Search Results: keywords:"medicaid managed care"

  • H. R. 10331 — To prohibit health insurers, including Medicaid managed care organizations and other private health plans, from imposing arbitrary time caps on reimbursement for anesthesia services and for other purposes.
    Status:Introduced in House
    Words:747

    H.R. 10331, known as the "Anesthesia for All Act," seeks to stop health insurers, including Medicaid managed care organizations and private health plans, from setting arbitrary time limits on payments for anesthesia services. The bill emphasizes that reimbursement should be based on the...

    Simple Explanation

    H.R. 10331 is like a rule that says health insurers can’t make silly rules about how long they pay for special medicine that helps people sleep during big doctor visits, making sure doctors decide based on what's needed. Someone from the government will check to make sure the rules are followed to keep everyone safe and fair.

  • H. R. 8115 — To amend title XIX of the Social Security Act to allow for the deferral or disallowance of portions of payments for certain managed care violations under Medicaid.
    Status:Introduced in House
    Words:480

    H.R. 8115 proposes changes to the Social Security Act to modify how the federal government deals with violations of managed care requirements under Medicaid. Instead of completely stopping payments when a violation occurs, the bill allows the Secretary of Health and Human...

    Simple Explanation

    H.R. 8115 is a plan that changes how the government deals with mistakes in health care rules for people using Medicaid. Instead of stopping money completely when there's a mistake, they can now hold back a little bit of money, depending on how big the mistake is.

  • H. R. 3836 — An Act To facilitate direct primary care arrangements under Medicaid.
    Status:Referred in Senate
    Words:613

    H. R. 3836 aims to allow states to use direct primary care arrangements for Medicaid services. It clarifies that states can provide medical assistance through agreements where patients receive primary care for a fixed periodic fee. The Secretary of Health and Human Services...

    Simple Explanation

    H.R. 3836 wants to let states help people on Medicaid get regular check-ups with their doctors by paying a simple fee each time, instead of paying differently each visit. It also tries to figure out how well this works and costs, but doesn't change other Medicaid costs or rules.