Managed Medicaid

In today's changing healthcare climate it is essential to remain informed regarding your state specific Medicaid reimbursement system.

Managed Medicaid systems differ between individual states and state-level providers, and detailed management is key to success. Managed Medicaid is a health care delivery system organized to manage cost, utilization, and provide the high outcomes in key quality indicators. Harmony Healthcare International (HHI) provides up-to-date information regarding Managed Medicaid in a variety of states, as well as practical application tips and strategies for efficient management of this reimbursement system. Under managed care arrangements, states contract with organizations to deliver care through networks and pay providers. It is essential that the provider is familiar with the rules and regulations that govern their local Managed Medicaid program. How can Harmony Healthcare International (HHI) help?

How can Harmony Healthcare International (HHI) help?

The Harmony Healthcare International (HHI) team of HealthCARE specialists will assist your organization to understand the essentials of their program in order to remain in compliance and have the best health care outcomes for your beneficiaries.

Harmony Healthcare International (HHI) will work with your team to:

  • Address the specific state-defined measures of quality that are necessary to achieve for participation in the program
  • Exceed state-defined measures of quality, which may provide a reimbursement advantage for some providers.
  • Develop an individualized action plan in order to achieve desired outcomes, including quality designations, quality awards, preferential auto-assignments, and census development.
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