Summary
Interview with CEO Samantha Olds Fry on Medicaid Redeterminations and Healthcare Trends
Background and Passion for Medicaid Policy
In this episode, we are joined by Samantha Olds Frey, CEO at Illinois Association of Medicaid Health Plans, to discuss her background and passion for Medicaid policy. Samantha has been working on Medicaid policy in Illinois for the last 10 years and is motivated to continue her work every day because it can improve the lives of so many people.
Medicaid Redeterminations and What Health Plans Need to Know
Samantha explains that redeterminations are getting ready to gear back up and there is a lot that health plans need to know about them. These include making sure members respond to paperwork, preparing for retroactive claims, and understanding how HEDIS measures may be impacted. Some members will lose coverage due to paperwork, which will have an impact on both health plans and providers financially.
Healthcare Trends
Other healthcare trends we’re seeing involve social determinants of health and value-based care, as well as workforce shortages. To address these challenges, plans in Illinois have been showing up to communities and engaging in open-ended conversations. They’ve also partnered with the Cook County flexible housing pool to pay for housing for a period of time, which has yielded positive outcomes.
Advice for Aspiring Healthcare Leaders
Samantha from IMAP urges aspiring healthcare leaders to stay curious and compassionate in order to remain passionate about their work. Additionally, she talks about partnerships being key for redeterminations, value-based care, and addressing social related health needs.
Note: This is an AI generated transcript, not edited by a staff writer and is solely intended for educational purposes. If you have any questions/concerns, reach out to podcasts@beckershealthcare.com
This episode aired on 04/11/2023 and can be listened here.
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