“Medicaid Managed Care Comes to Assisted Living: Challenges abound as providers adapt to growth of health plans in the Medicaid program,” by Patrick Connole, Provider
“States contracting with health plans to operate as Medicaid managed care organizations (MCOs) is a growing phenomenon. So is the correspondingly sharp rise in MCOs administering services for elders and people with disabilities, under the formal name of managed long-term services and supports (MLTSS). As a result, populations in skilled nursing care centers, and increasingly Medicaid beneficiaries in assisted living communities, are coming under the umbrella of a new world order for reimbursement, where health plans are the payer and the state acts as overseer. It is in the assisted living space that this article will examine how managed care is having an impact on provider contracting, reimbursement, and care coordination.”
LTC Comment (from Stephen A. Moses, President, Center for Long-Term Care Reform):
It’s hard to see how putting another government-induced layer between patient and provider will improve long-term care, much less reduce costs.
Medicaid Managed Care Comes to Assisted Living: Challenges abound as providers adapt to growth of health plans in the Medicaid program