Care Management Organization

The first matter at hand in this case was whether a health care provider could bring this case to the Court despite its untimely appeal of a refusal by a... Read More

Where a contract provides for two methods of payment, the Care Management Organization is permitted to compensate the hospital at the lower rate and recoup payments made at the higher... Read More

Peach State Health Plan, a private Care Management Organization, acting as agent of the Department of Community Health, denied the Medical Center of Central Georgia’s (“MCCG”) request for “outlier” payments... Read More