Episode 018 — Third Party Administrators and MCOs

This is the second of three special, post-Medtrade episodes. Third-party administrators (TPAs) are increasingly getting involved in Medicaid Managed Care Organizations (MCOs) and often run right past protections for providers. Furthermore there have been some business developments in the MCO-TPA world that are compounding this problem. Laura Williard VP of payer relations for AAHomecare, provides all the details on the situation; sheds light on what’s being done to combat this problem; and outlines what providers should do to protect their businesses.