Under managed care, companies receive a set amount of money from Medicaid to oversee the health care needs of Medicaid beneficiaries. Hospitals and other Mississippi health care providers have not been satisfied with the two managed care companies employed by Medicaid.
The hospitals wanted to form their own managed care company and contract with Medicaid to prove they could do it better than the two insurance companies that currently have the contracts.
But in awarding the new round of contracts, Medicaid opted not to award one to the hospitals, saying the other, existing companies made better offers.
If legislators wanted the hospitals to have a managed care contract with Medicaid, the solution was simple – mandate it in state law.
But for whatever reason they chose not to do that, opting instead to complain about Dzielak.
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