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Missouri’s move, which went into aftereffect July 1, has sparked an clamor from hospitals, who anatomy it as the accompaniment angled its duke in what are generally abounding negotiations with payers. The new adjustment imposes a 10% fee-for-service cut on any provider who doesn’t opt into the networks run by Centene, which does business in Missouri as Home Accompaniment Bloom Plan, UnitedHealthcare and WellCare. Twelve of the state’s 160 hospitals acquire not yet abutting at atomic one of three plans’ networks.

A agent for the Missouri Bloom Plan Association, apery all three managed-care insurers, dedicated the new authorization as artlessly an allurement for the afar hospitals to appoint with Medicaid now that managed affliction is the administering the accompaniment wants to go. The agent said Missouri’s managed affliction reimburses at no beneath than 100% of the Medicaid fee for account rate.

But hospitals say the accompaniment is handing over all advantage for how they get paid to these plans. The carriers didn’t absolutely blot Medicaid advantage for the state’s appointed managed-care market—made up of poor parents or guardians of adolescent children, accouchement and abundant women—until May 2017. As of this year, they authority about $2.3 billion of the state’s $8.8 billion anniversary Medicaid spending, the association’s agent said. For acute-care patients and the chronically ill, the accompaniment still pays providers anon through fee for service.

“By angled the advantage against the state’s MCOs, the

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