This week, our In Focus section reviews recent Medicaid enrollment trends in capitated, risk-based managed care in 29 states.[1] Many state Medicaid agencies post monthly enrollment figures by health plan for their Medicaid managed care population to their websites. This data allows for the timeliest analysis of enrollment trends across states and managed care organizations. … Read More
Today, Jay Rosen, founder, president, and co-chairman of Health Management Associates (HMA), announced the firm’s acquisition of Medical Audit Resource Services, Inc. (MARSI). Founded in 1991, MARSI specializes in medical coding support, physician education and healthcare revenue cycle management. MARSI’s experts provide coding and auditing services for hospitals and physicians using inpatient, outpatient and risk … Read More
This week, our In Focus reviews the Oklahoma Medicaid managed care SoonerSelect Program request for proposals (RFP) and the SoonerSelect Children’s Specialty Program RFP released by the Oklahoma Health Care Authority (OHCA) on November 10, 2022. Background Oklahoma currently does not have a fully capitated, risk-based Medicaid managed care program. The majority of the state’s … Read More
Pioneers in health information management. Medical Audit Resource Services, Inc. (MARSI), an HMA Company, excels at identifying and capturing revenue opportunities for clients, as well as defining and correcting their areas of risk. Founded in 1991 by Dr. Todd Husty, the company has been a pioneer in health information management (HIM) innovation, developing processes for … Read More
An accomplished health plan leader and experienced consultant, Tom Murar offers a valuable perspective in this changing healthcare landscape. Prior to joining HMA, Tom served as chief financial officer for Consumers Mutual Insurance of Michigan. A CO-OP, nonprofit health insurer licensed as a mutual insurance company, Tom played a key role in the company’s inception, … Read More
Jennifer Bridgeforth is a dedicated executive with more than 17 years of experience in the healthcare industry. She is a subject matter expert in claims and billing; coding and payment integrity; fraud, waste, and abuse; risk and compliance; physician and facility compensation; and managed care operations. She has expert knowledge of Medicare, Medicaid, TRICARE, clinical … Read More
This week, our In Focus section reviews recent Medicaid enrollment trends in capitated, risk-based managed care in 32 states.[1] Many state Medicaid agencies post monthly enrollment figures by health plan for their Medicaid managed care population to their websites. This data allows for the timeliest analysis of enrollment trends across states and managed care organizations. All 32 states … Read More
This week, our In Focus section reviews recent Medicaid enrollment trends in capitated, risk-based managed care in 33 states.[1] Many state Medicaid agencies post monthly enrollment figures by health plan for their Medicaid managed care population to their websites. This data allows for the timeliest analysis of enrollment trends across states and managed care organizations. … Read More
This week, our In Focus section reviews recent Medicaid enrollment trends in capitated, risk-based managed care in 33 states.[1] Many state Medicaid agencies post monthly enrollment figures by health plan for their Medicaid managed care population to their websites. This data allows for the timeliest analysis of enrollment trends across states and managed care organizations. … Read More
This week, our In Focus section reviews recent Medicaid enrollment trends in capitated, risk-based managed care in 29 states.[1] Many state Medicaid agencies post monthly enrollment figures by health plan for their Medicaid managed care population to their websites. This data allows for the timeliest analysis of enrollment trends across states and managed care organizations. … Read More