The state health care agency said it would like to hear from providers how to improve the state’s mandated managed care program for Medicaid.
And the provider mandated.
From managed care plans to state-wide medical associations to national healthcare accredited organizations, more than 50 organizations want to provide the state with insights on future Medicaid managed care procurement.
AHCA Request for information posted in May.. The insurers and managed care providers that responded include Aetna. AmeriHealth Caritas Florida, Inc; Chrysalis Health; Community Care Plans; Community Health Choices; Humana Medical Plan, Inc.; MCNA Insurance Company; Molina Healthcare of Florida, Inc; Simply Healthcare Plans, Inc. and Sunshine State Health Plan.
Florida Hospice & Palliative Care, Florida Hospital, Florida Medical, Florida Pharmacy, and Florida Behavioral Health Association have also submitted electronic responses to agency requests. So did the Florida Association of Community Health Centers, Health Plans, and Management Entity.
While these groups advocate for healthcare providers, the state also spoke with the Florida Health and Justice Project and the Florida Policy Institute, which are focusing on beneficiaries.
NCQA We also submitted an answer to the RFI. Launched in the 1990s with a focus on managed care plans, the NCQA is now also studying healthcare providers and practice, and how well they provide scientifically recommended care. ..
existing Medicaid Managed Care Contract The deal is the largest in the state and is worth tens of billions of dollars for the provider submitting a winning proposal.
To sign large program rebids and new contracts by January 1, 2024, the state will begin a long-term re-procurement process by the end of the year, perhaps in October.
To assist in preparation, the state has issued a five-page information request, an innovative idea for improving the Medicaid of patients receiving care for people with experience in the Medicaid Managed Healthcare and Medicaid Managed Long-Term Care industry. And asked the state to provide best practices. Not only the provider that provides the service.
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