Tag: Managed care
Why Compliance Is Critical for Medicaid MCOs
Direct Care Innovations provides software solutions that empower Medicaid Agencies to succeed. In an industry where compliance and training are critical, Managed Care Organizations play a vital role in delivering healthcare services to millions of low-income and vulnerable individuals through state Medicaid programs. With such a significant responsibility, strict adherence to federal and state regulations […]
Understanding California’s Medi-Cal Budget
Medi-Cal, California’s Medicaid program, provides health coverage to millions of low-income residents, including children, seniors, and individuals living with disabilities. As a critical part of the state’s healthcare system, Medi-Cal’s budget is a major financial consideration for policymakers, especially in the face of rising costs and economic uncertainties. Direct Care Innovations, the leading provider of […]
Community Reinvestment Mandates for MCOs
State Medicaid agencies are increasingly mandating community reinvestment requirements in contracts with Medicaid managed care organizations (MCOs). These requirements necessitate that MCOs reinvest a portion of their profits back into the communities they serve to improve health outcomes. At least ten states have adopted or are implementing such requirements. Direct Care Innovations provides solutions that […]