Report on a Survey of Agency Regulation of Prepaid Managed Care Entities
Consumer protection for citizens enrolled in managed care is an important role for state governments. As managed care rapidly evolves, how are states keeping up with oversight of these new types of entities? This report contains the results of a survey developed by the National Academy for State Health Policy and sent to the Insurance, Medicaid, and Public Health agencies in all 50 states. The goal of the survey was to learn more about:
1. which agencies regulate prepaid, risk-bearing managed care entities;
2. what types of entities are being regulated and under what authority these entities are regulated;
3. the scope of authority of different state agencies in the regulation of these entities; and
4. the existence of any overlap or gaps in state oversight that may affect the consumer.