Managed care is a health care delivery system organized to manage cost utilization and quality medicaid managed care provides for the delivery of medicaid health benefits and additional services through contracted arrangements between state medicaid agencies and managed care organizations mcos that accept a set per member per month capitation payment for these services. The law establishes required methodologies effective october 1 2018 for determining the maximum number of licensed home care services agencies lhcsa with which a managed long term care partial capitation plan mltc plan may contract the law adjusts these methodologies effective october 1 2019. Capitation payments control use of health care resources by putting the physician at financial risk for services provided to patients at the same time in order to ensure that patients do not receive suboptimal care through under utilization of health care services managed care organizations measure rates of resource utilization in physician . Quality of home health care home health care occupies a relatively unique position in the health care field in most health care settings with the relatively rare exception of physician home visits the patient or client travels to and in many cases remains in a provider setting to receive health care and other support services
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