According to a recent survey, a number of states have expressed interest in expanding managed care approaches within their Medicaid programs. But while managed care may present an opportunity for better delivery of care, it presents challenges within certain populations and geographic areas.
What are the different models for managed care within the Medicaid program? How many states are planning Medicaid managed care expansions? What impact would these changes have on beneficiaries, providers and health plans? What have we learned from past efforts to expand managed care? Are Medicaid managed care plans assuring the delivery of quality care? Are they effective for high-need, high cost populations? Or are they better suited to serve younger, healthier people? Will the provider networks be adequate to serve increasing numbers of beneficiaries? How are states planning to use managed care to prepare for 2014, when 16 million newly qualified beneficiaries begin enrolling in Medicaid as authorized by the Patient Protection and Affordable Care Act?
To address these questions and more, the Alliance for Health Reform and the Centene Corporation sponsored an October 28 briefing. Panelists were: Vern Smith, Health Management Associates; Judy Feder, Georgetown University; Ian McCaslin, Missouri Department of Social Services; Matt Salo, National Association of Medicaid Directors; and Dr. Mary Mason, chief medical officer of the Centene Corporation. Deanna Okrent of the Alliance moderated.
Full Transcript (Adobe Acrobat PDF)