Tag: mcos
Key Insights to Understanding Medicaid Managed Care
At Direct Care Innovations, we’re committed to keeping you informed on the latest developments in Medicaid news. Medicaid plays a crucial role in providing healthcare coverage to millions of low-income Americans, and managed care has become the primary way states deliver services to enrollees. As of 2023, over 70% of Medicaid beneficiaries receive their care […]
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 […]