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A Novel Approach for the Administration of Medications and Fluids in Emergency Scenarios and Settings
Published on: November 9, 2016
State sanctions may not affect Medicaid managed care
Aparna Ramakrishnan1, Nathaniel M Tran2
1University of Illinois Chicago, Chicago, IL.
Abstract:
Sanctions are a key tool that states use to hold Medicaid managed care organizations (MCOs) accountable for their use of public funds. The 2023 reports that MCOs submit to CMS have been made publicly available. One-fourth of the sanctions states levy against MCOs are not remediated. States vary widely in how they enforce standards and penalize noncompliant MCOs. In the absence of clear CMS guidelines on sanction reporting and follow-up, gaps in oversight can leave compliance issues unresolved and beneficiaries unprotected.
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