“10 Things to Know about Medicaid Managed Care”

10 Things to Know about Medicaid Managed Care,” by Elizabeth Hinton, Robin Rudowitz, Maria Diaz, and Natalie Singer, Kaiser Family Foundation”

“Medicaid is the nation’s largest public health coverage program, though many Medicaid beneficiaries now receive their care through privately-held managed care companies. This brief describes key themes related to the use of comprehensive, risk-based managed care in the Medicaid program and highlights data and trends related to MCO enrollment, service carve-ins, spending, MCO parent firms, and state and plan activity related to quality, value-based payments, and the social determinants of health.”

LTC Comment (from Stephen A. Moses, President, Center for Long-Term Care Reform):

Managed care allows state Medicaid agencies to pawn off responsibility for providing care and ensuring quality to low bidders. It covers 2/3 of all Medicaid recipients nationally already. What could possibly go wrong?