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John Fielding,
CEO
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Safety net institutions are also under increased financial pressures as Medicaid reimbursement is reduced with the growth in Medicaid managed care and the amount of unreimbursed care for the uninsured continues to grow.
Judy is a seasoned health care business reporter with nearly 20 years of extensive experience in health care business issues, including issues impacting managed Medicare and Medicaid.
Medicaid managed care may also create financial and administrative challenges for the existing network of family planning providers who typically provide care to low-income women.
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Brian Mengel,
Civil Servant
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Medicaid managed care entities are delivering some personal services, specifically maternal and child health services, that have historically been delivered by local health departments.
For a Medicaid managed care program to effectively provide family planning care a well-designed and ongoing educational effort is required to assist women in selecting plans and health care providers that best meet their family planning needs.
Model Medicaid Managed Care Contract Provisions (NHLP) On these pages you will find some model provisions that can be included in Medicaid managed care contracts to ensure that they are consumer oriented.
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Bob Greenberg,
Congressional Candidate
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Managed Care for the Elderly and Disabled Capitation of patients who need long-term care or who are enrolled in state behavioral health or developmental disability programs is a key component of the state's Medicaid reform initiative.
Medicaid managed care alone cannot address the significant obstacles low-income women face in obtaining health care, including shortages of providers in poor neighborhoods and language and educational barriers.
Capitated Medicaid managed care has been in effect in Milwaukee for more than 12 years and nearly all AFDC-related Medicaid beneficiaries are enrolled in such plans.
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