Tag: medical loss ratio
OIG questions Medicaid spending by managed care plansÂ
September 27, 2022HME News Staff
WASHINGTON – CMS has an opportunity to strengthen state oversight of reporting by Medicaid managed care plans on medical loss ratios (MLRs), according to a new report from the Office of Inspector General.
States reported that most Medicaid managed care plans submitted MLR reports; however, the OIG found that 49% of the 495 MLR reports reviewed were incomplete.
These incomplete MLR reports were missing at least one of seven numeric data elements that are essential to the MLR calculation....