managed care

Cultural Competence in the Delivery of Services Through Medicaid Managed Care

Resource

This technical assistance document provides an overview of the duties outlined for Managed Care Organizations (MCOs) in Federal law and regulation. The document covers enrollee information, oral interpreter services, coverage determination standards and procedures, provider networks, quality measurement and improvement, and data collecgtiton and reporting.

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managed care, National, Policy, Policy

Reducing Racial and Ethnic Disparities: Quality Improvement in Medicaid Managed Care Toolkit

Resource

This toolkit details the experiences of a collaborative workgroup of Medicaid managed care organizations (MCOs), Improving Health Care Quality for Racially and Ethnically Diverse Populations directed by CHCS and funded by the Robert Wood Johnson Foundation (RWJF) and The Commonwealth Fund.

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asthma, diabetes, immunization, managed care, Medicaid, Methods and Management, Organizational Cultural Competence, Patient Demographic Data, Program & Project, Private Sector, Care Management, Organizational Plans Policies and Management Strategies, Guide, Culturally Competent Care, Publication, Research

National Study of Culturally and Linguistically Appropriate Services in Managed Care Organizations (CLAS in MCOs Study): Final Report

Resource

The intent of this study was to examine the nature and extent of the CLAS standards in managed care organizations (MCOs) across the country and highlight promising CLAS practices implemented by these organizations.

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CLAS Standards, managed care, Organizational Cultural Competence, Assessment, Study Findings, Standards, Organizational Assessments and Measurement, Tool, Publication, Research & Evaluation, Policy, Research

Providing Oral Linguistic Services: A Guide for Managed Care Plans

Resource

This online guide provides an overview of oral linguistic services and why Managed Care Organizations should provide oral linguistic services to members with limited English proficiency (LEP).

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Interpreter Practices and Training, managed care, Language Needs Assessment, Guide, Publication, Language Access

Bridging Cultures & Enhancing Care: Approaches to Cultural & Linguistic Competency in Managed Care

Resource

These conference proceedings from the one-day conference “Bridging Cultures & Enhancing Care: Approaches to Cultural & Linguistic Competency in Managed Care" provides an overview of how to enhance the cultural and linguistic competence of managed care organizations and their provider networks.

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Clinical Interactions, managed care, Organizational Cultural Competence, Language Services, Patient Demographic Data, Conference Proceedings, Organizational Plans Policies and Management Strategies, Culturally Competent Care, Publication, Language Access

Planning Culturally and Linguistically Appropriate Services: A Guide for Managed Care Plans

Resource

This online guide provides an overview of cultural and linguistic competence in health care from the perspective of Managed Care Organizations.

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managed care, Organizational Cultural Competence, Organizational Assessments and Measurement, Guide
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