RD253 - Annual Managed Care Organization Spending and Utilization Trends Report – September 1, 2020

Executive Summary:

The Department of Medical Assistance Services (DMAS or the Department) continues to create, apply, and analyze comprehensive financial and utilization metrics based on the best available data. DMAS prioritizes efficient and effective detection of, and reaction to, spending and utilization trends. The Department has strengthened its ability to track such trends by improving information management infrastructure, enhancing data analysis capabilities, facilitating increased transparency and oversight of financial trends, and standardizing mechanisms to enforce compliance and performance. DMAS will continue to follow an innovative and collaborative approach to ensure that Medicaid members receive high quality care at an appropriate price for the Commonwealth.