From Policy to Practice—Increase Medicaid Impact Through State Directed Payments
By Richard Riter, Director
Health Care Consulting Practice, Moss Adams
By Mandy Mori, Senior Manager
Health Care Consulting Practice, Moss Adams
State Directed Payments (SDPs) have emerged as an important mechanism to channel additional funding to health care providers who take care of Medicaid beneficiaries. Unlike traditional fee-for-service models, directed payments empower states to partner with managed care organizations (MCOs) and providers, aligning financial incentives with specific outcomes such as improved patient care, reduced disparities, and enhanced system efficiency.
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Federal Enforcement of Mental Health Parity: Key Updates and Challenges Ahead
By Nicolette TaberAttorney, Dickinson Wright PLLC
On January 17, 2025, the U.S. Departments of Labor, Health and Human Services, and the Treasury (“the Departments”) issued their 2024 Report to Congress on the enforcement and implementation of the Mental Health Parity and Addiction Equity Act (“MHPAEA”). This regularly required report follows the Departments’ Final Rules issued in September 2024.
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Health Plan Financial Reports for California and Washington State
By David PeelPublisher and Editor, Healthcare News
We recently updated our financial reporting for health plans in California and Washington State. Click on the links below to see the numbers.