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  Texas passed legislation demanding the state Medicaid agency to publish contract enforcement actions taken in opposition to Medicaid MCOs on the state Site, which include financial penalties. MCOs may very well be to blame for economical penalties for failures to fulfill entry expectations, well timed appointment criteria, well timed adjudication of statements, good quality general performance standards and much more.  

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To guard Medicaid from purchasing extreme administrative costs or earnings, states can also be needed to gather data on Just about every MCO’s health care loss ratio (MLR).  The clinical loss ratio is The proportion of revenue the MCO spends on health companies and high 서울출장샵 quality enhancement actions.

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