct. 1, according to the San Antonio Express-News.

AAHomecare looks beyond Medicare

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05/17/2016

WASHINGTON – AAHomecare has brought on board Laura Williard to help the association identify opportunities with payers besides Medicare.

Managed Care: Survive service agreements

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12/22/2015

Q. What’s the deal with service level agreements?

Iowa: Providers fear managed care lock out

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12/22/2015

DES MOINES, Iowa – Stakeholders in Iowa say they have a number of concerns about the upcoming transition to IA Health Link, a new Medicaid managed care program, slated for Jan. 1, 2016.  

Managed care mess: Providers struggle with new reality of serving Medicaid recipients

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10/16/2015

YARMOUTH, Maine – The increasing number of states turning to managed care to run their Medicaid programs is creating a logistical nightmare for providers.

Providers feel shut out from managed care

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10/02/2015

YARMOUTH, Maine – Record numbers of beneficiaries are enrolling in Medicare Advantage plans, but with many of those plans locking down their markets to a handful of providers, that doesn’t always translate to an increase in business for HME providers.

Managed Care: Locate the haystack

Q. How do I know whether my HME company is built for a managed care world?
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09/25/2015

A. Shifts in the market point to continued growth in managed Medicaid. This is the place where most HME providers will need to be prepared to play.

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