Study Reviews Readiness of State Medicaid Managed Care Programs
May 30—Healthcare stakeholders interviewed in eight states believe their state managed care programs are ready to absorb the influx of new Medicaid enrollees in 2014, according to a report from the Urban Institute. In each of the states, experts cited a history of strong managed care programs operating in their state, with solid organizational and operational infrastructures to build upon, the study said.
Researchers conducted interviews in Maryland, Michigan, Minnesota, New Mexico, New York, Oregon, Rhode Island, and Virginia. All of the study states except Maryland already have expanded managed care to serve new eligibility groups, including many high-cost, high-need populations that were previously exempt, according to the study.
The researchers found that some, but not all, of the publicly offered plans also will be available in the private health insurance exchanges, which they said should simplify the enrollment process for those individuals who frequently move between public and private coverage as their income fluctuates.
Most of the stakeholders interviewed said steps should be taken immediately to put adequate IT systems in place before 2014.
Publication Date: Thursday, May 30, 2013