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Start Over Collections Health Policy and Services Research ✖Remove constraint Collections: Health Policy and Services Research Subjects Managed Care Programs ✖Remove constraint Subjects: Managed Care Programs Copyright Public domain ✖Remove constraint Copyright: Public domain

2. Medicare Advantage appeal outcomes and audit findings raise concerns about service and payment denials

Publication:
[Washington, D.C.] : U.S. Department of Health and Human Services, Office of Inspector General, September 2018
Subject(s):
Health Services Accessibility
Insurance Claim Review -- statistics & numerical data
Insurance Coverage
Insurance, Health, Reimbursement
Medicare Part C
Financial Audit
Insurance Claim Review -- economics
Managed Care Programs
Humans
United States
United States. Department of Health and Human Services.
Centers for Medicare & Medicaid Services (U.S.)

5. Medicaid program integrity: CMS should build on current oversight efforts by further enhancing collaboration with states : report to the Chairman, Committee on Finance, U.S. Senate

Publication:
Washington, D.C. : U.S. Government Accountability Office, March 2017
Subject(s):
Financial Audit
Fraud -- prevention & control
Insurance, Health, Reimbursement
Medicaid -- economics
Program Evaluation
Contract Services
Managed Care Programs
State Government
Humans
United States
United States. Department of Health and Human Services.
Centers for Medicare & Medicaid Services (U.S.)

7. Medicaid: states fund services for adults in institutions for mental disease using a variety of strategies : report to the Co-Chair, Caucus on International Narcotics Control, U.S. Senate

Publication:
Washington, D.C. : U.S. Government Accountability Office, August 2017
Subject(s):
Insurance Coverage -- economics
Mental Disorders -- therapy
Mental Health Services -- economics
Residential Treatment -- economics
Residential Treatment -- statistics & numerical data
Substance-Related Disorders -- therapy
Adult
Health Services Accessibility
Managed Care Programs
Medicaid -- economics
Middle Aged
Humans
United States
Centers for Medicare & Medicaid Services (U.S.)

8. Medicaid managed care: CMS should improve oversight of access and quality in states' long-term services and supports programs : report to Congressional requesters

Publication:
Washington, D.C. : U.S. Government Accountability Office, August 2017
Subject(s):
Community Health Services
Home Care Services
Long-Term Care
Managed Care Programs
Medicaid
Federal Government
Government Regulation
Health Services Accessibility
Quality Assurance, Health Care
State Government
Humans
United States
Centers for Medicare & Medicaid Services (U.S.)

9. Medicaid: CMS should take additional steps to improve assessments of individuals' needs for home- and community-based services : report to Congressional requesters

Publication:
Washington, DC : United States Government Accountability Office, December 2017
Subject(s):
Community Health Services
Eligibility Determination -- methods
Health Services Needs and Demand
Home Care Services
Medicaid
Needs Assessment
Conflict of Interest
Managed Care Programs
State Government
Humans
United States
Centers for Medicare & Medicaid Services (U.S.)

10. Comparing outcomes for dual eligible beneficiaries in integrated care: final report

Author(s):
Feng, Zhanlian, author
Wang, Joyce, (Of RTI International), author
Gadaska, Angela, author
Knowles, Molly, author
Haber, Susan G., author
Ingber, Melvin, author
Grouverman, Valentina, author
Publication:
[Washington, D.C.] : U.S. Department of Health and Human Services, Office of the Assistant Secretary for Planning and Evaluation, Office of Behavioral Health, Disability, and Aging Policy, September 2021
Subject(s):
Delivery of Health Care, Integrated
Dual MEDICAID MEDICARE Eligibility
Managed Care Programs
Medicare Part C
Outcome Assessment, Health Care
United States