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Precise MLR knowledge is essential to correct price-environment and state budgets. Nonetheless, the information documented and collected by states may not be sufficient for exact audits and level-environment.
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Medicaid MCO contracts are many of the premier and most complex contracts held through the point out and might account for billions of pounds in expenses and multi-year point out commitments. Though federal policies outline the minimal provisions that need to be included in the agreement between the condition and MCO, no least expectations exist to the procurement procedure.
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