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Analyzing Medicaid Managed Care Organizations: State Practices for Contracting with Managed Care Organizations and Oversight of Contractors

This report examines how Medicaid agencies in 40 states select managed care organizations to contract with, how contract terms are set, and how performance is evaluated.

As states begin to see a large increase in Medicaid enrollees during the COVID-19 pandemic, they will look for flexibility to adjust contracts, increase effectiveness, and even redesign managed care programs.