Regulatory Volatility: Why DOFR Matters More Than Ever for MSOs and Delegated-Risk Organizations
The healthcare industry is entering another period of significant change. Medicaid and Medicare remain the mainstay of public healthcare programs, and both are undergoing shifts in enrollment, reimbursement, regulation, and financial oversight. Those shifts create new challenges for health plans, MSOs, IPAs, and other delegated-risk organizations. As of July 1, 2024, 84.8% of Medicaid beneficiaries (more than 73 million beneficiaries) received some or all of their care through a managed care...