managed care organization
Posted inInvestigations

Billions in Profits, Millions in Unpaid Claims: Medicaid Insurers Leave Illinois Providers Struggling, Patients Losing Care

by Rachel Heimann Mercader, Freelance Investigative Journalist

Small clinics and hospitals are drowning in denied and delayed claims from Illinois Medicaid managed care organizations (MCOs). To cope, some providers have stopped accepting Medicaid altogether. Meanwhile, MCOs are seeing increasing profits, but aren’t meeting patient care metrics.

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