Federal Reports

South Carolina's Medicaid managed care program would not have saved any Medicaid funds in calendar year (CY) 2014 if the State agency had (1) required its Medicaid managed care plans to meet the minimum medical loss ratio (MLR) standard similar to the Federal standards for certain private health insurers and Medicare Advantage plans and (2) required remittances when Medicaid managed care plans did not meet the MLR standard. Specifically, all of the six managed care plans that we reviewed had MLRs greater than 85 percent (the minimum MLR standard for large private insurers) during CY 2014.

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This is a publication by GAO's Inspector General that concerns internal GAO operations. This report is the first in a series of Office of Inspector General's (OIG) reports that will review GAO's implementation of the DATA Act. It assesses whether GAO's efforts and readiness to report financial and payment data were consistent with the DATA Act's implementation guidance and requirements. Given the current stage of GAO's DATA Act implementation efforts, we limited our assessment to the first four of the eight steps in the Department of the Treasury's (Treasury) DATA Act Implementation Playbook.