Tag: RCO
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What Have You Done for Me Lately?
“What have the Medical Association and ALAPAC done for me lately?” It’s a question posed to me often, in various forms, by physicians whom I’m asking to join the Medical Association and contribute to ALAPAC. It’s a tough one to reply to – not for a shortage of answers – but for the difficulty, even…
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Alabama Medicaid to Pursue an Alternative to RCOs
MONTGOMERY – Alabama Medicaid Commissioner Stephanie Azar announced Thursday that in light of known federal administration changes and potential congressional adjustments, the Alabama Medicaid Agency will pursue an alternative to the Regional Care Organization initiative to transform the Medicaid delivery system. The state will work with the Centers for Medicare and Medicaid Services to create…
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RCO Implementation On Schedule; New Regions Offered to Other Probationary RCOs
MONTGOMERY – The Alabama Medicaid Agency has been notified that Envolve, a wholly-owned subsidiary of Centene, is ending its agreement as a capital contributor with all five Alabama Healthcare Advantage (AHA) organizations that had planned to operate as Regional Care Organizations this fall. Alabama Medicaid Commissioner Stephanie Azar said the AHA organizations have notified the…
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Alabama Medicaid Pushes RCO Start Date to October 2017
The State of Alabama’s shift to managed care has been long in the works, and it looks as though the wait will be a little longer before the regional care organizations will be officially operational, according to the Alabama Medicaid Agency. While Gov. Robert Bentley has said repeatedly that he remains committed to moving forward…
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RCO Implementation Changes and Service Delivery Network Timelines
The Alabama Medicaid Agency is working with Centers for Medicare and Medicaid Services to amend the approved 1115 waiver to allow for an Oct. 1, 2017, start date for the Regional Care Organization program. The deadline for probationary RCOs to demonstrate the existence of an adequate service delivery network by submitting to Medicaid signed contracts…
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The New Capitated System: How Do Physicians Respond?
Editor’s Note: This article was originally published in the 2015 Winter Issue of Alabama Medicine magazine On May 17, 2013, Gov. Robert Bentley signed into law Act 2013-261, Ala. Code Sections 22-6-150 et seq., which changes the Alabama Medicaid System from a fee-for-service to a managed care program (the “Act”). This will dramatically change the…