Medicaid MCOs: It is time for a new claims management strategy The complexity and variability in state-by-state regulations have health plan executives scrambling to keep up with each state’s latest Medicaid payment policies and fee schedules. Medicaid managed health plans typically address this challenge by continuously expanding internal teams dedicated to loading fee schedules and configuring payment policies within their core claims systems. When you add in the complexity of multiple solutions and methods that may include proprietary third-party content, IT leaders end up diverting considerable time and money to IT development and maintenance. However, with the increasingly complex and dynamic state-by-state regulatory and payment environment, it has become nearly impossible to kee

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