More States Turning to Medicaid Managed Care Companies

More states are turning to companies specializing in Medicaid managed care, rather than commercial payors, in efforts to maintain financial viability, according to an American Medical News report.

Many states have been forced to significantly reduce their budgets and restructure Medicaid programs, with many of those states awarding contracts to managed care organizations that already have experience managing Medicaid. For example, Centene, a St. Louis-based MCO based in St. Louis that already managed Medicaid populations in 12 other states, was awarded new contracts in Louisiana and Kentucky.

Molina, another MCO based in Long Beach, Calif., also has contracts to managed Medicaid populations in 10 states and offers Medicare Advantage plans, according to the report. Although research is mixed on managed care's effectiveness and savings, Andrew Bindman, MD, professor of medicine at UCSF, said the success of managed care will largely depend on physicians' ability to determine and advocate the best managed care model.

Read the news report about Medicaid managed care organizations.

Related Articles on Managed Care:

How Would You Fix Medicare and Medicaid? 6 Hospital Leaders Respond
California's Medi-Cal Proposals Would Increase Co-Payments, Cut Hospital Payments
Florida Seeks Extension on Managed Medicaid Pilot as it Prepares to Expand Program

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