GAO report: Medicaid rate setting may not be "actuarially sound."

December 2010
State Health Watch;Dec2010, Vol. 17 Issue 12, p8
The article focuses on a report from the U.S. Government Accountability Office (GAO) which showed the failure of the Centers for Medicare & Medicaid Services (CMS) to ensure that rates paid to managed care organizations serving Medicaid clients are not too high or too low. According to Margaret A. Murray of the Association for Community Affiliated Plans (ACAP), the findings of the report were not surprising. ACAP wants CMS to define clearly its measurement of actuarial soundness.


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