Examining the Extent of Data Available for Policy Planning and Oversight of Medicaid Managed Care Insurers (Health Services Research)

Summary: The private insurance plans that administer coverage for the majority of Medicaid beneficiaries may undergo enhanced financial reporting as recent federal rules begin to be enforced. Under the new rules, insurers must report on thier Meidcare expenditures, demonstrating how much they allocate to medical care versus overhead and profits. 

This commentary examines the financial data that insurers are now required to submit, how it advances on existing data, and whether the new reporting requirement will fulfill federal regulators' goals of ensuring good fiscal stewardship of Medicaid dollars.

(Accessibility to the article is limited to specific institutions or Wiley Online Library account holders.)

Read the Publication:

• Journal Article: Examining the extent of data available for policy planning and oversight of Medicaid managed care insurers