Reimbrusement Workshop Meetings | Hospital Reimbursement | Managed Care Reimbursement | Nursing Facility Reimbursement
Workgroup on Managed Care Reimbursement
Previous Meetings
September 29, 2009Managed Care Reimbursement Workgroup Report Draft as of September 17, 2009 - November 2009
September 15, 2009
August 20, 2009
- Agenda
- Summary of June 30, 2009 Meeting
- Shell of model layout
- B-XIII Disease Management Language
- Timeline
July 24, 2009 CANCELLED
June 30, 2009
- Meeting Agenda
- Draft Meeting Summary, June 4, 2009
- Straw Man for New Rate Setting Method for Florida Medicaid Managed Care
June 4, 2009
- Agenda
- Final Meeting Summary
- Draft Meeting Summary, May 12, 2009
- Charter
- Comparison chart: Institutional expenditures: optional vs. mandatory services
- Other category- List of Eligibility groups
- Breakdown of the 25 service categories
- Rate setting strategies – Pros and Cons - Mercer
- DOS CY 2007, Section II - Statewide
- Financial Experience of Health Plans Participating in Maryland Health Choice as of September 30, 2008
- Health Choice Financial Monitoring Report Certification Form
- Reporting Instructions for the Health Choice Financial Monitoring Report (HFMR) and Supplemental Financial Data Reports
- Discussion of Industry Concerns
- Timeline
May 12, 2009
- Meeting Agenda
- Final Meeting Summary
- Medicaid Spending for Fiscal Year 2008-09
- Buy Back Trust Requirements
- Cuts and Buy Backs
- Comments on Best Practices Medicaid MCO Rate Setting
- Medicaid Managed Care Rate Setting Methodologies
- Recent Developments in Medicaid Risk Adjustment and Implications for Actuarial Soundness
- Issues for Rate-Setting
- Risk Adjustment: Models and Using Encounter Data
- Risk-Adjustment Model Comparison
- Overview of the Social Services Estimating Conference Process
- Workgroup on Managed Care Reimbursement Time Line
January 12, 2009
- Meeting Agenda
- Final Summary
- Payment Methodology for Participating Medicaid Managed Health Care Plans (Non-Reform) July 2005
- Managed Care/Rate Development Process
- Florida Medicaid
- Issues for Rate-Setting
Reimbrusement Workshop Meetings | Hospital Reimbursement | Managed Care Reimbursement | Nursing Facility Reimbursement
