"Industry Analysis"

HMOs Abandon Medicaid In Several Eastern States

HMOs plead “poverty,”government cries “foul;” truth about Medicaid problems lies in-between

CEO SUMMARY: In a number of states, certain HMOs have ceased servicing Medicaid patients. This trend will grow. It is the spearpoint for a coming battle between government healthcare programs and private healthcare providers: What level of reimbursement is adequate to provide appropriate care? Who gets to set the reimbursement levels?


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