5 Slide Series

5 Slide Series

Medicaid MCO-Provider Price Negotiations
Publication Date: Dec 01, 2015
Summary

This edition encourages states to ascertain (and fix) situations where providers are securing prices far above Medicaid fee-for-service by way of a leveraged negotiation outcome with the Medicaid health plans in their market area.  This dynamic, in our view, is often negating the taxpayer savings that the Medicaid health plans’ excellent care coordination work would otherwise be achieving.  

Presentation