State-by-state profiles are included on their webpage. These state profiles show the various components of each state's contract with health plans, including performance standards, reporting requirements, definition of actuarially sound rates, conditions under which money must be returned, etc. The State Legislative Role- Over the years, state legislatures have responded by passing numerous laws on the subject of managed care - over in the past 15 years, in all 50 states. NCSL has a variety of print and web-based resources describing these efforts - see below.
In , the U. House of Representatives passed an amended Patients' Rights bill; the U. Senate passed a somewhat different bill.
However, at the end of the congressional session the bills died in a House-Senate conference committee, primarily on issues related to liability and the right to sue. Similar federal measures were filed for , but were not voted on. These are selected research, academic and advocacy publications. NCSL is not responsible for the contents or opinions expressed within these pages.
Full report, 58 pages. Colorado Health Market Review - "For the tenth straight year, Denver-area health systems posted higher pre-tax profits. If you are thinking of transitioning to an MCO, the case study outlined below is a great resource.
BHM Healthcare Solutions. Facebook Twitter LinkedIn Email. Related Posts. Pin It on Pinterest. Go to Top. Since the failure of U. As a result, health care plans and providers have become more like traditional businesses which must focus on the bottom line to survive. In a marketplace where purchasers of care look for low bidders, it should be remembered that the level and quality of care a society receives is usually commensurate with the level of resources that it is willing to expend.
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