New MO Medicaid Policy Changes How Insurance Companies Can Reimburse Providers

A new state Medicaid policy lets insurance companies reimburse providers at 90% of the program’s managed care rate if the provider is not “in network” with the insurer.

Many providers think the policy will lead to more doctors refusing treatment to Medicaid patients.

Doctors already receive a much lower rate of pay from Medicaid than they do from traditional employer-provided insurance plans.

Dave Dillon with the Missouri Hospital Association tells the Missourinet that fewer doctors means fewer options for managed care patients.

Dillon also say he thinks further cuts will drive more doctors away.

The state agency that handles delivery of Medicaid says the new policy is intended to encourage providers to participate in the managed care system.

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