604. State Medicaid Payment Policies: Finance Payment Rates & Managed Care (50 Min)
Tuesday, July 23, 2024: 10:30 AM - 11:20 AM
Education Credits:Course Level: Intermediate; 1 Accounting CPEs (NASBA/RE) 1 Nursing CNEs contact hours
Speaker(s)
Description
Since every state uses a different method to establish their service reimbursements, Medicaid payment rates are often complex, confusing, and misunderstood. When managed care organizations are added to the mix, the structure becomes even more complex. This session will begin to unpack the different ways that states set rates, manage care financing, and influence provider payments.
Learning Objectives
1. List different kinds of Medicaid reimbursements used around the country.
2. Explain how the rate setting strategy used in a state impacts the provider payments.
3. Identify the payment structure in your state and how to advocate for increased reimbursement.
Handout(s)